i just got back from my first ever gynecological exam and somehow, despite the doctor being really nice and way more knowledgeable about trans bodies than i was expecting, it still ended up being incredibly upsetting and honestly probably mildly traumatizing. i’m sure it’s no secret to anyone following me that going to the gynecologist is a uniquely shitty experience for a lot of trans guys and i knew that but i really was not prepared for that.
first of all, everything you read says that the pelvic exam and pap smear shouldn’t hurt even if they’re super uncomfortable, but let me tell you, that shit fucking hurt. like, i have a pretty high pain tolerance and usually even when something does hurt i don’t show it very much, but that was maybe the most painful thing i’ve ever had a doctor do to me and it showed. to be fair, i’ve never had good luck with things like that — i couldn’t even use tampons back when i had a period because the one time i did, taking it out was really painful — and i’m on t now so i’m sure that makes things even harder and i was prepared for it to hurt, but i really wasn’t ready for just bad it was. it’s been an hour since the exam finished and there’s still some pain so, yeah, so much for “it’s just uncomfortable, not painful”.
(and a side note: when it did hurt, the doctor told me to relax my muscles because the tension makes it hurt more. what they didn’t seem to realize is that if your brain and body are collectively rejecting the presence of something inside you, making those muscles relax is a fucking herculean task and i for one was not in any way capable of it so it just…kept getting more painful.)
i also was never informed ahead of time of what a pelvic exam actually entails; i had assumed it was a more general external checkup, and that the pap smear was the only really invasive part. as it turns out, i was very wrong, and “pelvic exam” actually means the doctor sticks their finger up you to feel around. she asked me if i was comfortable getting the exam because it was so obvious that the pap smear didn’t go well, but i had no clue what i was saying yes to and it was a total surprise for me when there was something inside me again. and she knew it was my first time, so she had no reason to assume i knew that the exam would be like. by the time i realized i absolutely should not have said yes to it, i was too late and it was already happening. it really feels like common sense that if you’re going to be giving someone what basically amounts to a professional fingering, you should probably make it clear that that’s what’s about to happen, but i guess that doctor would disagree.
and of course, the whole time i was also being misgendered. the doctor used the right name for me, but the other staff didn’t and everything about it was so excessively gendered (i’m pretty sure the appointment i had was literally called a “women’s wellness visit” on the same sheet that had trans man and nonbinary as gender options). not to mention, when i told them i’m getting top surgery and have the exact date set, the nurse made a comment to like“well aren’t you one of the lucky ones,” which really felt like it had “i think trans guys have a super easy time getting surgeries that cis women have to fight for” energy.
and the irony of all this definitely isn’t lost on me — i just did a project this past semester about how trans guys are fucked over by reproductive healthcare practices so a lot of us just never go, and now i got some firsthand experience in exactly why so many of us just say “no fucking way”.
i just want to put this out there for anyone who hasn’t done it before because i think this would have been a lot less awful for me if someone had just told me “yeah, it might hurt way more than you think, and also that thing they call a pelvic exam is actually an internal exam.” i thought i was prepared and i totally wasn’t, so hopefully this will reach someone else who will be better off knowing all of this.
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