How to Talk to Your Doctor About Lipoedema: Advocating for Your Health

Living with lipoedema is challenging, especially the first part when you try to seek the right diagnosis and effective treatment. Many patients face years of misdiagnosis, dismissal, or misunderstanding from healthcare providers. However, you can take steps to advocate for your health and ensure your concerns are heard. Here’s how to approach the conversation with your doctor in order to design the best treatment option according to your needs. Let´s have a closer look on how to rtalk to your doctor about lipoedema…

What is Lipoedema?

Lipoedema is a chronic condition. Its main characteristic is the abnormal build-up of fat that doesn´t respond to diet or exercise; it usually presents in the legs and arms, sparing the hands and feet. Most common symptoms are: pain, tenderness, swelling, and easy bruising. Lipoedema is frequently mistaken for obesity or lymphedema. Early recognition and management can significantly improve outcomes and quality of life.

How to get ready for your appointment1

1.Gather information and all documents you might need

  • Write a symptoms diary: write down when your symptoms began and all changes (what essays symptoms, what makes them worse) that you have noticed till the appointment.
  • Bring your medical history with you, even if there were misdiagnosed conditions like obesity or lymphoedema.
  • Talk to your family and collect symptoms history. This type of chronic condition often runs in families, so note if relatives have or had it.

2.Book the appointment with a specialist (lipoedema or cardiovascular specialist)

  • Use your appointment to discuss lipoedema, rather than bringing it up during a visit for another issue. This ensures you have enough time to cover your concerns.
  • Once the appointment is over and if you feel not satisfied or that there is lack of information, schedule another appointment for a more thorough discussion.

3.Take a relative or friend with you

  • Consider bringing a support person, such as a friend or family member. They can provide emotional support and help you communicate your concerns and also their own about the condition.

Lipoedema: How to Talk to Your Doctor About Lipoedema

1. Describe your symptoms

  • At the beginning of the appointment, your specialist will ask you about your general wellbeing, clinical history and current symptoms-explain your symptoms in detail, including pain, swelling, bruising, sensitivity, and how these affect your daily life.
  • Mention if your symptoms have not improved with standard weight-loss methods like exercise and diet and specify what kind of exercises and for how long have you been performing them, same with diet (type of diet, food you avoid, hydration, give all details).

2.Express Your Concerns and Goals

  • Tell how lipoedema impacts your general wellbeing (physical and mental health).
  • Share your goals for diagnosis, symptom management, and quality of life.

3.Write down specific lipoedema questions, so you won´t forget to ask during the consultation

  • “Are these symptoms of lipoedema…?”
  • “Could this be lipoedema, and what makes you think so?”
  • “Can you refer me to a specialist familiar with lipoedema?”
  • “What treatment options are available, and what are their pros and cons?”
  • “Are there resources for mental health support? “
  • “Do you know any support groups?”
  • etc.

4.Advocate for Yourself

  • If you feel dismissed or not taken seriously, respectfully restate your concerns and ask for a second opinion or referral. There are many specialists, always look for that one who treats you better.
  • Remember, you deserve to be listened to with respect and without bias or stereotypes.

It is Lipoedema: What´s next?

After getting the right diagnosis

  • Your doctor may assess your symptoms and refer you to a specialist, such as a vascular specialist and certified lymphoedema therapist.
  • Early diagnosis can help you and your support network understand and manage the condition.

Treatment options

There is no cure, however, available treatments help manage symptoms, prevent progression and improve your general well being

  • Manual lymphatic drainage (specialised massage by a certified specialist)
  • Compression garments or bandages
  • Low-impact exercise programs
  • Nutrition guidance
  • Counseling or psychological therapy
  • Support groups for you and your relatives
  • Liposuction for severe cases (may not be available everywhere)

What to expect: your rights as patient

  • You have the right to a timely diagnosis and access to appropriate care.
  • Care should be individualised and involve open dialogue between you and your health care providers.
  • If your providers (GP, lipoedema therapist or psychologist) are not responsive or respectful, seek another opinion or change for another professional who you feel comfortable with.
  •  Support groups and online communities can offer additional resources and advice.

In short: tips to have a successful conversation

  • Be prepared and organised.
  • Bring someone with you for support.
  • Use clear, specific language about your symptoms and concerns.
  • Ask for referrals and additional resources if needed.
  • Don’t hesitate to seek a second opinion if you feel unheard.

How to Talk to Your Doctor About Lipoedema: Last, but not least

Advocating for yourself is a crucial step in managing lipoedema. With preparation and persistence, you can work with your doctor to find the best path forward for your health and general well-being. Lipoedema is a chronic condition, but how you navigate through it is in your hands. Never give up!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.lipedema.org/patients-bill-of-rights

https://www.nhs.uk/conditions/lipoedema/

https://cmsa.org/lipedema-a-population-health-perspective-recognizing-the-signs-and-empowering-women-with-holistic-health-assessment/

lipoedema.uk

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