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How Doctors Should Treat Women

Lissa Rankin's picture

doctor woman

If you’re one of the many fabulous physicians out there, here’s a great big HIGH FIVE. Bless your heart and keep up the good work. We need you, and what you do matters like nobody’s business. Thank you for sacrificing so much in your own life in order to serve others. (I gush more in my Love Letter To Doctors.)

But if you’re one of the bazillion doctors my readers write to me about, let me relay a few of the things I’ve learned from the women who read What's Up Down There, attend my public speaking events, comment here on Owning Pink, come to my workshops, and send me emails.

Remember doctors -- way too many women have been molested, raped, or otherwise traumatized. Getting naked and giving someone else permission to touch is a big deal for some women, so be respectful.

I asked my readers how they wanted to be treated by their doctors, and here’s what they had to say.

How To Treat A Woman In The Exam Room
  1. Please allow plenty of time to answer my questions -- it may be hard for me to think if I am stressed and feel like you’re too rushed.
  2. How I feel is not in my imagination. Honor me. Honor my intuition. Honor my body. And don't think you know my body better than me just because you’re a doctor.
  3. Give me the benefit of the doubt that I do know my own body. Act like my appointment is part of your day and not just a hassle.
  4. Listen and make eye contact with me.
  5. Ditch the paper gowns and make me feel like what touches my skin matters.
  6. Know my name.
  7. Let me have as much clothing on as possible during the process of being your patient.
  8. Ask before touching me -- and keep checking in to make sure I’m okay. I may have disconnected from my body/mind and thus not be able to initiate verbalization if and when I need you to stop/slow down, and it may be easier to respond if directly asked.
  9. Please respect my autonomy and tell me that it's OK to make my own decisions about what is best for me, even if they go against your recommendations.
  10. Don’t roll your eyes if I show up with printouts from internet searches I’ve done. I’m just trying to be an informed health care consumer and don’t need your judgment.
  11. Please make sure you move slowly and speak in a calm tone; voices that are loud or sound even slightly angry or impatient freak me out.
  12. Take your hand off the damn door, look up from my chart, and sit down. Even if you’re busy, make me feel like you’re present for the brief time I have your attention.

What do you want your doctor to know about how to treat you? I took off my OB/GYN gloves to honor my calling as a Pink Medicine Woman coach but I will never stop advocating for female patients and empowering women to TALK about what they WANT and NEED -- even, and especially, in the exam room. (More about getting clear on what you want and accessing your sacred female power in my new ecourse, Get Out Of Your Own Way!)

Standing for -- and with you,

Lissa

Lissa Rankin, MD: Founder of OwningPink.com, Pink Medicine Woman coach, motivational speaker, and author of What’s Up Down There? Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend and Encaustic Art: The Complete Guide To Creating Fine Art With Wax.

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Comments

littlephoenix's picture

Thank you

Thanks very much for posting this. I can't begin to articulate how important it is to have a doctor listen to you when you say what you need/how you feel. I was just at my doctor a few days ago and tried to tell her what was going on and the reasons for it, and she totally blew me off. She tried to convince me to do things I wasn't comfortable with. I don't trust her anymore and I don't think I'll be going back to her... As a trauma survivor I already have trust issues and don't need any more being created.

Thanks again for this post and all you do, Lissa.

Lissa Rankin's picture

Kait, please do!

The more of us that join hands together and stand up for the rights of the women we serve, the more we can help people heal...and isn't that why we're here?

Keeping the faith
Lissa

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Kait's picture

<3

I'm printing this off and keeping it for my future practice...Maybe I'll make it into sort of a manifesto for how I expect the docs and NPs that I work with to treat our patients.

:)

Lissa Rankin's picture

Oh honey, I'm sorry!

I've had a LEEP procedure, and you CAN feel it, in spite of what they taught me in medical school.

So yes- don't ever deny what someone feels...ever.

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Lissa Rankin's picture

Oh honey, I'm sorry!

I've had a LEEP procedure, and you CAN feel it, in spite of what they taught me in medical school.

So yes- don't ever deny what someone feels...ever.

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Margaret's picture

one more

I would add one more thing to the list. . . If I say something that you are doing to me hurts, please don't tell me that it doesn't, it shouldn't, or it can't. I had pre-cancerous cells on my cervix and went in for a laser cone biopsy. During the proceedure, it felt as though my rectum/anus was burning. It was very uncomfortable and at times painful. I was told repeatedly that I wasn't feeling that, and my bottom was fine. Clenching the nurses hand, tears running down into my hair, the nurses tone and eyes told me she believed I was in pain. She even said something to the doctor, who dismissed her concern. I lived, with no physical scars, but it did increase my anxiety and fear around going to the doctor. By the way, I did fire that doc.=]

Janet Madsen's picture

Definitely!

It can be such a challenge to be "heard" by some doctors. Many women have multiple barriers to accessing care - poverty, family commitments, trauma, mental health issues, addiction, language barriers, fear of judgment and discrimination, etc ... Doctors having "a poor bedside manner" should not be another one!

Sarah's picture

Another addition

Forgot to mention this in my earlier post... Something that is done at a couple clinics I've been to either sexual health or more specifically women's health clinics:

*They warm up the speculum in water prior to insertion and use lubricant

*They respect and acknowledge when I say my cervix is to my left (a bit awkward the first time a doctor couldn't find it, but at least she informed me that I was "to the left")

*They dim the lights in the room, using a little light to see the vulva/vaginal opening

I also had a wonderful nurse doing my last exam who, upon me telling her of my interest for Fertility Awareness, asked if I wanted to see my cervix. It was one of the coolest moments of "getting to know my own body". I guess I could have done it at home, but I think most of don't have the setup to make it easy to do so (speculum, mirror and light to see the cervix well).

Michelle G's picture

Seriously love this post!

Thanks so much for giving us a unified voice. More than 1/3rd of women have been raped or molested by the time they are 18. And yes - going to the OBGYN brings back memories we'd rather not deal with. I personally feel violated whenever I go. Since I've done a lot of therapy, it's not so bad anymore. But I still get a little worked up every time.

My other issue with doctors of late - is their insistence of poking their nose into my unmarried status. I get that some people may not understand how biology works. But I am well aware of the ticking clock. And have decided if it doesn't happen naturally I will adopt. My last OBGYN visit - the doctor commented not once, but 3 times about my not having a boyfriend. This isn't his business and should not be the last thing I hear from him as he's leaving the room. Needless to say, not going back to him again.

Lissa Rankin's picture

Thank you Sarah and Andygirl

And yes, Sarah. You're absolutely right. And Andygirl, AMEN, sister! No judgment. Period.

xoxo

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Andygirl's picture

I would add

don't judge me. if I'm 30 and very single and you think I should start trying to have babies to solve this endometriosis thing, your judgment isn't helping. all I want is a little understanding from my doctor.

Sarah's picture

Thanks Dr Rankin! I would

Thanks Dr Rankin!

I would nuance this first bit, though: "getting naked and giving someone else permission to touch is a big deal for some women"

Isn't it for all people? Women and men, whether they have been otherwise traumatized or not?

When you comment on an Owning Pink blog post, we invite you to be authentic and loving, to say what you feel, to hold sacred space so others feel heard, and to refrain from using hurtful or offensive language. Differing opinions are welcomed, but if you cannot express yourself in a respectful, caring manner, your comments will be deleted by the Owning Pink staff.