and ask for a referral to a 2nd gynaecologist because this first visit clearly didn't work out.
Next time write out a list of your requirements and the questions you want answers to and want to discuss in regards to your treatment.
Remember that the visit to the gynaecologist is for surgery. Not birth control or period control options, or pain killers etc. Those sorts of discussions are for you and your GP or the family planning clinic.
The gynaecologist needs to know what you are wanting to do next and a good one would ask you that and come to some agreement on a plan of campaign.
So if you think you might have endo, then your goal is a diagnosis, and a key hole op to check for endo. Before that there would be various tests to be undertaken to rule out other factors than may be causing your symptoms and would be easier to spot.
If you want to check if your tubes are clear too, then again this is something else to add to the list.
If you find smears painful and haven't managed to have one in ages then that's another to add to the list.
If you want to have a mirena coil inserted under anaesthetic, that too is something to discuss.
The more you can justify the need for a surgery the better your chances of getting one.
If you know your have cysts and they are causing you a lot of discomfort then draining them or removing them will be on the list.
If you have fibroids then they may need to have treatment before undergoing surgery.
Perhaps you want to have a D&C tidy up inside after the miscarriage.
At any rate you need to consider where you are headed and what steps you want to take next and the ones that involve the gynae team are the ones to discuss at the next appointment.
Discussions over birth control types are for your GP, the only one of those that the gynae surgeons would be involved with are inserting mirena, or replacing it under anaesthetic.
And possibly undergoing treatment for pausing existing endo using GnRH treatments, but you are not there yet.
So stew on this a bit more, write out what you want doing as a priority and which person you need to see about it.
You definitely have some things you need to discuss with your GP as it stands, so when you know what you want to talk over with them, book an appointment or even a double appointment so you have the extra time to talk through your options and also if needs be, ask to see a different gynaecologist if there is still something that they can help with e.g. if you definitely want to go ahead with a diagnostic surgery for endo, or an MRI scan to check for adenomyosis.
With your GP you need to discuss adequate pain relief options if you are off work due to pain and possible ask for a referral to a pain clinic where your level of pain can be looked at, and you can be given advice on alternative ways to cope with your pain besides pain killers.
If your are needing to be signed off work -again it is your GP that would handle that side of things.
The gynae surgeons rarely sign you off for more than a week or two at best, after surgery, they consider anything above that to be something your GP would take care of if necessary... which it usually is for the majority of us.
Try and take someone with you when you visit the consultant. Give them a list of the topics you want to discuss and ask them to make a mental note of answers, or even write them down for you as you have your chat with the consultant.It is all too easy to plan what you want to ask and end up with brain fog when you get in there to talk about it, so take in notes or a list of questions with you.
Don't give up, these hiccups can happen from time to time, where the communication between patient and specialist gets muddled and neither ends up with much idea where to go with things.
Have a good think, and then get to your GP and start again. You may want to write to the gynaecology department head about your experience and put any questions you may have unanswered, to them. It might just get your 2nd appointment bumped up the priority list.
Very best of luck