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Fear of Gynecological Exam

Over 20 years ago, when I was a teenager, my mother forced me to have an abortion.  It was my first visit to the gynecologist.  I haven't been to the gyn in over 10 years because just being there produces severe panic attacks, and sometimes self-injurious behavior.  Has anyone ever had this happen to them?  I know that nobody LIKES going, but now I am having abnormal bleeding between periods and pelvic pain and I just can't bring myself to go.  Tried therapy...didn't work.   So what now?
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Avatar universal
I recently went to planned parenthood to get an exam.  My first time going to a gyno in about 8 years because my fisrt time I was a virgin, and the whole experience traumatized me.  I actually chickened out during part of the exam because the preparation for it was painful and made me really tense and unable to relax.  If there is a gyno who will go through with putting you under sedation of some sort to get through routine exams please let me know.  I wont go back now just because of how much anxiety I have.  I am glad to hear other people who have the same issues, because the doctor looked at me like I was some kind of big baby, and I just left.  I need to get these routine exams done, but I just can't without being sedated.  Any suggestions?
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Avatar universal
I have been to the gyn 5 or 6 times over the years. I have always dreaded going, and when I initially went it was to planned parenthood to get on birth control. It was uncomfortable but not painful, however, the woman was rude and condescending, which did not help. 3 years ago I was raped and have only gone to see the gyn only once since then. During that appointment I had extreme anxiety and cried to the point of hysteria the entire time. The doctor explained that the more tense I was, the harder it would be. She was a very sweet doctor though and told me jokes the whole time. I realize that I need to go for the sake of my health, but I do not know if I can bring myself to do it. It is nice to hear that I am not the only one out there who fears it. I just thought maybe it would help to vent.
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Avatar universal
It's kind of comforting to know I am not the only one.. I am supposed to make an appointment for January at my Ob-gyn office, but just can't bring myself to do it. I've had the same ob-gyn for years, but I make every excuse not to go. I've had 3 yearly pap smears, they've always been fine so that is why we made an agreement that I visit every 3 years. I guess I could visit more often, but... Last time I went I took Valium and Tylenol and told the doctor about it. He was very understanding, very gentle.  Pap smears always hurt, probably because I am always so tense. They have always been painful.

I was wondering would hypnosis help? I don't think I'll ever get used to these exams. Every time I feel violated, upset, even if there was no pain or discomfort- but there always is because of the smear test. So far I have always refused rectal exam (hemorrhoids make it worse) and always tell the doctor to give me full anesthesia, then he can do whatever he feels necessary. But of course I never get it.
It's kind of early to start thinking about booking the appointment- I can easily do it in early January, but the thought is so disturbing.. Maybe Valium is the only way for me.
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Avatar universal
How did it go? Did you make the appointment? I have never thought about hypnosis. What I ended up doing was buying myself a really soft robe (so I did not have to wear the paper gown) and nice socks. It made me feel a little more at ease. I also asked her to not do the breast examination and promised to do it on my own. It just freaks me out to have some one inspecting with my breasts AND vagina. I can only take so much in one day. Doing all of this made it a little better, but by no means a day in the park. I wish you the best and remember - it is only a couple minutes. You could stand on your head for a couple minutes. Take care!
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Avatar universal
I think American women are the only women who believe they need routine annual gynaecological exams.
I'm 51 and have had one pelvic exam in my life - when I was symptomatic - it turned out to be nothing....
The medical journals have lots of research and articles to show that these exams are unnecessary in asymptomatic women and can be harmful...
Question the need for these exams.
Also, breast exams are unnecessary in women under 40 - breast cancer is uncommon in this age group.  After 40 or 45 many women choose to have an annual breast exam. (I just started)
This rule would be different if you have family history...

Also, cancer screening has risks as well as benefits - women are not given risk information, so can't make an informed decision. Also, if you're required to have the Test or an exam to get the Pill, you can't consent - it's forced on you...
BTW the only exam required for the Pill is a blood pressure check - some women are forced to have full and invasive exams to get birth control - it's disgraceful to put this hurdle in front of women.
IMO this is about power, control and making money - lots of it...
The medical profession has a long history of disrespect
and abuse of women.
After I did my own research 30 years ago, I refused to have pap smears.  I know lots of women who have been harmed and traumatized by false positives and unnecessary colposcopy/biopsies...
Did you know that 1000 women need regular pap smears for 35 years to save ONE woman from cervical cancer? (Dr Angela Raffles research)
Did you know that 78% of women who have regular screening will have a colposcopy, with only a tiny number having malignancy? (L. Koutsky, Cancer Prevention)
Did you know that mammograms can increase your chance of getting breast cancer? Also, false positives and unnecessary surgery for ductal carcinoma in situ (see Screening Wars by Professor Michael Baum and his other Interviews)
It saddens me that women are still used in this way - treated like children and left in the dark..
We should all demand better treatment - make your own informed decisions - also, never have a male Dr forced onto you for invasive exams - these exams are unpleasant enough - only agree to a male Dr if it's YOUR choice.
My heart goes out to the symptomatic lady - you need to find a regular DR you can trust...you've lost trust - I interviewed three female doctors before finding a Dr I liked, trusted and felt comfortable with....of course, in Australia we don't have routine gynaecological exams (unless a woman asks) so, my exams are more general checks, blood tests and a breast check. (the latter only started a year or so ago)...
The important thing is to take it slowly - once you've found your Dr, hopefully, you'll find the exam bearable...when you know you're having the exam for a reason (symptoms) it makes it bearable (with your choice of Dr)
Good luck everyone....
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Avatar universal
I forgot - for women who decide to have cervical screening - write to your politicians and demand access to the new blood test - it's called the CSA Test (Cervical Specific Antigen) - it was patented in around 2004 - unlike the unreliable pap smear - this simple blood test is almost 100% accurate...
The pap smear should be a thing of the past and the only women reporting for colposcopy and biopsies, are likely to have cancer or serious pre-cancer - we won't continue to harm healthy women.
Pathologists and doctors will be unhappy to see the introduction of this blood test - it will mean  the loss of the lucrative pap smear and follow-up "industry"...
Men rejected rectal exams and got a blood test very quickly - I suspect women will have to wait years to get access...unless you fight for it.
Information is found on the Cervius and Onconix websites.
The women worried about not having routine gyn exams - STOP WORRYING - the medical literature and research is on your side - asymptomatic women do not need routine invasive exams and tests.
Also, it's YOUR decision whether you participate in cancer screening.
Stop living in fear - make informed decisions and look after your health, mind and body.
My legal training means I don't just follow the leader - I question the need, find the answers and make my own informed decisions.
Join me - it'll free you up to really enjoy your lives!
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