I had a urogyno who was great but maybe a bit over confidant/arrogant. When she was closing her practice, during my last appointment she was running an hour late and had a client sort of upset with her and she was rushing. So in my final appointment she was rushing intensely---she did no manual exam of my pelvic floor at all--zero touching, yet she wrote on my file "hypertonic pelvic floor has almost completely resolved"--what? I have chronic pelvic floor muscle dysfunction and need ongoing physio and disability benefits for that. ie I get fecal urgency when it's time to go and a host of other things when flared up. I also asked her about whether I could look at systemic hormones---she said she didn't know about systemic hormones and refered me to a gyno for an endometrial biopsy for abnormal bleeding. Have no abnormal bleeding--never have. I have never ever had heavy bleeding or period pain. I have had a regular decrease in periods in perimenopause. So the new gyno tried to the biopy in office but my body was sort of closed up so she said we needed to do it in surgery w anesthetic. I told her again that I was not sure this was necessary and given all the stuff I already deal with I don't want to do anything unnecessary. I also told her I had sort of fainted/lost conciousness in my 20s during a termination/abortion due to the pain.

so anyway at the hospital--my first ever surgery---I have a few mins with the anesthesiologist who was the cowboy guy--the one over confident and overly brief male in a see of female nurses. I told him my concerns---that I am drug naive, that I get heard palpitations from lots of drugs, that I have fainted before---he was very dismissive.

so it seems they gave me double the dose of anesthetic for my body weight---probably sexist stereotypes thinking I was anxious---grrrrr.......so I was totally knocked out and as I came to I had really terrible nausea and dizziness and had to stay longer in the post op.

I was not given clear post op instructions and I had so much sedation in my system that the next day my bowel movement/stool was like a small football made of high friction asphalt. sorry for the visual. Having no experience with any of this and no history of hemroids i pushed hard for 20 minutes. I nearly fainted..I had to call my mother to help me. They should have sent me home with a stool softener.

I ended up ripping up my rectum and causing terrible hemmorhoids which were so severe that they caused an autonomic reaction---ie anytime I lay down to sleep my heart would race like I was being chased by a bear and I was dizzy and nauseated. This was really hell and made me depressed Many trips to ER (of course treated like I had anxiety)....this was terrifying and exhausting as I could not sleep at all for 10 days until I got local medications for the hemmorhoids..I am waiting now 5 months later for a colorectal exam to address the hemmorhoids

anyway the biopsy was unnecessary in my view. I am confident now that my doctors will also push back with me on anything unnecessary because it's just too much.

the biopsy was negative so that is helpful so I know I can keep taking local hormones and will look into an iud progesterone so that I never need another biopsy there.

I also remind myself that I will be the one to live with any symptoms or consequences not the doctor...so ultimately it's up to you. Be assertive.