Pelvic Exams without Consent: Medical Malpractice Suit?

March 1st, 2010. By

Imagine you’re unconscious and several men insert objects into your vagina. Many women would consider this gang rape. At the very least, sexual assault. Guess what, it may have happened to you—without your knowledge!

How would you react if you underwent surgery such as a routine hysterectomy and found out that right after you were anesthetized, a team of medical students performed pelvic exams—without your consent? I believe that is a violation of our basic rights, to say the least. Where’s the respect?sign here Pelvic Exams without Consent: Medical Malpractice Suit? 

I know what I’d do: file a medical malpractice suit, pronto.  As a matter of fact, I’m actually scheduled for routine surgery in a few months—at a university hospital—and that rang my alarm bell. I called my gynecologist and spoke with her receptionist. “Under no circumstances do I want a student poking around my private parts,” I said, or probably yelled. She replied that I had to take that up with my gynecologist, who of course is never available for a phone call. 

So does uninformed consent qualify for a medical malpractice suit? Well, not quite, but then again, I haven’t spoken with a medical malpractice attorney…What I did discover online is that “A medical practitioner may also be legally liable if a patient does not give “informed consent” to a medical procedure that results in harm to the patient, even if the procedure is performed properly.” In my opinion, psychological harm fits the bill. 

In Canada, you aren’t even asked for consent, unlike the UK and the US—or so Americans and Brits were led to believe. Some ethical medical students have been asked to perform pelvic exams in Canada (and in British and American hospitals) without the patient’s knowledge, and they have refused. And that’s how the public knows about this nasty little secret—from med students speaking out. Good for them. 

Pelvic exams without consent in the UK and the US were ostensibly banned years ago, but in 2003 the BBC reported that this policy was not being followed. One year later, ABC’s Good Morning America show interviewed Dr. Ari Silver-Isenstadt, co-author of  a study published in the American Journal of Obstetrics and Gynecology, who said that for years, students had been performing pelvic exams on patients who had not officially given consent. 

On one online health forum, a midwife said that doing a vaginal exam on a dummy is almost as useless as doing one on an anesthetized patient. Most of us tense up when we have a pelvic exam so what’s the point of examining a woman who is unconscious? Wouldn’t a med student need to learn how to be gentle and reassuring? It’s incomprehensible that this 19th century “learning tool” is still going on today. 

Ladies, if you are scheduled for a routine surgery, read the small print before you sign on the dotted line when admitted to hospital—particularly if you live in Canada. Some consent forms say that “Students may be involved in my care,” but that doesn’t mean they have carte blanche. If you don’t want it, write an amendment to the consent form stating NO pelvic exams. If you had surgery before 2004 and think you might have been violated, you might want to consider talking to a medical malpractice attorney. I certainly would. 

4 Responses to “Pelvic Exams without Consent: Medical Malpractice Suit?”

  1. August 31st, 2010 at 5:56 pm Marjorie E. S. Says:

    What good is a law if there's no way to enforce it? There is no substitute for familial/close friend/lover/pastoral supervision *and* regulatory supervision of *every* anesthetized patient, and unedited videographing of the entire procedure from induction to recovery. Even a modicum of library and online research reveals that the medical mafia is the most shamelessly and blatantly misogynist gang of perverts since Marquis de Sade. If there was a way to make abusers change, natural selection would've discovered it billions of years ago and it'd be an inborn instinct. Instead, we have the powerful vengeance instinct for this purpose. Power corrupts and absolute power corrupts absolutely. Power is not given up; it must be taken by force. In the Old Testament it is written that we must destroy the evil that is among us. I accept no excuses and seek the death penalty.

    [Reply]

  2. February 9th, 2011 at 9:55 am Stephen Drummond Says:

    This little practice is not limited to pelvic exams. For instance, a local anesthesiologist has estimated that approximately 15% of intubations as part of the anesthesiology procedures for surgery of any kind at a Spokane hospital is done by paramedic/EMT STUDENTS.

    The hospital's blanket consent form, which has a standard "students may be involved in your care" clause.

    What else are those students doing that we do not know about?

    [Reply]

  3. July 14th, 2011 at 12:36 am Angel Says:

    Do you think they could have done it on someone as young as 13 or 14?! I had surgery before 2004 and I'm scared that if they practiced it that young, it could have happened to me!

    [Reply]

  4. October 13th, 2011 at 2:05 pm vkbarefoot Says:

    Less than one week ago I went to the urologist (recommended by emergency room doctor) to determine that the cyst on my kidney was just that. I ask him, before the exam, if there could be any correlation between my postmenopausal bleeding and this kidney cyst. He said absolutely not. He did an external exam and declared that all was normal but that he wanted a urine sample through catheter. I should have said no but I didn’t. He painfully drew urine from my bladder. About 30 seconds later he jammed, and I mean roughly, his fingers in my vagina and my rectum. I erupted in screams of pain and he continued. I am a rape survivor and I do not consent to pelvic exams. I was crying hysterically as he left the room and he turned and said “Why are you crying?” As if the screams of pain during the exam went unnoticed.
    I guess if you’re in the stirrups anything goes.

    [Reply]

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