Discover and read the best of Twitter Threads about #gynaecologist

Most recents (7)

I wonder whose bright idea it was that if a #vagina managed penetrative #sexual activity, it must be pliable to #insertion of the speculum 😒. Whoever that was definitely disregarded the physiology of sexual #arousal & vaginal changes in the moment that facilitate #penetration.
@vagina_museum shows that everyone's apparatus is different then how can #Gynecology stick to a one size fits all model? #publichealth should strive to develop minimally invasive self administered #screening tests & #gynaecologist must #research on making procedures comfortable.
researchgate.net/publication/22…
This shows that topical #anesthetic agents reduce #pain and #discomfort during speculum manipulation. Why can't the usage of topical #anesthesia be a #standard process in #Gynecology? Why such blatant disregard for #patient #comfort? 😠 #misogyny much?
Read 5 tweets
Thread: Outpatient #hysteroscopy without anaesthetic

Everyone is aiming to save lives and detect and beat cancer. Fantastic!

NHS staff are there for us in these mad times - but they're under huge pressures, having to meet targets, including financial.
There is an institutionalised false mindset that 'being a woman = living with pain', which means that women's pain is known to be taken less seriously than men's.
So standard NHS procedure is to incentivise carrying out hysteroscopies, a particular form of invasive surgery on women, without any form of anaesthetic. Because it's cheaper.
Read 6 tweets
Thread: @RCObsGyn @RCoANews

Three things all trainee and practicing gynaecologists, GPs and hysteroscopists must understand to be effective.

Read this - and learn about the women you will be treating.
1/ Gynaecology can be embarrassing.

It 'shouldn't be.' But:

Female socialisation has eternally told us about PRIVATE parts.

'Pudenda' comes from the Latin for 'to shame'.
Many languages even contain the word 'shame' in vocabulary for female genitalia.

Religion and culture intrude - periods and their pain can be known as 'the curse of Eve'.

Punishment on all the female sex for one woman's sin.
Read 13 tweets
Thread

Women are sharing ghastly experiences of outpatient #hysteroscopy - invasive surgery with zero anaesthetic - the NHS UK standard practice

This barbaric, inhumane, misogynistic assault against women's rights must end

@RCObsGyn
@HysteroscopyA
@RCoANews
@NHSuk
@TheBSGE
'My scream sounded unearthly to me, like an animal in terrible pain. Part of my inside was being cut without any anaesthetic. I am 73 years old'
careopinion.org.uk/836391
#Hysteroscopy without #anaesthetic
'excruciatingly painful and the gas and air did not really do anything to alleviate the pain'
careopinion.org.uk/842763
Read 13 tweets
Thread
1/ Seemingly endless reports coming in - women's grotesque gynaecological experiences on @NHSuk

Lied to, minimised, dismissed, mocked, belittled, scorned by health care professionals

@NHSuk
@RCObsGyn
#nurse
#gynaecologist
#gynaecology
#gynae
#IUD
@HysteroscopyA
Refusal to believe women's first hand authoritative accounts of how these procedures TRULY feel

Failure to see women as needing or having any right to pain management

Callous, total lack of empathy, refusal to respond to women's pain
'Was told I was being “dramatic” by female doctor & nurse'

'Last time I spoke to female GP she basically told me as a woman I should expect this'

'I had a hysteroscopy and the male consultant was furious I had the anesthetic when he told me I didn't need it'
Read 9 tweets
Hysteroscopy: excellent treatment when done with respect & compassion for patient, without financial and convenience issues & outdated attitudes to women getting in the way. A thread:

@HysteroscopyA
@Trust_Failed
@ProfEmmaCrosbie
@RCoANews
@NHSuk
@RoseCoatesBN5
@rcgp
@RCObsGyn
#Anaesthetics have been available since the century before last.

Men are given local or general anaesthetic for #prostatecancer biopsies as a matter of course.

So why do women continue to be subjected to #gynaecological torture? Misogyny in action?
Hysteroscopy is SURGERY - anaesthesia, relaxation and pain management should be the norm, not the exception.

And as it's surgery, involving cutting and blood, doing it in an office with patient & #gynaecologist in their outdoor clothes is a hygiene disaster waiting to happen.
Read 16 tweets
A new research study in @bmj_latest doi.org/10.1136/bmj.m3… finds the risk to die early (<70yrs) increases with irregularity & length of women’s #menstrualcycle irregularity, with premature mortality mostly due to #cardiovasculardisease. What's it mean for women with #PCOS? 1/13
PCOS affects 10% of women worldwide & irregular menstrual cycles are a common symptom. Many of the women in this study likely have PCOS. Understandably, the higher rates of premature mortality reported will be worrying to women with PCOS. But what causes period irregularity? 2/13
Increased levels of male hormones #androgens are a cause of irregular periods (see: doi.org/10.1177/204201…; doi.org/10.1210/en.201…) and also impact on pancreatic beta cell function (doi.org/10.2337/db20-0…) causing #insulinresistance 3/13
Read 14 tweets

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