The appointment actually wasn’t horrible. I think my anxiety was the worst part of it, really. My hands were shaking so badly it looked like a five-year-old filled out my paperwork.
I saw a nurse practitioner at this practice, and she was really good. I don’t know what it is about them, but I very often have better results with NP’s than doctors. They tend to have better people skills, in my experience. She actually mentioned she’d read my chart the night before! I think hell may have frozen over–I’ve never had a medical person read my chart prior to walking in the door. She’d also done some research on UC because she wasn’t familiar with it. So that won her big points right up front.
She was also respectful of my trauma issues. She didn’t ask a bunch of questions about my abuse history, which I appreciated. It’s hard enough to talk about it at all, but it would be even worse with someone I’d just met. Once we’d established that I have no sex life, she stopped asking about that, too. And I didn’t have to explain why I’ve never had an exam or pap smear. You’d think that would be kind of self-explanatory once you know about my abuse history, but apparently it isn’t always.
C was actually a little overprotective, which was slightly annoying, and I told her I was okay with the questions. I don’t want to be treated like I’m breakable. If I’m clearly freaking out, okay, step in, but if I’m managing it okay, let me manage it. There are times when I’m not quite an adult, but I want to be treated like one unless I’m clearly in a child state.
She didn’t insist on doing an exam. She did say that it’s important for my health, especially given my abuse history, and that we’ll work toward me being able to do it, but she didn’t push it at all today. Once we’d established that, my anxiety dropped a lot.
What we eventually settled on for progesterone was Nexplanon. It’s an implant that goes in your arm and lasts for three years, so there’s one less pill I’d have to take. And if I do have bad side effects, she can just take it out. However, she’s going to be on vacation in August, so she didn’t want to put it in and then be away if I have problems. So we’ll wait on that until late August/early September to put it in. In the meantime, she wrote a prescription for Prometrium, which I’ve taken before.
But apparently my insurance no longer covers it at all. That’s bizarre because they did a few months ago, and I thought they only change their formularies once a year. So Monday I have to call back to the NP’s office and find out what we can switch me to. I know there are a couple other progesterone-only birth control pills, and I’m pretty sure my insurance is legally required to cover those. (I’m actually not sure why they’re not required to cover Prometrium.) Gotta love it when your insurance pulls an asshole move on a Friday afternoon, right? Luckily, my period just started, so I’ve got another three weeks to get started on something else before I go crazy.