Summarizing everything that combines to make good medical care cam be challenging. However, there are red flags that you should be aware of, because not only are some recommendations potentially harmful but if your gynecologist in Scottsdale recommends one thing that is so flagrantly bad, how can you trust the rest of their care?
So, these are six red flags that should make you stop and not pass go.
1. A prescription for estrogen-containing birth control (pills, patch, or ring) without asking if you are experiencing migraines. Migraines with aura are an absolute contraindication to estrogen-containing birth control, due to an increased risk of stroke. If your Scottsdale gynecologist were up to date on the WHO/CDC guidelines he/she would know that. You want your gynecologist to be up to date on all necessary guidelines.
2. Blaming pelvic pain on pelvic organ prolapse. Prolapse is not a cause of pelvic pain – it causes a bulge or a feeling that something is coming out of the vagina – but it does not cause pain. Any gynecologist in Scottsdale who thinks that the two are related knows nothing about prolapse and even less about pain.
3. Getting booked for incontinence surgery without a bladder diary (basically measuring everything that goes in and out for 48 hours) and 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 and reveal some people who could even be worse after surgery.
4. Having concerns about pain with sex dismissed. Painful sex, called dyspareunia, is not normal. Sex should not hurt. If your gynecologist in Scottsdale doesn’t know that or doesn’t care, move on until you find one who will listen to your history and perform an appropriate exam. There is a multitude of medical conditions that cause painful intercourse and it’s not in your imagination.
5. 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. It’s rare that a patient with yeast can only be treated with fluconazole; in fact, it’s pretty rare, because there are other options for treating a yeast infection
6. 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 that can usually be determined with imaging studies and it’s not chronic pain. Fibroids can cause irregular and/or heavy bleeding, but they don’t cause pain. A large fibroid uterus would typically be 1 pound and if a one-pound uterus caused severe daily pain, how could pregnancy ever be endured?
Need solid answers regarding your care from an experienced gynecologist in Scottsdale? Call our office today to schedule a consultation – you’ll see no red flags with us!