[hocus pocus]

A previous gyn of mine was looking into birth control options with me and said "well, given what you weigh, we don't want to use this one. You can't afford to gain more weight." Gyns seem to have a thing for fat shaming, or at least several of the ones I've met do.

I wish I lived closer because I'd definitely go with you. Is your husband going/able to come with you? It might be comforting if he comes along. You can ask to have a nurse in, but I do think most of the time they have someone else come along for the appointment.

You could write some notes down in terms of what you'd want to say if something arises. You can also be stern, but still polite if that makes sense. You could say something like "I appreciate your concern for my weight, but that is not why I am here today." Even though there's no solid studies, to appease your doctor you could also express that you're aware your bc might not be as effective: you understand that and you still want the nexaplanon regardless.

Another thing I've heard people doing is starting the appointment with an opener about their weight like "yes, I am aware and respect your opinion but please know I am not here about my weight. I am here for gynecology."

Specialist appointments tend to zap the life out of me, so sometimes it helps to have something either fun (to look forward to) afterwards, or clear the day (or a few hours) if possible so I can take a nap or do some self-care. Do you know what your other plans/obligations are on that day? Something to consider.