I feel like my medical consent was violated during IUD placement
I have a traumatic backstory with my first mirena IUD placement. It took two tries, and a combined total of 60 minutes to place. I have a small and Very tilted cervix/uterus that makes things difficult.
So for my next one I went in with my list of demands: paracervical block, anti-anxiety meds, and most importantly to me, ultrasound guided.
My OBGYN enthusiastically agreed to my list. The day of the appointment, I have a resident physician that is going to place it with his attending. This was fine, I knew that my original doctor wasn’t going to be the one placing it. We talk through everything, he tells me about risk of perforation but that with the ultrasound it’ll be much smaller a risk, yay!
They give me lorazepam and tell me they’ll be back in 15 for placement. Well, 40 minutes later, resident and attending are back, and the drugs have fully set in. They tell me they are Not going to do the ultrasound “unless they have to”. It’s not framed as a question of if I want it, it’s a statement. At this point i’m not in the right mindset to advocate for myself, I just let it happen.
It took multiple tries, they had to manually dilate me up to a size 6 Denniston dilator, and by the time it was in I was crying uncontrollably.
I don’t know if the ultrasound would have made it quicker, but it would have given me peace of mind, and the last second change of plans would not have increased my anxiety. I couldn’t stop crying afterwards, I felt violated. I hate that my medical consent was disregarded at the last second while I was under the influence and unable to advocate for myself.
Do I reach out to the clinic’s patient advocate to start the process of filing a complaint?