Timing for Colonoscopy and Gastroscopy After Hysteroscopic Polypectomy

After undergoing a hysteroscopic polypectomy, how long should one wait before undergoing a painless colonoscopy and gastroscopy?

Hello, Doctor! I underwent a hysteroscopic polypectomy on December 15.
About a week later, on December 24, I started experiencing pain in my lower left abdomen.
I had also been experiencing constipation for over a month, so I visited a gastroenterologist on December 24.
After taking medication for a day, I had some diarrhea, but the pain in my lower left abdomen persisted.
On December 27, I returned to the obstetrics and gynecology department and mentioned the pain in my lower left abdomen.
The doctor prescribed me painkillers and antibiotics for three days, which I finished today, December 30, but the pain still continues.
Therefore, I would like to schedule a painless colonoscopy and gastroscopy, but I'm unsure if it is too soon after the hysteroscopic surgery on December 15.

I have a few questions:
1.
Is there a correlation between the lower left abdominal pain and the hysteroscopic polypectomy?
2.
How long should I wait after the hysteroscopic surgery on December 15 before scheduling the painless colonoscopy and gastroscopy?
3.
Will the painless colonoscopy and gastroscopy affect my chances of becoming pregnant? I really hope to conceive.
Thank you very much for your answers!

A Qiao, 30~39 year old female. Ask Date: 2021/12/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2021/12/30

More Info

After undergoing a hysteroscopic polypectomy, it is understandable to have concerns about subsequent gastrointestinal symptoms and the timing of further diagnostic procedures such as colonoscopy and gastroscopy. Let’s address your questions one by one.

1. Left Lower Abdominal Pain and Hysteroscopic Polypectomy: It is possible that the left lower abdominal pain you are experiencing could be related to the recent hysteroscopic procedure. While hysteroscopy primarily involves the uterus, any surgical procedure can lead to postoperative discomfort or complications such as infection or inflammation. Additionally, if you have a history of constipation, this could contribute to abdominal pain as well. However, it is essential to consider other potential causes of your symptoms, including gastrointestinal issues, especially since you mentioned a history of constipation.

2. Timing for Colonoscopy and Gastroscopy: Generally, it is advisable to wait at least 2-4 weeks after any surgical procedure before undergoing another invasive procedure like a colonoscopy or gastroscopy. This waiting period allows your body to heal and reduces the risk of complications such as perforation or infection. Given that your hysteroscopic polypectomy was performed on December 15, scheduling a colonoscopy or gastroscopy in early January (around 2-3 weeks post-surgery) could be reasonable, but it is crucial to consult with your healthcare provider for personalized advice based on your recovery and current symptoms.

3. Impact of Colonoscopy and Gastroscopy on Pregnancy: Both colonoscopy and gastroscopy are generally considered safe procedures, but certain precautions should be taken if you are planning to conceive. The sedation used during these procedures can have implications for pregnancy, so it is essential to inform your healthcare provider about your desire to become pregnant. They may recommend scheduling these procedures at a time when you are not actively trying to conceive or may suggest alternative methods of evaluation that do not involve sedation.

In summary, while your left lower abdominal pain could be related to the recent hysteroscopic procedure, it is also important to consider gastrointestinal factors. Waiting at least 2-4 weeks after your surgery before scheduling a colonoscopy or gastroscopy is advisable, but always consult your healthcare provider for the best course of action based on your specific circumstances. Lastly, if you are planning to become pregnant, discuss this with your doctor to ensure that any procedures you undergo are safe and appropriate for your situation.

In addition to these considerations, it may be beneficial to monitor your symptoms closely. If your abdominal pain worsens or if you experience any new symptoms such as fever, significant changes in bowel habits, or unusual discharge, seek medical attention promptly. Your healthcare provider can perform a thorough evaluation and determine the most appropriate next steps for your care.

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