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Have you struggled to access gynae health support? Ask Consultant Gynaecologist, Dr Sujata Gupta, for advice - £200 voucher to be won
84

GraceEMumsnet · 05/07/2022 09:29

Created for Circle Health Group

Do you find it difficult to talk about gynae health with your GP? Have you had trouble accessing the right diagnosis or referral? Circle Consultant Gynaecologist Dr Sujata Gupta will be on hand to offer advice on how best to talk to your GP.

  • Everyone who shares a question on the thread below will be entered into a prize draw.
  • One lucky user will win a £200 voucher provided by Mumsnet.
  • Sujata Gupta will be back online to answer a selection of your questions.


About Consultant Gynaecologist Dr Sujata Gupta:
“As an expert in the medical and surgical treatment of complex endometriosis, Dr Gupta is committed to helping women feel seen and heard in their treatment journey for chronic gynaecological issues. She has more than 15 years of experience in gynaecology, commonly performing hysterectomies and myomectomies to treat a broad range of women’s health problems. With a key focus on endometriosis, menopause, gynae cancers, and painful periods, Dr Gupta’s work is centred around helping women access the right information and treatment they need to manage and even overcome their gynaecological problems.”

Here’s what Circle Health Group has to say:
“Millions of women in the UK struggle with the effects of a gynaecological condition, yet they often go undiagnosed for years. Many struggle to access the right information, or feel embarrassment, which prevents them from asking their doctor the appropriate questions and getting diagnosed sooner.
We want to empower women to understand their health better and overcome the stigma surrounding women’s health by sharing more information on gynaecology, including how best to reach a diagnosis and treatment.”

Thanks and good luck with the prize draw!

MNHQ

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Have you struggled to access gynae health support? Ask Consultant Gynaecologist, Dr Sujata Gupta, for advice - £200 voucher to be won
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LadySlipper · 05/07/2022 18:42

I've been on sequential HRT for about 4 years. I went on it originally because my periods had become more frequent, more heavy and lasting longer and consequently I was anaemic. The HRT worked very well. Recently they have become more painful so my GP recommended I change to a continuous HRT. Happy to try anything that would help I agreed. However, I've since read that this type of HRT should only be taken when your periods have stopped for a year (? not sure how long but stopped). Just started my third month of these pills, still getting painful period-like pains and a bit/some bleeding. Should I be on continuous HRT??

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LadySlipper · 05/07/2022 18:49

During a routine smear test last Dec, the nurse discovered I had a polyp on my cervix and therefore could not carry out the test. Saw my GP who referred me to the local hospital for a colposcopy. I have now been waiting 7 months for this appointment, even though the hospital is now reporting a 19 week waiting list. For the first 5 months I called up every month asking for progress on getting an appointment, asking if my referral had been prioritised yet etc. No info was forthcoming so I've stopped calling. I'm getting even more bleeding from it, for instance, went for a run this morning and have been having light and intermittent bleeding all day. I've already been back to my GP once, is there any point going back again or should I just shut up and carry on waiting (im)patiently?

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ASmallCat · 05/07/2022 20:57

What, if any, training for GPs is there to treat sexual assault victims?

Specialist units exist for the immediate examination but follow-up information and care seems lacking and very much exacerbated by lack of gynae training in general, much less specifically, for lasting effects of sexual assault.

Given the high numbers of women who are put through sexual assault, this aspect of ongoing care needs addressed.

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SnowyMouse · 06/07/2022 11:43

How safe is the Mirena, I hear horror stories about it perforating the uterus?

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Christina1612 · 06/07/2022 12:31

I've been having irregular periods for the last 7 months where I have my usual bleed for 5-7 days. Then about a week passes and I bleed again for at least a few days sometimes another week. I've also on two occasions recently had severe cramping that feels like constant contraction pain lasting up to 30 minutes. These pains have not been during or just before a bleed so I am concerned but last time I spoke to my gp about my bleeding they said it's normal. But for me it's not I'm usually clockwork. Please help! Mum of three aged 32, youngest is 19 months. All c section deliveries.

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MrsFrTedCrilly · 06/07/2022 13:29

Does endometriosis tend to run in families? Concerned that my daughter will have the same miserable experience that I did. Thanks

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3mma22 · 06/07/2022 13:33

Hi Dr Sujata Gupta, my question is about post natal pelvic floor issues:

Why are pelvic floor exercises (kegels) the only solution offered to women with post natal incontinence and/or pelvic organ prolapse problems and at what point, who and how should I ask for alternative treatments (3+ years with no improvements)?

I’d also love to know if there is anything that could be done to raise awareness and promote research into other treatments for these problems.

Thank you.

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BeyondPurpleTulips · 06/07/2022 13:36

Yes, but it was a few years ago now.

My (gynae specialism) GP referred me to gynae for my cystocele and rectocele. Both having significant impact on my quality of life, I was doubly incontinent.
The registrar who saw me told me there was nothing wrong and everything was as to be expected as I had given birth in the last few years. Traumatised, it took another few years before I asked for a second opinion. The problem wasn't particularly worse. The consultant referred me for surgery straight away and was disgusted at what the registrar had said to such an obvious problem.

Consultant was older and male and the registrar was young and female. Only mention that, as in my experience internalised misogyny is a big problem in gynae and obstetric care. (I had issues with my repair too)

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BeyondPurpleTulips · 06/07/2022 13:37

(And my first birth - which possibly encouraged the prolapses in the first place!)

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thinking123 · 06/07/2022 13:38

What's the best birth control for someone's sensitive to hormones

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BeyondPurpleTulips · 06/07/2022 13:39

Ffs I forgot the question!

Do you agree that internalised misogyny is an issue among (some!) female gynaecologists, that is contributing to so many women having problems accessing gynae care? And if so, what do you do/suggest to address this?

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RagzRebooted · 06/07/2022 13:43

I have always had painful periods, I also need contraception. Don't tolerate (or comply well with!) any contraceptive pills. The Mirena coil I had previously was fantastic for periods and contraception, but gave me ovarian cysts that were even more painful than my periods. I ended up removing it myself after gynaecologist told me it wasn't the coil causing the pain.
The pain never came back after I removed the coil...

I'm loathe to have another Mirena for that reason, but I would like a contraceptive that helps my periods as well. What are my options? Would one of the lower dose IUCDs be less likely to cause problems than the Mirena?

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Citybumpkin87 · 06/07/2022 13:47

Are there any long term side effects, or benefits, to not having a period - particularly through the use of the coil?

Should it be advertised more as a choice from an early stage to girls?

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BurnstonesMama · 06/07/2022 14:12

I am 45 and have menorrhagia. Not only are my periods heavy and crampy, they come every 16 days. Two different brands of the mini pill made things worse and I had constant bleeding with both; after several years on Tranexamic Acid, it stopped making much of a difference; I don't want the coil; so GP has suggested endometrial ablation but the success rates don't seem that high. I just want to regulate my periods better and go back to every four weeks, I can live with heavy bleeding and clotting. What's your advice please? Should I try HRT?

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tulips27 · 06/07/2022 15:03

I have had a very painful smear test in the past and don't want to go in for another. Are the self-administered tests that you can buy online now an adequate alternative?

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nowtygaffer · 06/07/2022 15:34

I have a large ovarian cyst that the doctor wants to remove along with my tubes and ovaries. I am 48. The cyst is a 10cm simple cyst, confirmed by MRI. I don't want surgery but feel pressured into it. Is it possible that the cyst could go away on it's own?

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StiggyZardust · 06/07/2022 15:43

I've struggled to find appropriate gynae help. I have quite advanced lichen sclerosus and cannot find anyone who seems to understand the condition. My anatomy has changed completely and there's no treatment. My sex life is destroyed.

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BooksAndCarrotCakes · 06/07/2022 17:58

Is it possible to train nurses and doctors in Vulvodynia? If you’re having a speculum anyway wouldn’t it be advantageous to have people trained in the vestibule/vulva issues? I was told for years mine looked normal and they didn’t understand why I was in so much pain all I had to do was breathe slowly. I self diagnosed in the end after getting a book on Vulvar Disease myself and realising I needed Nerve Medication.

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BooksAndCarrotCakes · 06/07/2022 18:05

echoing Tulips22 - I think the uptake of women for screening would increase if doctors advised on numbing gel for those with Vulvodynia and their screening. It would encourage more to attend. But they would need to be aware of it to start with.

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Lovelydovey · 06/07/2022 18:09

How do you get a GP to take heavy periods seriously? He doesn’t get how debilitating they are and simply insists on treating the consequential anaemia. Would a specialise help understand and treat the underlying cause of the heavy periods? Is it worth insisting on that?

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Meehhhh · 06/07/2022 18:10

July last year I was put on the waiting list for endometriosis surgery, still waiting now, no pain relief besides the paracetamol, The lump is on my c section scar, if I get pregnant will there be more pain than I am already in?
How long is surgery waiting times at the moment for removal?

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topi34 · 06/07/2022 18:48

I went to the doctors five years ago due to very painful periods and extremely heavy bleeding whereby I go through a thick pad every ten minutes for the first two days. This leaves me very tired. (I am sorry this is very gruesome and understand if you delete my question)
The doctor dismissed this as IBS and would not refer me to see anyone despite me saying and thinking this is not normal?
I have also noticed around a week before the period starts I get a cough for around four days and breathlessness and then stops before the period starts. Is this a coincidence?

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Stej7 · 06/07/2022 19:58

I have been waiting for an ‘urgent’ gynaecology referral appointment since October. I have been experiencing pain, discharge and abnormal bleeding. I bled for 6 weeks on and off before Christmas and now bleed for 2- 2.5 weeks per month. I was treated with antibiotics for pelvic inflammatory disease. I still experience all the same symptoms and post coital bleeding. I was referred by my gp to colposcopy and given an appointment the following week which was cancelled the next day and when I called them I was told I had been referred back to gynaecology. I Have been on the waiting list since October despite many gp appointments and the go chasing their referral.

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ExcusesExcuses · 06/07/2022 20:08

As BRCA2 carrier, I've been told by 2 registrars I can have HRT post BSO and 1 Consultant that I absolutely CANNOT have HRT post BSO as it causes breast cancer in BRCA2 carriers. Who I'd right, cos I'm totally confused

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Tollystar · 06/07/2022 20:18

I had an endometrioma removed 3 years ago and it came back within 3 months. I've succesfully reduced its size by taking continuous OCP; yearly ultrasound shows it is consistently 1.5 cm. I am pretty much pain free (I've never had any other symptoms of endometriosis anyway). I am 47 years old, healthy BMI, non smoker, no migraines. Is it safe for me to continue OCP (until what age?). Should I switch to HRT? Or should I have the ovary removed?

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