• Pacattack57@lemmy.world
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    6 hours ago

    That’s important because if the person is pregnant, treatment with prescription medication can be fatal for the child. They usually ask about sexual activity because it’s possible the person doesn’t even know they’re pregnant.

    Men do not get asked this question because as you may or may not know, biological males are incapable of becoming pregnant. /s

    • Ceedoestrees@lemmy.world
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      12 hours ago

      Yes, we know. That’s the joke. That theoretical unborn baby health comes before women.

      Because let’s say there’s a woman comes in, crispy, bloodier than a rare steak, limbs hanging at right ankles— Probably going into shock if she’s not already there. Baby or not, it dies if she dies.

      Now, let’s say she’s lucid. In the slim chance she’s got a surprise baby, what does her period have to do with that? Maybe it was four weeks ago but she’s been getting freaky with her knight honey, trying for a family of little squires. Or, let’s say she’s on birth control, or has an irregular period, onky dates women, or trans. A better question to ask is: “are you pregnant or could you be pregnant?” And still you’ve wasted five seconds while she’s bleeding out and her heart rate is crashing.

      It’s making fun of the dystopia for women that’s the culture and policy in some countries, not asking for an explanation.

      • Pacattack57@lemmy.world
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        9 hours ago

        Yes, we know. That’s the joke. That online femenists care more about a theoretical woman that may or may not be pregnant but is dying than actual women that are pregnant.

        Because let’s say there’s a women comes in, pregnant, bigger than an elephant, belly button popped out — baby arms hanging from her vagina. Baby or not, it dies if she dies.

        Now let’s say she’s a drug addict. In the slim chance she’s sober, what does her period have to do with that? Maybe it was 21 weeks ago but she’s getting freaky with her drug dealer trying to score another ounce. Or let’s say she took the morning after pill or had an irregular period, only dates women, or is trans. A better question to ask is are you pregnant or could you be pregnant? And still you have wasted 5 seconds while she’s bleeding out and her heart rate is crashing.

        It’s making fun of the dystopia in internet culture and policy in some countries, not asking for an explanation.

  • Smoogs@lemmy.world
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    2 days ago

    “OH i see you have a giant hole in your leg which is the portal of Satan… anyways are you sexually active? just pee in the cup. Could be a side effect of being pregnant or menopause”

  • jsomae@lemmy.ml
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    2 days ago

    I don’t think I’ve ever been asked this, except sometimes on intake forms for some reason.

  • Droggelbecher@lemmy.world
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    3 days ago

    I have a uterus and I never get asked this question unless I’m at the gyn or specifically in for lower abdominal pain. I wonder if it has anything to do with living in a country that isn’t rolling back abortion rights.

  • BananaTrifleViolin@lemmy.world
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    4 days ago

    If she’s going to need a CT scan then it’s a sensible question.

    Radiation exposure has risks to foetuses so if there is any chance of pregnancy then the women needs to know so she can make an informed choice about proceeding with a CT scan. In a trauma situation such as being singed following battling a dragon, the CT scan would probably still need to happen regardless.

    • Meatwagon@piefed.social
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      3 days ago

      That’s not what happens though.

      What happens is they ask you when your last period was. You tell them. They insist on a pregnancy test anyway. You say you don’t care if you’re pregnant, will immediately abort any fetus, and you understand the risks. They refuse to do anything at all until you take the pregnancy test anyway. And now you’re in danger if you’re in a red state and the test does come back up positive, because they’ll be stalking your movements now.

      • Midnight Wolf@lemmy.world
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        3 days ago

        Female: “not necessary - me and my partner have been trying for years now but never could conceive; it’s okay though, she tries her best regardless”

        Nurse: “…oh”

        • rhymeswithduck@sh.itjust.works
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          3 days ago

          My friend had her uterus removed and they still force her to take the standard pregnancy test when she comes in. Like, it’s right there in the chart that it’s not physically possible!

      • themeatbridge@lemmy.world
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        3 days ago

        Thank health insurance lawyers for that. Unintentionally terminating a pregnancy or causing a birth defect is prohibitively expensive for healthcare providers. If we could all agree not to sue for malpractice, doctors would be more free to use their own judgement. Of course, the more doctors you know, the less comforting that thought might be.

    • Mouselemming@sh.itjust.works
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      3 days ago

      She needs to make an informed choice. SHE. So tell her the scan (and perhaps some other aspects of treatment, like medication/anesthesia) has risks to a fetus and ask if she could be pregnant, even offer a test if there’s a possibility.

      And make sure that question is asked and answered in private!

      But her cycle timing is not necessarily relevant. It’s highly unlikely to get pregnant during your period, but possible since your ovaries alternate and can be out of sync. Meanwhile, someone who hasn’t had sperm anywhere near her in six months isn’t gonna be pregnant even if it’s been three since her LMP.

      What would you do if she were unconscious, refuse to treat in case it might harm a hypothetical fetus? You might say that’s ridiculous but it’s happening in 6-week ban states now. And when women are pregnant and miscarrying they’ve died of sepsis because there was still a fetal heartbeat.

      • themeatbridge@lemmy.world
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        3 days ago

        Everything you said is accurate, with one caveat: patients are often ignorant about the mechanics of pregnancy. Reproductive health education is shockingly insufficient among the population. “Could you be pregnant?” is not a useful question unless you’re sure that the patient understands how pregnancy works. Asking for the date of their last cycle is at the very least a data point that has some diagnostic value. “No, I can’t be pregnant because my boyfriend always pulls out” is a statement that contains a lot of information, but none of it has diagnostic value. You would still need to ask all the questions related to possible pregnancy.

        That said, you’re right that the timing isn’t necessarily informative, either. And double down on asking these, or any, questions in private.

    • Ceedoestrees@lemmy.world
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      3 days ago

      I don’t live in the states. I haven’t been asked this question preceding scans, prescriptions or other interventions since I was a teenager. In fact, I was at the hospital today and wasn’t even asked if I could be pregnant.

      This indirect beating around the bush takes away women’s choice and autonomy, it almost feels like a trick. I’m not menopausal and I don’t often get my period, so it wouldn’t be a good indicator for many women, anyway, and delays care.

  • Vivi@slrpnk.net
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    3 days ago

    it’s always fun to get this one as a trans woman. then i say i don’t get periods and they ask why and i say i don’t have a uterus.

    • Soup@lemmy.world
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      3 days ago

      Damn, if that ain’t affirming though lol.

      My non-binary friend was telling me that they felt kinda like the doctors weren’t taking them seriously and I’m like “Congratulations! Also that sucks.”

      • AnarchistArtificer@slrpnk.net
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        3 days ago

        That reminds me of a friend who was a PhD level physicist who said “well, men have started to explain my own research to me, so I think that means I’m passing?”

    • andros_rex@lemmy.world
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      3 days ago

      I imagine they then switch to blaming all of your problems on HRT, based on my experience.

      Tummy troubles? Must be the T! Athletes foot? You should half your T dose!

    • Fedizen@lemmy.world
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      2 days ago

      Thats just the US though.

      Edit: I did go to the hospital emergency room here in the US once and before ever talking to a doctor in a room, laying on a medical bed I was asked to sign forms by somebody whose whole job was to collect insurance info and make people sign waivers under duress.

      I can’t imagine those waivers hold up in court so the entire goal of presenting them is probably to intimidate people

  • ivanafterall ☑️@lemmy.world
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    2 days ago

    If bears are known to be attracted to menstruation, why would it be so outlandish to think that dragons might be, as well?

    • Ceedoestrees@lemmy.world
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      2 days ago

      This is a myth that keeps a lot of women out of remote and forestry jobs. To this day older men still warn me about bears when I’m hiking and camping. It’s based in assumptions, not facts, like a lot of comments in here.

      I say this as a woman who’s waved at bears during my seven forestry contracts.

          • ivanafterall ☑️@lemmy.world
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            2 days ago

            I’m stunned that people actually believe it, truly. Also, I’m not saying it’s high art, but you really haven’t seen Anchorman!? I feel like that movie was utterly unavoidable for awhile.

            • MrShankles@reddthat.com
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              2 days ago

              I’m right there with you, I just assumed you were making an Anchorman reference/joke… I never thought there were people out there who would unironically say that

  • Zephorah@discuss.online
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    4 days ago

    I understand why this question hits, but here’s some context regarding charting and medical chart audits.

    The employers get in trouble if the check in forms are not filled out completely. This includes a complete set of vital signs, no single points of missing data for any reason, including an actual, not stated, weight. A month later, the auditors will have finished looking for blank spots in the chart and both doctor and nurse will receive email asking that this blank spot be filled.

    The other piece is pregnancy or lack thereof determines meds. If a doctor prescribes a med that isn’t pregnancy safe they could be liable in a court of law. It’s also why the ubiquitous 3 minute pregnancy test is thrown in if they’re collecting urine. To make sure no one is harming a fetus with the wrong medication. Again, so the doctor doesn’t get sued.

    The politics of the day make this question so loaded, but the reality is the question is likely not even being asked for you.

    • phdepressed@sh.itjust.works
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      3 days ago

      It’s a way to approximate fetal age without an ultrasound and make sure development is progressing as expected. So while pregnant its actually a relevant question. Asking every time is one way to ensure that records/expectations are correct, same reason they ask your birthday like 3 times between checkin, the nurse, and the doc.

      For women with less standard cycles I’m sure it is more annoying.

  • Wazzup.Lemmy@lemmy.world
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    4 days ago

    Isn’t this so that they can determine whether the patient could be pregnant before proceeding with any medical intervention that could imperial the life of either mother or fetus?

  • Dohnuthut@lemmy.world
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    3 days ago

    Since I stopped taking BC (husband is on chemo so he said what’s the point) and am in my early 40s, I can truly say I don’t know because they’re often sporadic and frankly tracking it is the least of my concerns.

  • Coolbeanschilly@lemmy.ca
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    4 days ago

    This is a genuine question in regards to medical exams for women. Honestly, how often does the timing of your cycle have a direct correlation to the symptoms or conditions you are suffering when you go to the doctor?

    I’m just curious, based on knowing how women’s symptoms aren’t always taken as seriously as a man’s during diagnosis. I’m sure that it has some relation sometimes, but I would love to hear the perspective and experiences that women have had with this.

    • BlueLineBae@midwest.social
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      4 days ago

      I would say that for younger women who are still getting accustomed to their cycle and how it affects their bodies, this can be reasonable. But for seasoned women who should know how their cycle affects their bodies, it’s a rather annoying question to have to answer for literally any doctors visit. If I’m about to have a procedure, then sure they have to make certain. If they have reason to believe there is a correlation with an issue I’m having and reproductive issues, then fine also. But if I’m just coming in for a yearly exam or because I’ve had a sinus infection that won’t go away, etc, this question is pointless and quite frankly none of their business. Especially in today’s political climate in the US, I’d rather they not actively track that unless I have a specific reason to do so medically.

      • grysbok@lemmy.sdf.org
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        3 days ago

        My new doctor’s office is the first I’ve had that didn’t ask. It’s so refreshing. Like, I’m coming in because I suspect I have hEDS. I can bend my limbs weird. Menstruation doesn’t come into it.

      • Coolbeanschilly@lemmy.ca
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        3 days ago

        This is a good explanation, covering a lot of information in a clear and concise manner. Thank you for sharing and helping me gain a slightly larger perspective.

    • burntbacon@discuss.tchncs.de
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      3 days ago

      I’m just curious, based on knowing how women’s symptoms aren’t always taken as seriously as a man’s during diagnosis.

      I just ask it as part of the standard ‘check everything’ mentality. It’s interesting to me how it can be taken as women’s symptoms not being taken as seriously as men’s, because ignoring the downstairs leads to a lot of fuckups in the field. Heck, the paramedic who trained me used to say that you would (and I’m doing my best to remember her quote, but it’s been a while) “miss a significant portion of issues if you fail[ed] to consider the reproductive system in an emergency.” Put another way, the entire reason I’m asking about it is because I’m trying not to lump a woman in with the males and ignore their health.

      • Coolbeanschilly@lemmy.ca
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        2 days ago

        It makes sense in some contexts, but not in others. For example, do you ask a man how often he masturbates if he came into the hospital for a skull fracture because he fell off a ladder at work?

        Why ask a private question when you are certain it isn’t medically relevant?

      • Ceedoestrees@lemmy.world
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        3 days ago

        If I was being taken to the hospital for a non-reproductive emergency and the paramedic asked me when my last period was, I would ask for a different ambulance.

        • Tenniswaffles@lemmy.blahaj.zone
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          2 days ago

          They do it to determine whether someone could be pregnant because if they give you any drugs that could harm a foetus they could be sued. It’s an important question for all parties’ safety.

          • Ceedoestrees@lemmy.world
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            2 days ago

            The last period has little to do with whether someone is pregnant. Why not just ask if someone is pregnant? Would they not give me those drugs if I was unconscious in case it harms a surprise baby? Furthermore, if I’m in rough enough shape to need an ambulance I should hope saving my life comes first, before a pregnancy I might not be aware of, and might not even want.

            • Tenniswaffles@lemmy.blahaj.zone
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              2 days ago

              They’re not going ask if someone is actively dying obviously, but if they’re in a position where they can ask those questions and the patient is able to answer then they could be seen as liable for a miscarriage if they don’t ask and they give something harmful.

              It’s about protecting themselves. For example, I was a man working in childcare and I always had to be careful with my interactions with children and to minimise the times I was ever alone with a child as much as possible, because people can and will assume the worst about men in a position of power over children. So I can understand people doing everything in their power to protect themselves, even if they have to ask questions other people may be annoyed by.

              • Ceedoestrees@lemmy.world
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                2 days ago

                It still doesn’t change the fact that the last period date has very little to do with whether a woman is pregnant.

                Yes, I understand there is a reason for it borne of a clusterfuck of policy, lack of reproductive education and little respect for women’s autonomy over their own bodies. That’s what the meme is making fun of in the first place.

                I live in a country with less restrictive policies on women and get by just fine without being asked this question.

  • stoy@lemmy.zip
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    4 days ago

    I would say that it could absolutely be a very valid question to asses the patient’s medical condition.

    The question itself seems fair, asking it as the first question in this scenario seems less so.

    • Ceedoestrees@lemmy.world
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      3 days ago

      What does the menstrual cycle have to do with their medical condition in any situation not related to reproduction?

      • GreyEyedGhost@lemmy.ca
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        3 days ago

        In this particular context: CT scans, Xrays, opioids, things I can’t think of because I’m not a doctor. Anything that could affect a pregnancy that the patient may not know about and want to carry to term. In locations with restrictive laws, those are also things that can get the doctor sued, imprisoned, or stripped of their license if they do them.

        • Ceedoestrees@lemmy.world
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          3 days ago

          I asked if it made sense to ask the question, not what bizarre laws are removing women’s autonomy, because that’s what the joke is making fun of in the first place. The woman’s life is in danger and they’re delaying care with a trick question, not asking whether she could be pregnant.

          I’ve had all of those things, including being prescribed opiods, and have never been asked when my last period was. But I don’t live in the states.

      • stoy@lemmy.zip
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        3 days ago

        Women does loose blood as part of the menstrual cycle.

        Blood tends to be pretty important in terms of health

        • Ceedoestrees@lemmy.world
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          2 days ago

          I don’t even know where to start with this one.

          First of all, the signs of anemia are apparent to any doctor without asking about the last period. Secondly, menstruation doesn’t cause anemia because very little blood is actually lost over the course of a 5-7 days. Thirdly, yes, a rare few women can experience more substantial blood loss during menstruation, but that’s a whole separate thing that is a reproductive issue. And, in the case of having been attacked by a dragon, way less of a concern, a concern that isn’t addressed by the question: “When was your last period.”

          • stoy@lemmy.zip
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            2 days ago

            Very good points, it is clear that my assumptions are not accurate, I will stick to what I know, and keep working in IT and leave healthcare to the doctors

  • burntbacon@discuss.tchncs.de
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    3 days ago

    No seriousness here, but if the patient was in the doctor’s office, I’d ask the same question. Maybe not as the first question, but it would be in there. She’s not in any significant trouble if she came to the appointment on time, so let’s check and see how her epic battle has affected each system, from neurological to reproductive. That is why she’s here, right? For a followup that every single (/roll_eyes) discharge paperwork always says to get?