3:03 pm - 06/26/2012

No pelvic exam, no birth control?

Behind the cut for some uncomfortable molestation-related stuff.



I'm nineteen, and live in Canada. I've been on the Nuva Ring for a year now, on account of having a completely unreliable period (it would happen after 2 weeks, 6 weeks, 3 weeks, 1 week, 8 weeks, etc.) and have been sexually active with one partner for 10 months (my boyfriend of two years. Both of us were virgins, and have had no other genital to genital contact with anyone else. Disease and infection free.) We're committed to one another for the long term, and are just looking to get a little further in school (I'm midway through my degree) and careers (my boyfriend has a degree already) and looking into securing a place to live (investing in a property), then plan to be engaged and eventually married.

Last week, I went to my GP to get my prescription renewed. They had no space in the schedule to give me a physical until September, so it was just to renew my prescription. She gave me a prescription until September, and told me that I would be obligated to get a pelvic exam at my next physical, or she would no longer prescribe me any form of birth control no matter my issue.

I was never told when she originally offered me birth control that I would be obligated to have a yearly pelvic exam. I've always been told that while it's good to start pelvic exams as soon as one is sexually active, that the recommended age has been 21 (or at least in the states.)

I was molested several times by another female peer when I was eleven. The situation in which this occurred was very much like an 'inspection' of my body (strangely similar to the pelvic exam set up. On my back type thing) there was also a lot of criticism of my physical appearance in that region. Suffice to say, I am very uncomfortable talking about it, and have not sought therapy for it because I emotionally don't feel ready to talk to just anyone about this. I recently told my boyfriend, who was completely understanding (and absolutely livid that I should have ever had to experience something like that). As we had no sexual experience prior to each other, we've done a lot of learning together, and while I did allow him to go down on me a couple of times for the sake of experiencing it, the discomfort and distress I felt while under 'scrutiny' and being on my back was absolutely unbearable. I've burst into tears during it, although at the time he had no idea why, and straight out refused it under the guise of 'not enjoying it'. Recently, after this appointment with my doctor and explaining to him why I am so uncomfortable to have this procedure done, he asked to try going down on me again. It wasn't that he was terrible at it, because he really isn't, I just held it together barely and finally broke down into tears and hyperventilating.

We've had an incidence of breast cancer in our family, but no cervical cancer anywhere, and not even false positives. I am disease free, as is my boyfriend, and we use condoms along with the Nuva Ring (having only gone without a condom once.) I am EXTREMELY uncomfortable to have a woman put me in that same position again, and would experience incredible distress. Even with someone I trust implicitly (my boyfriend) the discomfort I feel is traumatizing. I told my doctor that I am extremely uncomfortable and distressed about the exam, but she reiterated that she would refuse me a prescription if I didn't undergo it.

I understand that some might say 'well, if you're not ready to undergo a pelvic exam then you're not ready for sex/birth control' but in my defense, I've been raised by a family in health care and was never told that in order to have birth control you require a pelvic exam, and the doctor never said this to me either. I am not emotionally capable of undergoing this exam at this point in time, and I wanted to know if anyone has experience in this or if there are any other alternatives.


Thank you so, so much.



Edit: Thank you to everyone who responded so quickly. I feel like I'm battling the system on this one, and it's very frightening and distressing. I can't thank you all enough for your advice and kind words.
madamoisellesss 26th-Jun-2012 08:24 pm (UTC)
All forms of hormonal birth control, which would help me with my erratic periods, require pap tests according to this doctor.

I actually thought about a male gyno, but not even my boyfriend who I trust immensely can convince me to feel comfortable in that position, and to not experience immense amounts of distress. I figure if I can't feel comfortable with him, how would I be comfortable with another person, regardless of gender. Thanks for the thought though :)

At this point, I've realized that to be a healthy adult it's something that I need to address. My mother knew that something odd had happened when I was a child, but brushed it under the rug, and I've lived with that need to hide anything that wasn't 'acceptable' for a very long time. It continues to impact me today, and it was the reason why I've only just recently been able to speak to my boyfriend about it fully. It's my plan to see my psychologist regarding this issue as soon as feasibly possible.

I have some mental trauma due to a close sister-like friend attempting to commit suicide late last year. I actually saw my psychologist for problems with disassociation due to emotional trauma, and she was very helpful. I no longer disassociate, and trust that if I brought these issues to her that she would deal with them tactfully and helpfully.

<3
It was another one of my peers, but it was a very manipulative and warped situation, which is why my mother blew it off as not a series thing and more a couple of kids 'playing doctor' later than they usually would. I was controlled by it, manipulated, and made to feel ashamed, and for a long time I wouldn't acknowledge that I was molested and thought it wasn't serious. It was my boyfriend who when told exactly what happened just gave me the biggest hug and apologized that I had been 'molested'. I didn't even have a word for it until he said it. I realize that the other girl wasn't meaning to harm me, but it wasn't just a silly situation, it was truly molestation and while I've forgiven her and don't blame her, I know that I have to deal with the impact it had on me now.

Thank you so much, again :)
_radioactivity 26th-Jun-2012 09:04 pm (UTC)
thats really great your psychologist has helped with your dissociation! i also suffer from dissociation (especially when triggered from past abuse) and still suffer even though ive had so much therapy, so thats a really good sign if she was able to help you with that i def think bringing those issues to her will help even more. i cant stand it when parents brush things under the rug like that. its because they dont want to admit to THEMSELVES that it happened. i was verbally and physically abused by my mothers alcoholic drug addictex boyfriend and she would literally watch it happen but even to this day she refuses to admit he ever laid a hand on me. thats probably one of the most challenging things i have to deal with when it comes to my ptsd from him because my mom thinks im just making it up even though she saw it with her own eyes. she is so good at lying to herself she truly believes nothing happened. then one day i was with an ex boyfriend and he was very drunk. he was also my best friend but when he got drunk he would get violent and lets just say he had me on the bed and i said no but he kept going and so i basically just pretended i was enjoying it and literally just let him keep going because i was afraid what he would do if i got violent and tried to push him away. hes compeltely psychotic. but anyway, for years and years and years i never considered it rape or anything like that. i blamed myself for not being persistent enough at saying no. my therapist eventually had to sit me down and was like "kaity. you were raped. that is NOT your fault" but to this day i still feel like it somewhat is. i think seeing a new doctor is probably the best option for you because if shes going to be so unwilling to work with the fact that you were MOLESTED and not have any sympathy she needs to go. would your boyfriend be willing to go with you if you do end up having to go through with it? do you think that would help keep you calm and feel safer? im thinking of getting an IUD and thats quite a procedure and after the rape im still really weirded out by anyone other than my boyfriend messing about in that area but i knwo him being there will help me stay calm. or at least somewhat calm lol. and my klonipin will probably help too lol. im glad you are deciding to talk to your therapist about what happened because that is an extremely awkward situation to be put in as a child and whether that person meant harm or not, it is still messed up and your feelings of being molested are completely valid. not feeling validated about my rape made things so much worse for me and i told my boyfriend at the time about it but he didnt think anything of it and made it seem like i was just being dramatic. i have borderline personality disorder so because he was so unwilling to learn about my disorder he only read one thing about BPD and it basically just talked about how we are liars, sluts, manipulative, volatile, and basically straight up evil. so that was really hard to deal with too because anytime id be upset or say something bad happened to me i was "just being borderline".

Edited at 2012-06-26 09:09 pm (UTC)
_radioactivity 26th-Jun-2012 09:04 pm (UTC)
when you tell your boyfriend that you were just raped you would think there would be more of a reaction than him just thinking i was cheating on him. ill be honest i WAS cheating on him because he never had sex with me and i had been having sex with the kid who took advantage of me on and off while in another relationship. he would try to guilt me into it every time, saying he loved me and hes so mad at himself for breaking up with me and bla bla bla. i always fell for it but i would call him up and go out of my way to have sex with him too so thats another reason i feel like it was still partially my fault. if ihad screamed or something... i donno... i was just SO scared and i lived with my grandmother at the time and the last thing i needed was to have her come into the basement and find me having sex with my ex who she hated and wouldnt even allow in the house. i obviously snuck him in anyway. she never liked him and she never had a reason to but she always said she just felt like there was something off about him and she didnt want him in her house. i didnt know what the hell she was talking about. i knew he had mental problems but i did to and thats how we related but i had no idea how evil he really was until the end. and then i stayed friends with him after it happened!! wtf is that about??? lol i dont talk to him now that ive finally realized what he did to me was wrong but who hte hell stays best friends with their rapist? lol. sorry for the super long me-centric novel but i want you to know i know a little how you feel and what its like to be taken advantage of and then have it totally dismissed when you tell someone about it you think you can trust, like im sure you thought u could trust ur mom but she obviously refused to grasp the reality of the situation. u dont have to answer me this, but does ur mother suffer from any mental illnesses? if she does, i can def see how it would be so much easier for her to just sweep it under the rug because most normal people would not do that. *hugs* i hope the therapy benefits you when you talk about it and i have a strong feeling its going to improve your relationship both in the sex depot and even in the emotional realm. ive started crying in the middle of sex before and my boyfriend always felt so bad afterwards and that he did something wrong but that was because i hadnt had the guts to tell him what happened. he told me that if i ever feel uncomfortable while having sex to tell him and he wont take it personally but for some reason i cant bring myself the courage to say "stop" because i just feel... bad. i dont know its so hard to explain but im sure you know what im talking about. <3 once again, good luck with therapy and ur bc and everything in general! u deserve to be happy and u also deserve a more sympathetic doctor who is more up to date on their BC knowledge. <3
madamoisellesss 26th-Jun-2012 09:23 pm (UTC)
My mother does not suffer from any mental illness, but is a rape survivor. She is also a very conservative christian, and will not discuss anything about sex other than the biology of it/will rant and rave about monogamy and waiting for sex until marriage/is very oppressive. My mother and I don't speak about those issues at all.

I cried during sex recently when we tried to recreate that tense feeling and see if he could ease it, and I've cried other times, and my boyfriend is a great/selfless guy. He just held me till I stopped crying and then attempted to force-feed me half a jar of peanut butter off a spoon to see if it'd make me happier (he means well, and equates food to feeling better. It was a very sweet gesture haha)

Don't ever feel bad for saying stop. I've come to realize that after having your power over your own body taken away, it's important to take it back, and your significant other should be on board for that. For me there were simple things I needed to know that I had some control. I needed to be able to initiate sex some of the time, I needed to be able to take control during sex, to talk, to cry, to say what I wanted, and to say no just because I felt like it. My boyfriend has always been great about it, and celebrates with me every time I face a fear and succeed, or do something that I was once uncomfortable with but am now capable of doing. Your decisions, bad or good, don't negate the fact that someone treated you that way. I could have shouted or asked for help or said no/reacted physically to the situation, but I didn't. That doesn't mean it's my fault or that I liked it, and the same goes for you.
_radioactivity 27th-Jun-2012 04:09 am (UTC)
aw that sounds so nice of your boyfriend to give you the peanut butter! actually kind of reminds me of my boyfriend, especially how you said your man celebrates when you face your fears, etc. its really awesome u have someone that positive and encouraging in your life! im so glad to hear that your boyfriend is so willing to help you through this struggle, i know how hard it is to go at it alone! i wonder if your mother sweeps the fact you were molested under the rug because it brings up memories of her own rape and she just doesnt want to deal with it. if thats the case, thats really sad but either way she should be taking you seriously no matter what. of course its not a perfect world and sometimes we just gotta accept things the way they are, i guess. would your mom be willing to go to a therapy session with you by any chance? maybe then she would be more willing to accept what happened and admit that it isnt something that was just a silly incident that happened when you were young. im not saying u need to do that, of course! ive just found that bringing my mom into therapy with me for a session or two to help them explain to her what my illness is about and what ptsd is like etc it really helped my mom to understand a little better. thank you for chatting with me and im really sorry, once again, if i came off as too pushy. i just want you to feel better :/ *hugs*
This page was loaded May 23rd 2013, 6:14 am GMT.