I pretty frequently get UTIs and related problems. Normally, a quick check-in with urgent care gets me antibiotics and on my way. On this particular trip, I am checking in as my original antibiotics did their job but caused a second problem as certain antibiotics can. For reference: I am a trans man on a very low dose of hormone therapy, but I do not pass in the slightest due to some factors outside of my control.
Problems start right away: the doctor steps in, asks my name, and then looks up and does an obvious double-take. This happens a little less than half the time — I don’t expect urgent care docs to look over my whole chart in less than five minutes — so I shrug and relay my symptoms.
Me: “I’ve had [common gynecological issue] before, and all my symptoms line up, so I think that’s what it is.”
Doctor: “We need to test for that.”
Me: “…I know. That’s why I’m here.”
Doctor: “Here’s the kit for the self-test. I’ll step out so you can take the swab.”
I have never before or since had a doctor tell me to take the sample for this particular test on my own, but I’m exhausted, uncomfortable, and ready to leave, so I shrug and do what I’m told. About fifteen minutes later, the test comes back negative. I’m confused but tentatively mention:
Me: “I’ve heard that being on testosterone could potentially cause early onset menopause and could mimic some of the symptoms I’m having, but I’m on such a low dose that doesn’t make any sense. My whole cycle is actually way more regular since I started taking testosterone.”
Doctor: *Practically rolling his eyes* “Hold on while I check a few things.”
Less than five minutes later, he returns with a prescription.
Doctor: “I did some reading on that condition you mentioned, and you’re probably right. I’ve gotten you the same prescription we give to menopausal women. You can pick it up downstairs.”
I’m a little upset at potentially having a permanent issue and wary that he “did some reading” in such a short amount of time, but I follow through and start using the prescription I was given. Less than a week later, my symptoms have increased so much that I can barely function without being in intense pain. Back to urgent care!
After the typical tests (done by a different doctor this time), I’m sat down for my diagnosis.
Doctor #2: “So, it’s [common gynecological problem] like you thought. It’s in such an advanced stage that we kind of only have one option for your antibiotics. It’s strong, so there’s a chance it can also cause [several other, much worse gut problems]. I don’t know why your last test didn’t catch this. Your sample might have gotten contaminated somehow, but most of the doctors here are more careful with such a routine test.”
Me: “…Thank you. I’m glad we got to the bottom of it at least.”
I was finally able to get sorted out, but the antibiotics did in fact cause several much bigger problems, which included needing to get an MRI and spending almost six months waiting for a routine procedure while my health steadily declined. That’s a whole different story. Thanks, first doctor, for being super weird and having me go through all that!