I've thought about this a lot.
I am no wallflower. I suspect many people find me quite irritating - I'm the one who always has a question at the end of a talk, always emails the school back, happily tells off the kids in the park while my own DC cringe etc
I'm assertive, confident and don't care much what other people think of me
I'm also a hcp with 25 years of NHS service.
But when I have been very ill and vulnerable, I have found myself completely unable to advocate for myself. I have put up with substandard care, nodded along to things I don't agree with in appointments and left completely unsatisfied or confused about the next steps or plan. I found myself unable to speak up and articulate my wants, needs or concerns.
I just can't believe that there is even a suggestion that vulnerable women are expected to repeat and nuance their consent over and over again when in the situation of their request for same sex care being blatantly overridden. If she doesn't speak up enough times with a detailed enough explanation (using approved terms) then tough luck. Revolting.