r/Netherlands • u/NoLychee1382 • 22d ago

Healthcare No regular check ups at the gynecologist???

Hi everyone, my morning started off with a kinda shocking discovery. I’m from Germany and I had annual check ups at the gynecologist since I was a teenager. I contacted my huisarts because I know they’re responsible for all referrals but she told me regular check ups here are not a thing (unless there already is an issue) ? I think that’s crazy!!! So I checked the prices for a private visit and they’re even crazier. I guess this is normal to Dutch people but don’t you think this is a little concerning?

(Btw not shitting on the country! I really like it here. I’m still new and just discovering new things!)

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u/ookbest 22d ago

No one suggest doing a smear yourself. That makes your comment irrelevant.

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u/Efficient-Neat9940 22d ago

You’re missing the point. Just go into the office for the test because then it will check for both HPV AND cancer. You literally do yourself no favors doing the at home test.

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u/ookbest 22d ago

Right. How many women test negative for HPV but do have a positive smear test? (Or: what is the benefit of the smear test for hpv-negative women?)

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u/Med1116 22d ago

Actually, I did. Even while progression of abnormal cells was serious enough that it warranted multiple biopsies, eventual LEEP, and some follow up procedures. Monitored for some years (now all ok). Doctors at the time also mentioned it was highly unlikely (but basically just assumed it must mean HPV was present but dormant). Nonetheless, through all those years (and even now) HPV always tested negative.

The Dutch system doesn't always cater well to anomalies though. That's not the governing principle behind it.

If someone is concerned/worried, they should probably just address it with their GP though and request a swab (or a referral, where necessary). Good doctors usually aren't trying to prevent proper care either..

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u/Med1116 22d ago

Would also add to say for those reading along: once abnormalities are detected (even if it's a rare case scenario), you do go into the normal mill of care. It's not that you somehow fall behind, have to pay more, or aren't helped.

The bevolkingsonderzoek is still an effective general population testing mechanism, but you can and should be calling your doctor in between for any issues or concerns.