Discover and read the best of Twitter Threads about #hysteroscopy

Most recents (8)

@uhbtrust Outpatient hysteroscopy (OPH). When is UHB planning to introduce fully informed consent, appropriate pain relief and anaesthesia options for this invasive and often extremely painful procedure? @HysteroscopyA @RCObsGyn @TheBSGE @lynbrownmp @jessphillips #hysteroscopy
I understand that some women do not experience severe pain during an OPH, however this is not a good enough reason to disregard the experiences of those women who suffer unacceptable, and unnecessary, levels of pain.
The following excerpts are from an independent voluntary survey completed by some of the women who have undergone an OPH at an UHB hospital.
Read 13 tweets
CW:

Thread:

Links to women's lived experiences of @NHSuk outpatient #hysteroscopy without anaesthetic follow in this thread.

Difficult reading - but essential to understand what is being done in gynaecology today.
'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
'excruciatingly painful and the gas and air did not really do anything to alleviate the pain'

careopinion.org.uk/842763
Read 12 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: Going to a gynae outpatient appointment, whether you've been given advance warning/info about a #hysteroscopy or not?

If the gynae says they want to do it there and then, or even just says anything casual like 'I'd just like to take a little look, get a little sample …'
Ask:

"Are you talking hysteroscopy without anaesthestic?

I've read countless reports by women subjected to this barbaric procedure.

The answer is no.

I will require my surgery to be carried out under hygienic operating theatre conditions with humane anaesthetic."
And in the face of attempts to deceive, cajole, persuade, coerce, gaslight, mock, bully you into the stirrups …

"As I say, the answer is no.

You need to book me in for the proper procedure.

When can I expect my appointment confirmation?"

Calm, polite, controlled, assertive.
Read 6 tweets
Thread: Reactions to fear/pain can be complex and mixed.

You've heard of fight or flight, but there's more to it.

And for those of us who've experienced #hysteroscopy without anaesthestic, it's all very familiar:
Fight - getting angry, getting loud, challenging, doing something to defend, protect, prevent

Flight - get away, run away, stay away

Freeze - can't move, cant breathe, can't speak
Fawn - yes it's fine, thank you, everyone was so lovely, happy with everything, no complaints

Faint - ... faint ...

Flock - gather, mobilize, speak up, research, complain, write, publish, broadcast, question, change.
Read 5 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
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

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