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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to complain about smear test experience?

462 replies

Ktmc94 · 14/01/2021 13:54

On Monday I contacted my GP surgery to get a new prescription for my pill. I spoke to the nurse who sorted that out but then proceeded to ambush me into a smear test appointment. I have looked into the screening for myself and was not convinced that I wanted to participate (I'm 26). I got flustered and agreed to the appointment thinking that at the very least I could have a discussion with her about it.

Then yesterday I arrived for my appointment. Blood pressure taken for pill and then I was weighed (didn't see the weight on the scale but I'm about a size 14/16). What came next was effectively a lecture about my weight which sent me reeling because I was already feeling nervous and uncomfortable about what was to come.

I was then ordered to strip behind the curtain without further ado, I tried to intimate that I was feeling apprehensive and was basically told to get on with it "it's only 20 seconds it's fine". No reassurance, no chat about the procedure or pros and cons of screening.

She then presented which, to me, looked like a rather large speculum and I voiced my concerns about it and was told that due to my weight a larger size was needed (I have never given birth). I was shell-shocked by this pronouncement and the bloody thing hurt before it was even opened but was once again told to relax and get on with it.

I left the appointment absolutely devastated at being lectured about my weight while feeling too vulnerable to assert myself. Fine, I need to do something about it but to launch immediately into a diabetes and heart disease lecture and then telling me that because I'm a bit chunky it means I must have a fat vag and offering no further explanation on the matter was just too much in my view.

I couldn't sleep last night tossing between wondering if I'm overreacting and feeling very upset about what happened. I phoned the practice manager this morning to discuss what had happened and was not encouraged. She skipped over the part about me trying to make an informed choice before deciding to screen and said "but you're 26 you should have had one by now" and "the nurse has been doing these on a daily basis for 30 odd years" and then rounded off by saying "not in any way to diminish your feelings about what happened" while having no comment on the fact that a weight lecture took up more of the appointment than some much needed reassurance about an invasive test.

I can't find anyone of any size who has been refused even a try with a smaller speculum and if I'm being honest I'm not massively fat, just pandemic misery has got me seeking dopamine in the biscuit tin but she could not have cared less about the state of my mental health. I'm still spotting and cramping which I had to find out for myself were side effects.

OP posts:
littlepattilou · 14/01/2021 16:22

Also, people having a go at the OP, by saying she is a horrible person for not wanting a smear because someone they know died of cervical cancer... I am sorry you lost your friend/loved one, but this kind of emotional blackmail and guilt-tripping is just not on.

Reminds me of my friend who refused a breast cancer scan in 2019, as she plain and simple didn't want one. There are advantages AND disadvantages to them... And she was entitled to not have one.

She made the mistake of telling a colleague at work, and the woman she told gave her hell. Caused her a selfish, entitled, self-absorbed bitch. The woman had lost her cousin to breast cancer at the age of 52, several years before, and she thought this gave her the right to lay into my friend.

My friend was so upset that she didn't go into work for the last 2 days of the week. When she got back on the Monday, the colleague ignored her, and only spoke when she had to thereafter...

Thankfully, the woman ended up moving to a department 3 miles away after a couple of months, but she was horrible to my friend.

Chesneyhawkes1 · 14/01/2021 16:22

@BrumBoo I was diagnosed after mine with cervical cancer. I had chemo, external radiotherapy and internal radiation too.

In my opinion it's 100% my fault I got cancer. I got a letter every 3 years inviting me for a smear test and I didn't go.

No matter what the reasons were why I didn't go, it was my choice not to.

After having brachytherapy for 3 consecutive days, I will never be nervous of a smear test again.

PinkFondantFancy · 14/01/2021 16:23

Dear OP, I'm so sorry you've been given such a hard time on here, it's not fair.

I've had several smears, and for what it's worth, despite having given birth twice with no pain relief, some of them performed by very experienced nurses have been very painful. Others utterly painless.

It's known for a fact that being tense will make it painful, so the nurse should have saved the weight lecture until AFTER the procedure, having spent some time putting your mind at ease.

Well done for getting it done. Next time, when you book, tell them you're very anxious and you found it painful last time. Hopefully they'll give you someone more gentle and understanding.

popsydoodle4444 · 14/01/2021 16:28

Smear tests are absolutely essential;you use to have them from age 18 onwards but then they increased it to age 25 onwards.There is a campaign to lower the age on them again due to under 25's having missed cervical cancer that's led to often fatal consequences.

I know a few people who in their 20's who have had to have cervical ablation to remove pre~cancerous cells (as picked up by a smear test) and last year a work colleague at 29 has a hysterectomy followed by radiotherapy for cervical cancer (also picked up by a smear test).

The weight thing is something we all get when we're overweight by the GP practice;the NHS is shit hot on this;I'm forever getting a lecture;it's one of those things.

As for the speculum thing;I can understand your point;their not the nicest of things,during the last smear test I had I got a miserable nurse who wasn't very gentle.Next time if you don't want a larger speculum then say so;it's your vagina;you have the right to say no.

ToadsThePeanutButterSnob · 14/01/2021 16:30

@littlepattilou

Also, people having a go at the OP, by saying she is a horrible person for not wanting a smear because someone they know died of cervical cancer... I am sorry you lost your friend/loved one, but this kind of emotional blackmail and guilt-tripping is just not on.

Reminds me of my friend who refused a breast cancer scan in 2019, as she plain and simple didn't want one. There are advantages AND disadvantages to them... And she was entitled to not have one.

She made the mistake of telling a colleague at work, and the woman she told gave her hell. Caused her a selfish, entitled, self-absorbed bitch. The woman had lost her cousin to breast cancer at the age of 52, several years before, and she thought this gave her the right to lay into my friend.

My friend was so upset that she didn't go into work for the last 2 days of the week. When she got back on the Monday, the colleague ignored her, and only spoke when she had to thereafter...

Thankfully, the woman ended up moving to a department 3 miles away after a couple of months, but she was horrible to my friend.

My best friend had her brain cancer picked up on when she (by chance) had her eyes tested. They noticed a shadow behind her eye and sent her for a scan. Sadly my friend did die but I don't go around lecturing people and telling people how selfish they are for not getting their eyes tested in case they might have a brain tumour.
Plussizejumpsuit · 14/01/2021 16:31

@QueenOfPain

It’s literally her job to discuss the chronic disease risk from obesity. As a PP said, basically the same sized speculum for everyone unless exceptional circumstances.

What did you want to discuss about the smear program? It’s literally a decision between doing nothing and maybe getting some advance notice of potential cancer, hopefully within a treatable time frame.

You've got no idea if op is obese.
Donewith2021 · 14/01/2021 16:32

They could have absolutely been more caring and compassionate but why wouldn’t you have a smear? The woman who usually does the smears at my doctors surgery is a complete dragon but I’d rather get it done tbh.

I’m overweight and not ever had a comment on size speculum but I did have children prior to my first test and I had my first one at 24. It’s so important op. 🌸

ComDummings · 14/01/2021 16:34

Many people speaking utter bollocks here.
The pandemic is NO excuse for rushed or crap care. I had a smear a few weeks ago, the nurse was absolutely lovely, she sat down with me, checked my details, explained that they no longer test for abnormal cells only HPV, asked if I have any questions or concerns. Then I went and got undressed behind the curtain while she washed her hands (again) and at NO point was I rushed. At every point she said ‘I’m going to do X is that OK’ and waited for me to reply yes. Afterwards I was ASKED if I wanted to be weighed as I haven’t been for ages. Her communication and her manner were SO important and so positive. I have had 2 smears with her and I hope it’s the same nurse next time. I wish every single woman getting a smear could have the experience I had as the nurse is an absolute gem.
OP you should complain. The nurse should be asking you, she should be sensitive and may need a reminder that some people find it very distressing so she should be mindful.

ivfbeenbusy · 14/01/2021 16:35

It's quite frustrating when people act all affronted and insulted when their weight is raised as an issue. I would say it's more than likely that the nurse was perfectly pleasant and professional but because she dared to confront you on a sensitive subject you have taken Umbridge and heard what you wanted to hear.

Sometimes the truth hurts? Just because Cosmopolitan has overweight women on the front cover doesn't make it healthy or right and certainly not in the midst of a pandemic where being overweight could literally mean the difference between you recovering from covid....or not.

I wouldn't complain no.

Russellbrandshair · 14/01/2021 16:38

@FooFighter99

You want to "make an informed decision" about whether you want a test that detects cancer...?

WTF?!?

Why wouldn't you want to know if you had cervical cancer?? I honestly can't think of any reason why anyone would turn down a free test that could save their life

OP, with all due respect, you need to get a grip.

I agree. So, you'd prefer to make an "informed decision" not to have a test for cancer cells?

Alrighty then.

FrostyChocolateMilkshake · 14/01/2021 16:38

It does sound like you are being oversensitive. You're 26 years old - surely you could have asked questions yourself before the screening? Mentioned it to the nurse before you undressed for the examination?
As for your weight, you're bordering on the overweight category. The nurse was just doing her job by discussing your weight with you. Loads of health concerns come hand in hand with being chubby. I say this as a fellow 14-16er.
As others have said, you were very lucky to get a smear test during a pandemic.
Sorry OP, YABU.

TriflePudding · 14/01/2021 16:39

WorraLiberty

I am also a saggy booby saggy knickers as well but didn’t want to over share!

Sorry but it just annoys me that people are absolutely ripping the OP to shreds because ‘NHS’ when I know that every single one of my colleagues would never ever treat or expect a patient to be treated in this manner.

Covid 19 is not an excuse for shoddy patient care.

ToadsThePeanutButterSnob · 14/01/2021 16:39

@popsydoodle4444

Smear tests are absolutely essential;you use to have them from age 18 onwards but then they increased it to age 25 onwards.There is a campaign to lower the age on them again due to under 25's having missed cervical cancer that's led to often fatal consequences.

I know a few people who in their 20's who have had to have cervical ablation to remove pre~cancerous cells (as picked up by a smear test) and last year a work colleague at 29 has a hysterectomy followed by radiotherapy for cervical cancer (also picked up by a smear test).

The weight thing is something we all get when we're overweight by the GP practice;the NHS is shit hot on this;I'm forever getting a lecture;it's one of those things.

As for the speculum thing;I can understand your point;their not the nicest of things,during the last smear test I had I got a miserable nurse who wasn't very gentle.Next time if you don't want a larger speculum then say so;it's your vagina;you have the right to say no.

If you have symptoms of cervical cancer then you need to go to your GP and ask to be referred to a gynecologist, regardless of how old you are or if your smear history is clear. A smear test is not appropriate for a woman of any age experincing symptoms. Smears are screening tools not diagnostic tools. That's why I am always baffled whenever there is outrage when a young woman is refused a smear test when she has symptoms. But she doesn't need a smear test in that situation. She needs further investigation and tests.

The reason the age was increased is because the cervix is still developing in younger women and thus cervical changes and abnormalities are common but in the vast majority of cases these
abnormalities are harmless and go away on their own. In fact most mild abnormalities picked up on smears will not develop into cancer and fix themselves without treatment.

ComDummings · 14/01/2021 16:40

If course people should make an informed decision. In the first instance you’re tested only for HPV. If negative your cells aren’t tested further. For many women their risk of HPV is tiny so they might choose not to have a smear at all. It doesn’t test for cancer. If you don’t have HPV they don’t even test for abnormal cells.

ComDummings · 14/01/2021 16:40

Of*

BiBabbles · 14/01/2021 16:42

She and the practice manager don't sound very considerate. Some of them aren't. I'm not sure the benefits of pushing it further, but there are patient support organizations that can help with that.

At my last smear, I got a lecture about vaccinations because my records don't show that I've received an MMR -- even after explaining that I'd immigrated from the US at 17 and received all my jabs as a child (and got boosters at 17 because it was a required part of some US college applications as my mother wouldn't give me my immunisation records) and my rubella checks all came back fine during my four pregnancies, I was told to double check and book in if I found out I was mistaken.

Yet I dont see men being harangued in the GP surgery in the same way over their prostate exams.

Maybe because there isn't a prostate cancer screening programme in th UK. There is no reliable test for prostate cancer and the most common screening one is a blood test, not the commonly joked about rectal exam.

AiryFairyMum · 14/01/2021 16:43

What were you expecting? A cup of tea and a hug?

ToadsThePeanutButterSnob · 14/01/2021 16:43

@Donewith2021

They could have absolutely been more caring and compassionate but why wouldn’t you have a smear? The woman who usually does the smears at my doctors surgery is a complete dragon but I’d rather get it done tbh.

I’m overweight and not ever had a comment on size speculum but I did have children prior to my first test and I had my first one at 24. It’s so important op. 🌸

I have autism and am a sexual assault survivor. Smears are vey painful and traumatic for me but I still get them done. That being said there is no way I would have them if my only choice was a nurse who is a dragon.
ToadsThePeanutButterSnob · 14/01/2021 16:44

@AiryFairyMum

What were you expecting? A cup of tea and a hug?
That would actually be very good right now please. I will take mine with two sugars and some oat milk. Stirred well please Smile.
AcornAutumn · 14/01/2021 16:46

OP have only read your posts

I think they were pretty awful to you.

Are you familiar with Dr Margaret McCartney's work? This is a good starting point.

www.independent.co.uk/life-style/health-and-families/features/why-i-m-saying-no-smear-7577967.html

justwanttobemum · 14/01/2021 16:46

YANU. You are obviously extremely over sensitive and dramatic IMO. It's hardly a procedure. I was lucky enough to get one last week (even though most are cancelled with covid but I am long over due and I got a sympathetic but to the point nurse on the phone who basically said, I don't know what the bloody guidelines are these days but I'm of the opinion you girls need your smears so come in and I'll do it and to hell with any guidelines. Your in, whip your bottom half up put your feet up and she's in and out, clothes back on and off you go? I'd speculate I was probably in there 2-3 mins? There's a pandemic, they're busy, they want to limit time in proximity of patients. Pros and cons? What cons do you possibly think there are to a smear?
Please don't waste nhs time by complaining.

Bluebirdcup · 14/01/2021 16:47

Hi OP
You are not being unreasonable. No woman likes a smear and part of the role of the nurse is to make you feel comfortable and relaxed.
Your weight had no bearing on your smear and to get a lecture just before you're getting poked around is showing a lack of empathy but duty of care.

I have severe endometriosis which means smears are especially painful. I now tell my nurse about my pain, apprehension and they have been absolutely wonderful.
I also think my stress levels go through the roof and that makes it harder to relax.

Anyway apart from one horrible experience which wasn't the fault of the nurse but a horrible flare up my smears have been gentle.

For anyone saying you're being unreasonable I really hope you don't work in health care.

As for your weight, well if it was so important the nurse could have mentioned it AFTER your smear in a gentle manner. Never before

justwanttobemum · 14/01/2021 16:47

*yabu

ToadsThePeanutButterSnob · 14/01/2021 16:47

@justwanttobemum

YANU. You are obviously extremely over sensitive and dramatic IMO. It's hardly a procedure. I was lucky enough to get one last week (even though most are cancelled with covid but I am long over due and I got a sympathetic but to the point nurse on the phone who basically said, I don't know what the bloody guidelines are these days but I'm of the opinion you girls need your smears so come in and I'll do it and to hell with any guidelines. Your in, whip your bottom half up put your feet up and she's in and out, clothes back on and off you go? I'd speculate I was probably in there 2-3 mins? There's a pandemic, they're busy, they want to limit time in proximity of patients. Pros and cons? What cons do you possibly think there are to a smear? Please don't waste nhs time by complaining.
What if you find it too painful and it takes longer than that?
Bluebirdcup · 14/01/2021 16:48

justwanttobemum but some women have gynae issues that are debilitating and a smear is incredibly painful. So great if you can just whip it off but for others there is genuine anxiety and pain involved