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Author Topic: Urine Sticks = BS?
Alergnon
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I'm confused and hoping maybe someone can enlighten me a little bit because I am so dumbfounded by this.

Lets say someone did a urine test and peed in a bottle and the doctor sticks a stick in it to test for infection or whatever she was doing. In the middle it showed purple indicating active white blood cells in my urine. Would there be any chances of infection showing up in the urine when it did on this stick? Because this hasn't happened once or twice... has happened many times. I never get a call back from the doctor, nothing. So what in the gods name did it show active white blood cells on a stick but not in their flipping labs? I don't understand and it's bothering me. Is there another reason why this happens? I ask questions to doctors and they can't explain to me, so what am I suppose to do?

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Alergnon
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I nearly had a melt down on the phone with the doctors office, "can you come in, the doctor wants to discuss some treatment plans with you..." I am crying, why am I so upset over this? That I have some issue going on that needs treatment... I didn't just get urine testing done, she did STI's testing. I literally lost hope in this pain in my side I was having and it's not in my head. I've gotten tests after tests done for variety of things and everything comes back clear and well, something is showing now, not sure how to really react to this, but to be upset.
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Robin Lee
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Certainly it's really scary. Did you make an appointment to go in?

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Robin

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Alergnon
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I did. I'm going there around 2pm, I feel so shitty. If they never called I would of never done anything but deal with the pain and discomfort.
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Alergnon
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How would they know if it spread into my kidneys because this pain and discomfort wont leave my side, back side and rib cage, kills to move, lay on my side. I took two extra strength tynols, suppose to take one but I can't deal with this pain and discomfort. I haven't slept all night, yesterday I couldn't sleep and I took a over the counter sleep aid just so I can sleep...

How do people deal with this, I've never had a infection like this before...

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Robin Lee
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Well, it sounds like they have some results they want to talk to you about.

And you be sure to tell the doctor everything you've said here, about how much pain you're in and what you have had to do to deal with it, okay?

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Robin

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Alergnon
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Yes. I'll let her know.
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Alergnon
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I have a few questions that came up after the appointment and some I didn't ask because she isn't my family doctor and she didn't want to take over my doctor's role. She treated me.

I am still a bit dumbfounded by the fact, on the urine stick showed active white blood cells but nothing from the lab showed a infection, which the doctor did wonder why but focused on what did come back and for her to treat it. I started to get a bit freaked because she is like, "your urine came back good, now the swabs I did, came back as a bacteria infection which I didn't thought you had when I did the examine." I literally was scared shitless.

She told me I don't have a STI's it came back clear but what came back was I had an over growth of yeast and she gave me some cream.

She was confused as well as I was about the urine stick showing active white blood cells but my urine came back fine. So, what causes something like that to happen?

I'm still experiencing pain and discomfort and at this point, I'm not doing anything about it because I feel and look like I am imagining this and I do not want to be looked at like I have some medical illness when I don't.

My specialist who did the scopes, has ordered a CT scan of my stomach just in case she missed something and couldn't see in the scope because if anything, would be on the outside but she doesn't know until I get the CT Scan done. I am scared shitless for this test. She also said, if nothing is found she wants to put me on medication to handle the pain, she thinks this pain is from my anxiety and depression, which in fact I've been stable for a few months with some minor spirals and with 1 panic attack about 2 weeks ago.

I'm trying to figure out, why a urine stick would show active white blood cells but on the lab results, shows nothing.... don't understand.

My second question is, I recently stopped my period and 24/hrs of it stopping I get chunks and rubbery black/brown blood expelling from me and it's been 2 days and it's still expelling from me. It's even in the toilet, my underwear and toilet paper. I was thinking maybe it's from this gel I have to shove up there, but this brown/black crap started a day before putting that gel up there. It's not stringy, it's globs of this stuff, big globes. Is this like, old blood that never came out or...? I am confused.

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Robin Lee
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Alergnon,

Did you ask the doctor when you were there yesterday about this brownish discharge? It's likely old blood, but since you were at the doctor yesterday, and are having some medical concerns in general, this was something you needed to ask her about.

You've expressed concern that since your symptoms aren't obvious, people won't take you seriously. It sounds, though, as if your healthcare providers are taking you seriously. Your specialist is continuing to order tests to see what is going on and has a treatment plan in mind to help you deal with the pain even if she can't find a root cause. Again, this sounds to me like she's taking you seriously.

I don't know why the tests the doctor conducted showed something and the lab tests didn't. If the doctor was also confused by this, it sounds like something that just can't be explained. As frustrating as it is, that happens sometimes.

I recall that you had a therapy appointment scheduled for this week. Did that happen yet? If so, how did it go?

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Robin

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Alergnon
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No, I didn't mention the brownish discharge thought it would go away after a bit... it's still there and still showing everywhere.

I haven't been feeling well sine last week and Monday I had canceled my appointment and moved it, which wasn't a bad thing because Monday night was a weird night and skipped my afternoon class because I stayed in bed. I had no energy nor felt well to be out of bed which resulted me in not sleeping Tuesday night into Wednesday morning when I received a call to go see the campus doctor for a treatment plan.

I do have a plan in set with one of the counselors at the College in handling stress and anxiety which I am doing modules to learn ways and strategies.

So, tomorrow will be the third day of this brownish crap expelling from me, should I worry that it's going on that long? Overall I feel gross having it come out of me and I can't wear a tampon with this cream stuff so letting it expel from me feels gross (wearing pantie liners) because I'm sitting on it and blah.

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Robin Lee
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If you're still having this discharge tomorrow I strongly suggest you call your doctor's office and speak with whoever handles patient care over the phone (often a nurse), describe it to them, and see what they have to say.

Did you schedule a new therapy appointment?

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Robin

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Alergnon
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I called the doctors office and the nurse told me it's normal and went on about my anxiety when I just asked a question. She told me basically the way I am going I am going to end up pregnant and I wouldn't know how to handle it, I never once mentioned about pregnancy or anxiety. I just asked if it's normal and if I should be concerned and when it should go away. She told me not to worry about it and if I still have it after a week, to see a doctor then. And I still have some globs of blood expelling from me, but it's not like a lot. Whatever, I'll deal with it and I'm not dealing with others treating me like crap and blaming my anxiety on crap when this has nothing to do with anxiety.

Yes I scheduled a appointment with the therapist I see him in about 3 weeks.

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Robin Lee
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I'm sorry to hear the nurse wasn't very helpful or respectful.

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Robin

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Alergnon
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I respect others and I don't need someone disrespecting me even though they have my file open in front of them on a computer doesn't give them the right to say things like that, unrelated to my question. In all honesty, I get she thought I was on birth control because my doctor wrote me the script for the patch and I said I would get it. I'm still thinking about it, getting the patch. I'd rather not use hormonal methods, I don't want kids and I don't want to take medicine to prevent that happening when it could happen, you know. It's kinda like saying, "yes it's okay to ejaculate inside of me, I am safe on the patch," next thing I am pregnant. I have been with the same person for 6 months and I trust him and I feel if I went on birth control, that I lost trust, he may not even really mind, but to me I've put a lot of trust in him and telling myself I can't trust him.

I don't know. I'm almost done the medicine gel stuff, I'll probably stop taking it tomorrow, since yesterday and early this morning I skipped taking it (suppose to take it twice a day).

Some times I feel others blame my anxiety/depression on my health when in fact they is clear evidence of medically something going on, but they blame it on mental health, it's messed and wrong.

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Heather
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Hey, Alergnon: you obviously get to feel how you feel about this, but if you'd like to talk about your ideas that people choosing to do family planning, and effectively prevent pregnancies they don't want or aren't ready for being somehow about not trusting a partner, I'd be happy to talk with you about that.

Mostly since honestly, that just isn't about trust at all: it's about people making active choices about their lives and doing what they can to only have a pregnancy be something that happens when and if that's what they want and feel ready for.

We can trust partners all we want, but trust isn't a method of birth control, and pregnancies happen all the time between people who trust each other and have built and maintained trust together.

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Patricia H
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Hey there Algernon,

I know I'm late to the party here, but I just thought I'd chime in regarding your initial post's questions about the urinalysis you got to experience roughly a week ago in hopes that maybe your questions will get answered and serve helpful to your understanding.

Having both been a tester (as a laboratory technologist) and patient at different times in my life, I can say that a urine test is ordered for many reasons, one of which is for urinary tract infections. In its more serious stages the bacteria travel up to the kidneys causing flank and lower back pain, otherwise known as pyelonephritis. The "classic" confirmatory sign of an infection involving the urinary tract is finding the presence of leukocytes, or white blood cells, via urinary dipstick. That's because when a patient has an ongoing infection in the urinary tract, his/her immune system is going to try and fight it via a ton white cells (a simple Google search can tell you how, if you're interested), many of which will pass through the urinary tract and into the urine. Because this is a localized spot in the body as opposed to systemic (into the bloodstream and everywhere else), it's possible that a blood test will not pick up on a UTI, even though it can be sexually transmitted. And if you think about it, that's a good thing; once bacteria enter the bloodstream, there's a good chance for sepsis to happen, that that is many times worse than any UTI anyone can have.

Unfortunately, Tylenol only helps to mitigate the pain, and doesn't do anything to treat the problem, which essentially is a bacterial infection. You'll need antibiotics to do the trick for that. And while it will suck for a bit, you'll find that if you take the medications exactly as they were prescribed to you, the pain will leave within the week or so.

As for the discharge, I'm not exactly what that is all about either, but from what I'm reading from the previous posts, it sounds like something that the body is getting rid of and taking care of on its own accord with time.

I hope this helps.

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Nolite te bastardes carborundorum. - Margaret Atwood, The Handmaid's Tale

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Alergnon
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Hey Heather,

I may have mentioned this a bit but maybe not in-depth.

You are right about trust and birth control to prevent pregnancies, I agree, without being on it, could lead to a pregnancy happening, I get that. Taking a pill everyday isn't an issue for me, or sticking a patch on my skin, what is an issue is the fact of the medicine itself. That is why I really really don't want any hormonal medicine, this is why I want my tubes tied and this would never in a million years fly with my doctor or any for that matter. I've told my partner/friend I don't want kids, he was surprised by my answer. Then like anyone he asks why.

This is why I don't want kids and want my tubes tied:

It's not that I don't want kids, I do, I do not want to bare children at all. I'd rather adopt and sure I may be able to have my own children and someone can't and me choosing not to, may make someone wonder why not, your healthy. I choose not to. Like I've mentioned before, at the age of 17 I wanted to get my tubes tied, I am now almost 20, and my mind hasn't changed. I can't do it, I can't have a kid of my own, I just can't.

I tell people this: I'd rather adopt a child because they may not have a family and I can offer that child one. Maybe it has to do with poverty, because I'm a caring person and why bring another human into the world when there is one sitting right there needing a home. Maybe it has to do with my past, being on my own, leaving my parents home at 16 and living in a group home for 11 and half months, and living on my own since then. I can't allow a child of my own. Heather, I can't have a kid of my own, I will get rid of it, somehow.

I can't be on medicine, hormonal. I have under lining medical crap going on. I am sick of feeling sick. No one has told me what is going on, no one can figure out why I have pain in the same general area. I thought I was going to have to walk up to these 5 officers sitting on their break, having coffee for them to drive me to the hospital, the pain gets horrific. It was bad last night. I asked my co-worker for something, she gave me two advils, did they work no, not till 2 hours later. I'm suppose to get a CT Scan done, not sure when, but I am scared shitless. I can't eat, it hurts me, I've developed an eating disorder and I have mentioned it to doctors, but I feel they're looking at it as, depression or anxiety. I ate yesterday okay, felt weird, maybe 30 minutes later, then I get this pain in my side, last time I ate was Friday night.

I refuse to take medicine. If this pain was manageable I wouldn't take any, but its horrific so I take something. I hate myself every time for taking something, because I believe pain is there to tell someone something isn't right, I don't want pills shoved down me to numb it. I don't understand how anxiety or depression cause such pain, in the same spot all the time to the point my face turns red, I'm weak... so on.

I want my tubes tied. Will this fly with a doctor no.

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Heather
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Have you called various OB/GYNs and asked them? Like, not asked just one or two, but sat, with the phone book for your area and called as mahy as you can?

I ask because chances are that you certainly could find someone to do a tubal for you. For sure, many doctors won't for younger people, but plenty will. It's usually just a matter of finding out who's who and doing a bunch of legwork to do that.

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Alergnon
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So, sit down and look through OB/GYNs in my area and see if they can do one?

I just don't want to explain why, and I clearly do not want to sit down in front of a counselor to make sure this is right for me, when I know it is. Heather the reasons I provided above are the same reasons I have at 17 and there are more reason many many other reasons.

I'll look some up online and give them a call, hopefully I find something.

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Heather
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Well, the way this works with ANY provider, since it's a serious surgery, is that you sit down with them and talk it through. And yes, because it is permanent, and is a big choice for most people -- and doctors generally like to keep their licenses, so they need to follow standard procedures for certain things -- they will ask things like how you feel about this and if you're sure and understand it's permanent.

That isn't a conversation anyone has with a counselor though: it's one you have with the doctor themselves or one of their clinical staff. That also isn't a conversation only had for younger people: it's a conversation anyone and everyone who wants a tubal or vasectomy has.

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Heather
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I'm just going to add this, because I feel like I know you pretty well at this point, and it matters: if, during one of these conversations, your moods are all over the place, you're ....well, pissy, defensive or erratic with the doctor or staff, they're likely going to be less inclined to take you on as a patient for a tubal.

That's because they don't want, perhaps obviously, to be sued by someone later who says they didn't feel okay in the long run about their tubal. And, from a doctor/clinical perspective, a patient who doesn't seem to have their moods under control, who can't seem to manage a clinical appointment without keeping their emotions in check, can look like a big red flag for that.

I don't say any of that to be a jerk, I say it to give you information that could help keep you from shooting yourself in the foot about this if it's something you truly want.

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Heather
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(I'd also add that if you have diagnosed mental health conditions you've been prescribed medication for but won't take, that too might -- validly -- incline a provider not to give you a tubal. It's a big risk for a provider to do something like that for someone with untreated mental illness of any kind, and could be yet one more way their license may be on the line if they did give a patient like that a surgery like a tubal.)

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Alergnon
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I get that. That is why many would turn me down and that of my age.

It scares the shit outta me sometimes of becoming pregnant I have no idea why, but it has, it has before the thought of getting my tubes tied at the age of 17 when I wanted it done. I kinda feel like a boy in a females body but not wanting to be a boy. Hmmm, what I mean is... I want this tubal surgery and not bare my own children, like I said, I'd rather adopt. Some people ask, "but don't you just want one to yourself that you had..." this to me crosses some lines of judging me on something they want in their life but can't understand why I want this done, almost like someone wanting to be a boy who is a girl. I feel that is the only way I feel, but I don't want kids, don't want to bare my own.

I've been off my medication for 6 months. Why? Don't need a pill to define my feelings. Sure that pill I was on, knocked me out which resulted in me being late for work a couple times, but it also messed with me. It worked at first, but then it screwed my moods over. I'm just like every normal human being, I get sad, upset, angry, happy, so on, just like everyone else. So why am I any different from others who want to get a tubal done?

The thought of pregnancy for me, at first seems "cool" but it lasts maybe 1 minute and it's gone. I don't want to sound off, but every month I dread around the month of my period. Why? I want my period to come, I like my periods, I think almost every month for a while, have tested for pregnancy and I get upset of that thought, "am I pregnant, I know I am not, I need to make sure," thoughts and I am sick of it.

People don't understand, "...but your young and don't you want a family of your own?" yes, I want a family, family isn't just about having kids, family is anything... work, friends and your and his/her family, but people don't get that, that you can have a family without having kids.

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Alergnon
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Oh, called two places. The first the lady on the phone was very very nice and understanding and asked the doctor about it. She said I would need to get a referral but he is willing to sit and talk but he would also want a second opinion.

Second place I called, the lady was nice but she was laughing under her words. After I explained my age, she got weird.

I'm going to make an appointment with my family doctor and I'll ask about the referral to the place I called first.

I have another question. When I met with my family doctor, she said she wouldn't give me or recommend the copper IUD she wouldn't explain why, so I'm a bit hesitant in asking her about the referral, how would you go around this, like, I mean for her to understand... I mean she doesn't know all about female reproduction, because I mean she doesn't specialize in it and I have no idea really.

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Heather
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You know, this information I'm giving you here really isn't political. believe me, I could go on all day about how some of the standards of care about permanent contraception procedures make really patronizing assumptions about people, especially women, and parenting, pregnancy, etc.

But none of that would change the standards of care, some of which are truly quite sound, and really are in patients bests interests, and which also are about legal policies when it comes to medical care.

Of course, if you haven't actually explored this option with at least a few providers already, I'd also say some of this conversation is moot. In other words, if you haven't yet made a real effort to try and get a tubal -- making actual consultation appointments for one with more than one doctor, and having all of these conversations -- then talking about this like you have just isn't sound. And conversations with friends and family aren't at all likely to be the kinds of conversations you'd have even with a provider who was turning you down for a tubal (stuff like, "If you haven't had one of your own...." etc.)

But honestly, if you are going to have those consultations, I'd strongly advise against saying things like, "I choose not to take my mental illness medication because I don't need a pill to define my feelings." Not only is that not what those medications are intended for, I'll be real with you: that sounds like the kind of statement made by someone who needs their medications more than it sounds like the kind of thing said by someone who doesn't. So, it's not at all likely to elicit confidence in a healthcare provider that you're managing your mental health well. And no ethical provider is going to do an elective surgery for someone who isn't, and that's a good thing, not a bad one. That's one of those ethical and legal policies that protects people from poor healthcare.

--------------------
Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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Heather
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quote:
I have another question. When I met with my family doctor, she said she wouldn't give me or recommend the copper IUD she wouldn't explain why, so I'm a bit hesitant in asking her about the referral, how would you go around this, like, I mean for her to understand... I mean she doesn't know all about female reproduction, because I mean she doesn't specialize in it and I have no idea really.
Well, personally I wouldn't recommend an IUD for you yet either, for a couple reasons. One, because as you seem to have been saying for a while here, you have unexplained, chronic, strong uterine pain. Until a doctor finds out what that's about, inserting a device that could complicate whatever condition that is wouldn't be wise.

That said, to my knowledge some of the cause of this pain HAS been diagnosed: you've said you have been diagnosed with cysts, and if that's the case, that's one more reason a doctor may decide an IUD isn't a sound choice. To boot, the copper IUD specifically typically increases menstrual pain and cramping, so if you're already saying you're frequently in pain as it is, it wouldn't be sound for a doctor to get on board with something likely to increase that pain.

Two, you have a history -- though I don't know if they know about this, though any medical history of infections tends to document this -- of unsafe sex. A patient who isn't either in a long-term, mutually monogamous relationship (where both partners have also been tested) OR can't commit to condom use for at least three weeks after insertion, and you feel pretty confident to stick to that, is one at much higher risks of things like PID after insertion.

But I'm not psychic: I can't know if these were your doctor's reasons or not, only they can know what their rationale was, so they're the person to ask.

That said, your general practitioner likely has plenty of basic information about reproduction, but they don't need that to make a referral to an OB/GYN for you to have a tubal consult, anyway. They just need to know you want that consult from someone who does tubals, and can thus refer you to that person for that consult. Your GPO can't likely do the consult themselves: that's part of the practice and standards of care for the surgeon.

[ 05-13-2013, 11:34 AM: Message edited by: Heather ]

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Alergnon
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[Frown] Heather I'm disappointed in myself, not from what you said, it's, I called my doctors office requesting an appointment and there wasn't any and I was going to go to her walk-in yesterday evening but I couldn't. I couldn't because I am ashamed and feel like an idiot. Maybe feeling ashamed and idiotic isn't really right, but from my point of view it is. I haven't told anyone besides my one friend who lives probably around 1500km from me. I sit here thinking, thinking and thinking; what would be different, what could have I done. I get no answers.

Yesterday morning at work, it was just constant thoughts of, getting my tubes tied, to just... what happened, I backed out of the going to my doctor at her walk-in, I would feel like such a fool walking in, asking for the referral, when I know damn well it wasn't right asking.

What I mean is, I want my tubes tied I can't have her send off the request when...

Back to my point: I would feel like a total fool.

There wasn't really any warning, there was, but, he didn't push me off, I didn't get off. After maybe 3 minutes of him saying four words, we lay down. Head on his chest. I asked him a question. His response, "I did already." I asked, "when? where?" He replies, "inside of you." My eyes shot out like balloons, I froze up. First thoughts that came flowing in my head were, 'this can't be happening. I need my tubes tied.' all I could think of was, getting my tubes tied. I'm like, "I'm not on anything..." he replies, "okay..." He tells me to roll over and he holds me tight. Still in shock, still thinking about my damn tubes being tied. "what are we going to do?" He replies, "if something happens we'll deal with it."

At work in the morning, all I could think of was my tubes being tied, than becoming pregnant. I feel like a fool.

I haven't cried over this. All that is running through my damn head is my tubes being tied that I want them tied! [Frown]

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Alergnon
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Sorry for the delayed response, been super busy and tired.
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Robin Lee
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Alergnon,

I really don't know what you're saying here. I wasn't there, and I'm not in your head. I think you're saying that you had unprotected intercourse and the person did not withdraw before ejaculation. If this is what you're saying, and you don't want to get pregnant, you know what you need to do. We've gone through this several times with you. [Smile]

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Alergnon
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Yes.

I know.

I've been having unprotected intercourse with the same person, I just don't know what happened. I feel stupid. More I think about it, more anxiety comes than it fades to calmness and then I am relaxed and it's... stupid. [Frown] I just... I want my tubes tied...

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Heather
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So, as I understand it, you agreed to engage in unprotected sex with someone again and took a big risk of pregnancy.

So, if it's been less than 120 hours and you want to reduce the risk of pregnancy, as you know, you can go and get some emergency contraception. Otherwise -- or after you do that -- all there is to do is wait this out, test when it's time to do that, and not keep making these same choices.

Getting a tubal right away likely wasn't going to happen no matter what -- it's a surgery, it needs to be scheduled. And you know you're still choosing to engage in sex right now, so, as you know, it's up to you a) if you still do that, and b) if you do, how much you choose to reduce your pregnancy and STI risks or not.

There's really no conversation to be had here about a tubal, and again, that's something you need to follow through with steps to talk to healthcare providers about anyway. More conversations with us about that aren't going to get you there.

And in the meantime, you do what you can do about this recent choice, and make decisions about what you're going to do moving forward, whether that's these same choices -- in which case, you've just got to own responsibility for making them and live with them -- or making different ones, which can certainly include risk reduction you can do without a tubal now, with something as non-invasive, cheap and simple as either changing your tune about using condoms, or just taking sex with anyone off the table if you keep finding you can't make the kinds of choices that are really in line with what you want (not becoming pregnant, in a word).

Okay? Honestly, that's really all there is for me or anyone else to add to this, especially since I feel we've had a lot of conversations throughout your time here about this same pattern of choices per big risk-taking, but they clearly either don't seem to be working for you, per the pattern actually changing, or, they're irrelevant because you don't actually yourself want to do what you need to to make these changes.

None of that is a judgment, since you have the right to make all of these choices, however you want. Rather, I just need to set some limits around some of the conversations we have, particularly when I feel they've been evidenced to be unproductive for both of us, that's all.

[ 05-17-2013, 01:22 PM: Message edited by: Heather ]

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Heather Corinna, Executive Director & Founder, Scarleteen
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Heather
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In other words, nothing changes if nothing changes, understand?

Feeling stupid also doesn't fix anything: getting down on yourself just makes you LESS likely to actually start doing things differently.

To do things differently, you need to just start doing things differently. And focus on that. In a very, very big way. To the exclusion of all else, I'd say.

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Heather Corinna, Executive Director & Founder, Scarleteen
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ellecubed
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I know that this is a way late response but I always get white blood cells in my urine dips and my medical team has said it is because I am immune suppressed (IBD) and infection is showing easier in my urine.

I think I noticed you are in Canada. If so, you may be able to get a full urinalysis covered to see whether or not they can figure out the origin.

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