answering these issues, but we try to say to them that it is painful, but i find that if the procedure is painful, especially for women experiencing regina atrophy or have difficulty having a smear there is no point doing and that s where we should have intermediate services where women should be offered a coil to be put in under general anaesthetic if necessary or have a gas and air. it is a postcode lottery whether you have access to the services across the country and i have said it many times before, and i will get shot down for saying it again, but the system in place for gynaecological care in this country i m afraid are sexist and misogynistic and we have internalised misogyny in the system itself. it s not gps or nurses or health care professionals, but the they are doing it well, but it is they are doing it well, but it is the way that the system is setup, the way that the system is setup, the red tape set up, access to information and the pandemic has highlighted to me as a g