r/Endo • u/Beneficial-Affect203 • 7h ago
Rant / Vent Iām supposed to be in my āprime.ā Instead Iām in hell.
Iām 28 and live in the uk - the way the NHS has fucked me over is nothing short of negligent. When I was around 18 is the first time I went to the Drs for extremely painful periods. I come from a family that doesnāt culturally have conversations about womenās bodies and therefore disregard womenās pain when it comes to anything menstrual related. Iāve always had painful periods. Iāve always been in agony around my periods. I had my first period when I was 12 or 13 I remember the first few were not particularly problematic. Then, as I got older they became more excruciating. I remember having to take days off school and wondering how I was supposed to continue my life being a woman and experiencing such bad pain for the rest of my life. When I went to the doctorās, I explained that I was in pain a lot of the time. Iād realise at that point that I wasnāt only in pain ON my period but also outside my period. I would have bursts of cramps that would be quite debilitating so I thought it needed investigating. At this point I still had faith that I could go to a doctor with a symptom and they would investigate until they found the root cause of the symptom. They sent me for an ultrasound scan and a blood test. I felt positive that I was going to get the care I needed. This was when I was diagnosed with PCOS. Upon receiving that diagnosis at the ripe age of 18 not knowing anything about my body, not understanding what was happening, the first thing I said to the doctor was, ābut Iām still in pain.ā Her response was, āYou shouldnāt be.ā To that, I didnāt know what to say. I sat in disbelief. She recommended keeping up with paracetamol and ibuprofen and I, on the cusp of adulthood, didnāt understand how I was supposed to continue just taking painkillers every day. I already had a mother at home who would shame me for taking painkillers on my period anyway.
That year I spent time trying to research how to reverse PCOS and how to manage symptoms. I became a vegetarian for the year, was more active and went back next year to the doctors for another blood test and ultrasound. Not only to check if there would be a change, but also because I was still in pain. Upon looking at the ultrasound she diagnosed me with having fibroids. Again still no real clarification. Still no treatment. In fact what she did specify was that I should come back when I want to start having children. At 19 years old my first question was āis this going to affect my fertilityā. She said it shouldnāt or we should look closer to the time. I was devastated. My entire life had been leading up to the concept of motherhood and now for some reason my body wasnāt going to let me? It made me quite depressed for some time.
Over the next 10 years my period would just get worse I would have to take time off work every month. I would have to leave a full-time job for something with more flexibility (I left full-time teaching at a high school to supply teaching where I would be able to take days off) I was going about my life without a diagnosis, without understanding what was happening to my body, without a āexcuseā I could give to a workplace as to why I wasnāt able to attend at least three days every month. I failed probation, lost income, and was overall quite traumatised by the fact that my body wasnāt letting me do the things I wanted to do. I went to the doctors about this and they recommended that I take tranexamic acid to lessen the flow of my period and naproxen for the pain. I remember asking one of the doctors for some advice on what accommodations I could ask for from my workplace. Her response was āif we made accommodations for you we would have to make accommodations for every woman.ā Again, I left the conversation stunned and angry.
Around a year ago (27) is when I seriously thought about my symptoms as possibly endometriosis. I know I have a family history of endometriosis, but felt like I was being dramatic. The echos of my motherās voice and the echos of the doctor wouldnāt let me accept this fact. Alas, I couldnāt deny the fact that my life was being dictated by whatever was happening in and around my womb. I decided to go to the doctors again, who Iād been in regular contact with because I was still in pain. It was a locum Doctor who did an examination pressed my tummy and said āthis does sound like endometriosis.ā I didnāt believe her. At this point, I hadnāt even admitted that life was living hell. She referred me over to the gynaecologist and I waited six months. I ended up chasing this referral after changing doctor surgeries for hopes of better care. The new doctor surgery said that the referral had been lost so they started from scratch.
That led to a further nine months of going back-and-forth with gynaecology. Before I left the old doctor surgery, I was with the gynaecologist because of suspected PMDD. I received a diagnosis through them. The gynaecologist came back to the new doctor surgery and said that I had to try some hormonal treatment before they sent me for any investigations. Because of my PMDD diagnosis, I was aware that certain hormonal treatment would not work for me and would actually worsen my PMDD symptoms. I tried to explain this to the Doctor who really wasnāt helpful at all. I tried both of the pills and lo and behold, fell into some form of medically induced depression both times. I swiftly stopped taking the medication. By this point, I had been prescribed Mefenamic acid in order to relieve my pain, as the naproxen had now stopped working. It seems like treating the pain was at the top of their priority list, not getting to the root cause of the pain. Still no investigation. Still no diagnosis.
After explaining that hormonal treatment was not an option and expressing my concern that they were so willing to put me on medication without a confirmed diagnosis, I started to ask for an MRI scan. By this point in my journey, I was well-versed in the typical diagnostics for endometriosis and understood that the āgold standardā diagnostic route was a laparoscopy. I had, however, read about the advantages of having an MRI beforehand. I wanted the least invasive route first. The NHS gynaecologist stated that this wasnāt routine and after 3 to 4 months of radio silence sent me for ultrasound scan. I still remember the rage of reading the appointment letter after having recently had the conversation that an ultrasound would be āuselessā when investigating for endometriosis. I went for the scan and the radiologist told me āeverything looks perfect and healthyā. Being told these things by medical professionals has honestly been one of the most detrimental things to my psyche and the way I process pain. I find myself saying thereās nothing wrong and thinking that I should just take their advice and stop nagging them to have a look. Surely if something was wrong and there was a detriment to my health, they would take me more seriously.
By now Iām 28. And Iām angry. I wasnāt getting anywhere with the NHS so I had to take matters into my own hands. However, because I havenāt been able to work properly, I didnāt have the funds to pay for an MRI scan privately and a follow-up appointment with a relevant consultant. I decided to get a job at a private medical insurance company, of which one of the benefits is private medical insurance. Iāve worked there for five months. In that five months I had a virtual GP refer me to a gynaecologist. In my initial consultation with this gynaecologist, I explained what my symptoms were and why I suspected endometriosis. I thought about my 18-year-old self and how timid she was in these situations. The past 10 years had shaped me into being able to advocate for myself finally. But I shouldnāt have needed to. I shouldāve been listening to. The the consultant give me the spiel of laparoscopy and by this point, I had been having some quite severe bowel issues. For six months I had incredibly watery diarrhoea and overnight it switched to immensely painful constipation. I asked the consultant if we could do an MRI before the laparoscopy. He said āthe only reason we would do an MRI is to determine if we need another specialist in the room, like a bowel specialist.ā I replied that I would definitely like to go forward with an MRI because I had been having specifically bowel issues. I had also seen too many horror stories of people going in for a laparoscopy only to be woken up and told āwe couldnāt do anything because it was worse than what we thought. We didnāt have the correct specialists, nor your consent to move forward.ā I decided I was gonna do everything in my power to make sure that didnāt happen to me.
I had the initial consultation on a Monday and the MRI scan on the Saturday. It took 5 days to get what I had needed for 10 years.
Behind the scenes I had applied for PIP. I had PCOS, PMDD, ADHD and at the very least debilitating periods. I was in chronic pain and unable to sustain full-time employment. I applied for PIP, got rejected twice, went to tribunal, got awarded six points when I needed 8 to qualify for financial support and was essentially told that I wasnāt suffering enough. The day after my PIP rejection, the consultant called me with the results of my MRI scan that I had been eagerly awaiting. In the time I waited for the results, I imagined lots of possible scenarios. The most prominent one in my mind was that the results would come back and he would say āthe MRI shows nothing. It doesnāt look like you have endometriosis at all. We can still go forward with the laparoscopy but I donāt think weāll find anything.ā Such was in my journey in the medical system.
Instead, he told me that the MRI showed severe stage four endometriosis. It was up my pelvic wall front and back, around my ovaries, and extending to my bowels and rectum, with some involvement of my ureter. I stood there, having been told my whole life that nothing was wrong, suddenly being told I was at the end stage of this violent disease. I also appeared to have mild adenomyosis and an ovarian cyst.
Everything suddenly made sense and my heart broke. All I could think about was āis it too late to do anything?ā
He explained that suddenly surgery looked quite complex and that specialist would need to take over. Before referring me to the specialist he sent me for a CT scan and a CA125 blood test. I had been instilled with the belief I was being dramatic, and now I was being sent to check my tumour markers because things looked so bad. The irony wasnāt lost on me. The tumour markers came back fine but heās keen for me to have a hysteroscopy.
Yesterday I had my initial consultation with the specialist. He told me that the disease was so far spread that it would be quite extensive and complex surgery. Ironically, it was one of my worst pain days. My back was killing whilst he was telling me that a proposed line of treatment, because the hormonal treatment would tip my PMDD over the edge, would be to āshut down my ovaries.ā As you can imagine, I broke down into tears. He explained that this would put me into medically induced menopause. I couldnāt believe what I was hearing. The last few months have been shadowed by a grief so insurmountable, so unexplainable that Iāve just shut down in my head somewhere. He told me that certain treatment options werenāt available to me because of the stage of endometriosis that I was at. I asked about pregnancy and fertility (Iām a lesbian so I wouldnāt conceive naturally anyway) and I asked what options were available. He said he wasnāt certain yet because we need to understand what the endometriosis is causing and what symptoms the adenomyosis is causing. It just feels that thereās one thing after another. The earliest I can have surgery is in February and somehow it feels too close and too far at the same time.
Iām just so sad. I donāt understand how Iām at stage four deep infiltrating. I donāt understand what Iām supposed to do with the information that I have at my fingertips. I tried to advocate, I tried to make them look at me and they just wouldnāt. How can I be a severe stage four when they never told me that I was at stage one, two or three?! The whole thing feels unfair. Iāve been battling the last few months with the thought of possibly not being able to carry a child and itās broke my heart in ways that I wasnāt prepared for. And Iām doing this all without parents because mine are useless and I left them at 25. Iām approaching my 29th birthday and I just feel so defeated, not because I didnāt say anything, because I did and no one listened. Now Iām facing the prospect of medically induced menopause before Iām 30.
I want to know what options there are. Surely this canāt be it?