Can You Get Pregnant After Cold Knife Polypectomy? - Obstetrics and Gynecology

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Issues after cold knife excision of uterine polyps?


I had a cold knife excision of a uterine polyp on September 26.
If I had intercourse in mid-October, is it possible that I could be pregnant? My period is already about 5 days late.

Xiao Hui, 30~39 year old female. Ask Date: 2023/11/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if there is a chance of pregnancy, you can confirm it with a pregnancy test.
Wishing you good health.

Reply Date: 2023/11/09

More Info


After undergoing a cold knife polypectomy on September 26, it is indeed possible to conceive if you had unprotected intercourse in mid-October. The timing of your menstrual cycle and ovulation plays a crucial role in determining your likelihood of pregnancy. If your menstrual cycle is regular, ovulation typically occurs about 14 days before your next period. Given that your period is already five days late, it is advisable to take a pregnancy test to confirm whether you are pregnant.

Cold knife polypectomy is a surgical procedure used to remove polyps from the uterus. It is generally considered a safe procedure, and many women go on to have healthy pregnancies afterward. However, it is essential to consider a few factors regarding your health and the timing of your surgery:
1. Healing Time: After a cold knife polypectomy, your body needs time to heal. Engaging in sexual intercourse shortly after the procedure may increase the risk of complications, such as infection or bleeding. It is typically recommended to wait for a certain period (often a few weeks) before resuming sexual activity, depending on your doctor's advice.

2. Menstrual Cycle: If your menstrual cycle is regular, you can estimate your ovulation period. If you had intercourse around the time of ovulation, there is a higher chance of conception. If your cycle is irregular, it may be more challenging to predict ovulation.

3. Pregnancy Test: Since your period is late, taking a home pregnancy test can provide you with a quick answer. Most home pregnancy tests are reliable and can detect pregnancy as early as the first day of your missed period.

4. Consult Your Doctor: Regardless of the outcome of the pregnancy test, it is essential to follow up with your healthcare provider. If you are pregnant, they will monitor your pregnancy closely, especially since you have had a recent surgical procedure. They may want to ensure that everything is progressing normally and that there are no complications related to the polypectomy.

5. Future Pregnancies: If you are pregnant, it is crucial to discuss your previous polypectomy with your obstetrician. They will want to ensure that your uterus is healthy and that there are no remaining issues that could affect your pregnancy.

In summary, yes, it is possible to get pregnant after a cold knife polypectomy if you had unprotected intercourse during your fertile window. Since your period is late, taking a pregnancy test is the next best step. Regardless of the result, consulting with your healthcare provider is essential for your health and the health of any potential pregnancy.

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