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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think this was really inappropriate from a doctor

228 replies

urghmen · 27/06/2024 19:57

Today I had to visit a consultant gynaecologist for an initial appointment about possibly needing a prolapse procedure. I asked him if an operation would help. He tried to put me off and refer me to physio but then at the end of this he then said "although it does make your vagina tighter" and kind of gave a little shrug and smiled. Am I unreasonable to have felt really embarrassed and uncomfortable with this comment. This came after an examination as well so to be honest I felt a bit violated. Just want to get opinions before I decide whether to make a complaint or not.

OP posts:
Gingerdancedbackwards · 28/06/2024 06:33

urghmen · 27/06/2024 20:09

Thank you for the comments, it's good to see varying opinions as I wasn't sure how to feel. To be clear the comment came after a few minutes of him talking about why not to have an operation and then ended with him saying "but it would make your vagina tighter". Not that that bit should make a difference but I'm just clarifying. I felt uncomfortable at the time which was why I wanted to see how others would have taken it

It was a factual statement from a dispassionate professional.
What exactly are you concerned abbout? Sexual innuendo? Would you be happy if a female consultant said the same thing, because it could be sexual innuendo from a female as much as a male
Please don't get aerated about this. It's bad enough getting people to engage with professionals about their bits. Don't need scaremongering from innocuous comments

ShallWeGoToTheFirepit · 28/06/2024 07:35

planAplanB · 27/06/2024 23:52

Is the term 'tighter' an actual medical term though?

If everything was explained in medical terms, a lot of the general public wouldn't know what half of it meant.

Pussycat22 · 28/06/2024 08:56

planAplanB yes.

beeloubee · 28/06/2024 10:09

I would complain and find a different consultant that actually wants to do surgery

LongLimbs · 28/06/2024 10:15

I mean we could read anything in to everything. What he said was factual. It will be tighter and that’s what some women would like as they would view it as a positive (as in people would pay to have a tighter one!)

Some people try to have a bit of a joke to make you feel at ease. Some woman wouldn’t have a problem at all, some clearly would.

justasking111 · 28/06/2024 11:07

We're slipping back into Victorian outlook sexualising body parts and being disturbed at a perceived sexual connotation if a member of the medical community discusses them in laymens terms to help us understand.

HoppingPavlova · 28/06/2024 11:10

I don’t think it’s inappropriate op. I can see why it was a bit embarassing though. Many women struggle with sensation after childbirth. He’s simply stating one of the effects of surgery. It’s highly relevant to your decision making

Absolutely this.

SallyWD · 28/06/2024 12:45

beeloubee · 28/06/2024 10:09

I would complain and find a different consultant that actually wants to do surgery

But surgery isn't always advisable! I have bowel, bladder and uterine prolapses and two gynaecologists have advised me against having surgery. It really depends on the individual and the type of prolapse but often it's not a good solution.
Prolapse repairs have relatively high failure rates and often need to be repeated after ten years or so. Each time the surgery is done it is less effective. Surgery can also cause other problems. Often it is better to not have surgery or to delay it as long as possible. You can do exercises or wear a pessary.
The women I know who did have prolapse surgery specifically wanted a tighter vagina so it's perfectly relevant that he said this. He's probably had conversations with hundreds of women wanting this so of course he'll mention it as a consideration.

SnowflakeSparkles · 28/06/2024 14:33

Headinthesand21 · 28/06/2024 00:17

That is a ridiculous, fictional example and not at
all reflective of the situation described by the OP or any kind of medical reality.
None of us can know what exactly was said, or the manner that is was delivered, because we were
not there.
As with any surgery, the outcome of prolapse surgery varies and there are other potential treatments, including physio. It sounds like it was
poorly delivered, but a tighter vagina as an effect of the surgery is a valid comment and explaining so is part of informed consent.
You would want any surgeon who you are considering allowing to perform a prolapse surgery on you to be able to perform and interpret a pelvic examination. Or, in your words, to be a good ‘pussy analyst’. Although clearly not using that term, it is clearly very much part of his job and he would be negligent if he couldn't.

literally what are you talking about. This is a direct parallel. Circumcision exposes the tip of the penis which would usually be covered, and it can desensitise it a bit so men last longer during sex.

Amazing how in the male context it's "ridiculous" and not considered a "valid comment" where in the OP's case, according to you it was completely reasonable.

Just make it make sense why there is such a disparity in your eyes between the 2 scenarios.

SnowflakeSparkles · 28/06/2024 14:35

Janehasamane · 27/06/2024 21:51

I just don’t get this at all. Why can’t gynaecologists talk about this. If they can’t who can? Can doctors also not talk to men about impacts of surgery on whether they can get an erection or not. Is it a banned subject?

he’s a gynae. It’s literally his job to discuss all impacts of either surgery or physio. And yes this includes sexual impacts.

cant beleive folks are getting an attack of the vapours and pearl clutching over this.

It's not about talking about it, it's about the way it was phrased and delivered, as is very clear from the OP.

ladyofshertonabbas · 28/06/2024 14:43

A gynaecologist appointment involves talking about body parts, it’s unavoidable.

BrigadierEtienneGerard · 28/06/2024 14:55

Dotto · 27/06/2024 20:20

Doctors are very matter of fact

Why the smirk then?

Where does it say the Dr "smirked"?

Mamasperspective · 28/06/2024 17:49

Inqppropriate from another doctor yes, but not from a gynaecologist. For some women, their vagina not being tight enough may be one of the issues (not all women would be confident enough to mention it) so the consultant has to let you know the benefits and risks of all procedures so you can make an informed decision.

FunWithFlagz · 28/06/2024 18:00

SerenityNowInsanityLater · 27/06/2024 20:15

If the shoe were on the other foot and you said to a patient seeking medical circumcision that it may not really help with the lichen sclerosis but… it may give them a harder penis, I wonder how that comment would land. Please. Don’t all answer at once.
Welcome to the patriarchy OP. It never went away. You just had your rose tinted glasses removed.
Complain. He’s a doctor not a pussy analyst.

I had a prolapse that, due to muscle damage, caused my vagina to feel loose. It was distressing to me because sex didn’t have the same sensation for me anymore. The surgical repair sorted it right out. A tight vagina isn’t all for the man! There was no where in the OP that indicated the doctor said the operation wouldn’t cure her prolapse. They like you to have physio first as the area may re-prolapse so it’s best to delay it as much as possible. The OP may be uncomfortable with the delivery of the information, but I don’t think the Dr was being an arse pointing it out.

BigButtons · 28/06/2024 18:01

It’s just the truth surely. After 6 kids I would love to be told something like that.

An2020 · 28/06/2024 18:06

urghmen · 27/06/2024 20:15

Thanks everyone. I'm obviously in the wrong and took it the wrong way. I am a childhood Sa survivor and something I've struggled with as an adult is knowing when things are sexually inappropriate or not when it comes to things like this so I really appreciate the insight. I will pull my big girl pants up and move on

I don't think you're in the wrong at all. Trauma does funny things to us and tbh it's hard for us to know exactly how it was said. I was gonna say trust your gut but as a trauma survivor myself, my gut let's me down quite often lol.
If you feel a complaint is something you want to do then do it and don't feel bad for it. I personally think he could have worded it better. Sending hugs

JollyOldStNicholas · 28/06/2024 18:16

urghmen · 27/06/2024 19:57

Today I had to visit a consultant gynaecologist for an initial appointment about possibly needing a prolapse procedure. I asked him if an operation would help. He tried to put me off and refer me to physio but then at the end of this he then said "although it does make your vagina tighter" and kind of gave a little shrug and smiled. Am I unreasonable to have felt really embarrassed and uncomfortable with this comment. This came after an examination as well so to be honest I felt a bit violated. Just want to get opinions before I decide whether to make a complaint or not.

So I'm just going to say do not get the operation and have mesh of any type fitted. Please join the Sling the Mesh Facebook page for further information from women who have lived through this operation, who were promised the gold standard and who have been left disabled and suffering a lifetime of chronic pain. Try the pessary, try the physio, try the diet, try it all before you even consider taking this to the next level

BowlOfNoodles · 28/06/2024 18:20

He might not of been smirking you may of interpreted it wrong I don't think it's appropriate to complain!

Oldtigernidster · 28/06/2024 18:20

Why on earth would you submit a complaint?

susiedaisy1912 · 28/06/2024 18:27

Wouldn't have bothered me at all, he was merely giving you all the information.

CucumberBagel · 28/06/2024 18:28

Dotto · 27/06/2024 20:20

Doctors are very matter of fact

Why the smirk then?

Exactly. Tell that to the male gynae who put his fingers inside me and, when I winced in pain, smirked.

CucumberBagel · 28/06/2024 18:29

BowlOfNoodles · 28/06/2024 18:20

He might not of been smirking you may of interpreted it wrong I don't think it's appropriate to complain!

Oh yes, silly little women, not knowing what facial expressions mean.

NannaKaren · 28/06/2024 18:38

I wouldn’t complain…my gynae drew me a picture and referred to my prolapse as a ceiling collapse and having to be propped up🫣
He said you are never the same after surgery and after discussion, I am continuing with a vag pessary ring (!) for the time being …
hope you are ok 😘

Molly2023 · 28/06/2024 18:38

I think unreasonable to be honest. If it was a female doctor would you have felt violated by the examination and embarrassed by the comment? The tighter comment might make another patient choose surgery over physio.

Julia001 · 28/06/2024 18:40

Wontletmeusemynormalname · 27/06/2024 20:07

Is your vagina already tight, did it cause issues during birth, or even the opposite as in your muscles are knackered?

He's told you what to expect besides fixing the original problem. I don't know how else he could have phrased it??? Just because he's talking about sexual organs doesn't make the conversation sexual.

This ! They are duty bound to tell you ALL the possible outcomes