Should You Avoid Intercourse Before Endometrial Polyp Removal?

Issues related to endometrial polyps?

I would like to ask if I am trying to conceive and have a polyp removed just before my ovulation period, should I abstain from sexual activity for three days prior to the procedure?

ch, 30~39 year old female. Ask Date: 2022/03/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the following situations should be avoided when performing a hysteroscopic polypectomy: it is not suitable to conduct a hysteroscopic examination in the presence of heavy bleeding, as the imaging may be unclear and the examination cannot be performed; during pelvic inflammatory disease, hysteroscopy should be avoided to prevent more severe infections; and it is not appropriate to perform hysteroscopy during pregnancy to avoid affecting the fetus.
It is recommended to use contraception during this cycle.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2022/03/19

More Info

When considering whether to avoid intercourse before undergoing endometrial polyp removal, there are several factors to take into account. Endometrial polyps are growths on the inner lining of the uterus, and while they are often benign, they can sometimes cause irregular bleeding or contribute to fertility issues. The decision to engage in sexual activity leading up to the procedure should be guided by medical advice and personal comfort.

1. Medical Recommendations: Generally, healthcare providers may recommend abstaining from intercourse in the days leading up to the procedure, especially if there is any risk of bleeding or if the patient is experiencing any abnormal symptoms. Engaging in sexual activity could potentially lead to irritation or further bleeding, which might complicate the surgical procedure or affect the healing process afterward.

2. Timing of the Procedure: If your surgery is scheduled during your ovulation period, it is essential to consider how sexual activity might impact your cycle. If you are trying to conceive, it can be challenging to balance the desire to conceive with the need for medical intervention. However, the priority should be on ensuring that the procedure is performed safely and effectively.

3. Personal Comfort and Symptoms: If you are experiencing any symptoms such as abnormal bleeding or discomfort, it may be wise to avoid intercourse until after the procedure. This not only helps in preventing any potential complications but also allows you to focus on your health and recovery.

4. Post-Procedure Considerations: After the removal of endometrial polyps, your doctor will provide specific guidelines regarding when it is safe to resume sexual activity. This is crucial for ensuring proper healing and minimizing the risk of infection.

5. Consult Your Doctor: Ultimately, the best course of action is to consult with your healthcare provider. They can provide personalized advice based on your medical history, the specifics of your condition, and the timing of your procedure. They may also consider factors such as the size and number of polyps, your overall reproductive health, and any other underlying conditions that may affect your treatment plan.

In summary, while it may not be strictly necessary to avoid intercourse for three days before the removal of endometrial polyps, it is generally advisable to err on the side of caution. Prioritizing your health and following your doctor's recommendations will help ensure the best possible outcome for your procedure and future fertility plans. Always communicate openly with your healthcare provider about your concerns and any symptoms you may be experiencing, as they can offer the most accurate guidance tailored to your situation.

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