Summarizing everything that combines to make good medical care can be challenging. However, from time to time we hear unfortunate stories from patients regarding medical misadventures. These are red flags, because not only are these recommendations potentially harmful but if your gynecologist recommends one thing that is so flagrantly bad, how can you trust the rest of their care? Today we’re helping you determine if you see the right or wrong Arizona gynecologists.
So, these are 6 red flags that should cause you concern and push you to seek a second opinion.
You are given a prescription for estrogen-containing birth control (pills, patch, or ring) with no inquiry about migraines. `Migraines with aura are an absolute contraindication to estrogen-containing birth control, due to an increased risk of stroke. And if your doctor were up to date on the medical guidelines, he/she would know that.
Blaming pelvic pain on pelvic organ prolapse. Prolapse is not a cause of pelvic pain; it causes a bulge and a feeling that something is coming out of the vagina, but it does not cause pain. Any Arizona gynecologist who thinks that the two are related knows nothing about prolapse and even less about pain. And if they want to operate on your prolapse to fix your pain, don’t walk out of the office, run.
Getting booked for incontinence surgery without a bladder diary (basically measuring everything that goes in and out for 48 hours) and a post void residual (a test to make sure you are emptying your bladder correctly). This simple diary and test can distinguish people who can – and can’t – be helped by surgery, as well as indicate some people who could even be worse after surgery.
Dismissing concerns about pain with sex.Painful sex is not normal – if your Arizona gynecologist doesn’t know that or doesn’t care, move on until you find someone who will listen to your history and do an appropriate exam. There are numerous medical conditions that cause painful intercourse and none of them are “all in your head!”
Getting a prescription for fluconazole (Diflucan) but you also take a statin drug for high cholesterol. These two medications can interact in a fatal manner and should not be given together, especially for a routine yeast infection. In the rare circumstances where a patient with yeast can only be treated with fluconazole, the statin should be discontinued.
Being told your pelvic pain is due to pressure from fibroids. Fibroids are benign tumors of the uterine muscle and they do not cause chronic pain. Sometimes when they outgrow their blood supply, they degenerate and that condition is acutely painful, but you can usually identify that with imaging studies and it’s not chronic pain. Fibroids can cause irregular and or heavy bleeding, but they don’t cause pain.
Do any of these red flags for Arizona gynecologists sound familiar? If so, call our office today to schedule an appointment so we can answer your questions and address your concerns.