Because I have a headache, obviously I need a pap smear
Debilitating headaches are the absolute pits.
Things I do, or have done, which I know help me are:
Breast reduction surgery
No helmet (not advocating)
Today I'm starting back on hormones to prevent pre-menstrual headaches. I took birth control for several years "continuous cycling," meaning no menstruating at all. I decided to stop taking it for a while just to see where things were at, and yep!, menstruation is dumb. Very interesting process getting the new prescription though. I saw someone who was not my regular doc who informed me that my insurance requires that I get a pap smear before they can prescribe birth control, which she won't do so I need to see an ob-gyn. I pointed out I didn't need "birth control" I needed to better manage my headaches and neither birth control nor headaches are related to cancer screening. WTF? But no dice. And then, and then! I learn there is a 3 1/2 month wait where I'm currently living to see an ob-gyn.
So Friday I get back in to see my regular doc in regular civilization and I mention the hormone thing to him. Bless his functioning brain, he immediately brings up that he regards the pap smear req as "rude" and unrelated to birth control needs let alone headache Tx's. And I'm like, "That's what I said!" He was happy to go ahead and write the script sans pap, but also offered to just take care of the pap right then. See? That's how you do that.
So, anyway, then I go to fill the script today and (female) pharmacist acts downright alarmed that I would even think of taking active pills 365 days/yr and is flabbergasted that I didn't do the 4 periods/yr thing when I was taking the pill before. Where do the powers that be even come up with these numbers? Is there something magic about having a fake period every 3mos? She can't believe I took the pill that way for 3 years but head shakingly explains to me that I'm "supposed" to take the pacebo pills at least every 6mos.
My beef with this is twofold; one, the whole reason I'm taking the pills is to not have a debilitating, work-cancelling headache, so inducing hormone withdrawal seems counter-productive :rolleyes: and two, it was very plainly written right there on the pill pack that the dr's instructions were to take the active pills only. I realize not everyone is aware that the bleeding that occurs when a woman is "on the pill" is not a normal or medically necessary period. But the guy who invented the thing DID know that. I would like to imagine that in 50yrs that fact might have reached pharmacists, so what's the deal? Have I been misinformed in some way? Is the tampon lobby secretly a force rivaling the Teamsters?
Anyway, what's good for the goose is good for the gander. Perhaps I will write to Kaiser and suggest that men who are considering trying Bupropian to help stop smoking b/c it's aggravating their diabetes must first see a psychiatrist. Oh, and get a prostate exam. 3 months from now.