Gynecology Post Procedure Instructions

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Disorders and Treatments       Gynecology Post Procedure Instructions       Gynecology Resources

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Below are some of our post procedural instructions. If you do not see your procedure listed, or if you have any questions regarding these instructions and /or your symptoms, please call our office to reach a physician or nurse for advice. These instructions are not intended to replace the need for you to receive medical advice about your condition. As always, if you are having a true medical emergency, please dial 911 for assistance.

After Colpo

If a biopsy was taken, the results will be available in about two weeks. Make sure to schedule a follow-up appointment.
Do not douche, use tampons, or have sex for one week.
You may experience some cramping or slight bleeding. You may also notice a black, yellow, gritty, and/or particulate discharge from the medication used after the procedure.

Please call if:

• You develop a temperature greater than 100°F
• You experience any heavy bleeding (one pad per hour or more)
• You have abdominal pain
• You have any questions or concerns

After LEEP

Do not have sexual intercourse or place anything in the vagina for four weeks.
Do not use tampons for four weeks
You may experience some cramping or slight bleeding. You may also notice a black, yellow, gritty, and/or particulate discharge from the medication used after the procedure. This can also be watery at times.

Please call if:

• You develop a temperature greater than 100°F
• You experience any heavy bleeding (one pad per hour or more)
• You have abdominal pain
• You have any questions or concerns

After Endometrial Biopsy

If a biopsy was taken, the results will be available in about two weeks. Make sure to schedule a follow-up appointment. You may experience some cramping or slight bleeding. You may also notice a black discharge.

Please call if:

• You develop a temperature greater than 100°F
• You experience any heavy bleeding (one pad per hour or more)
• You have abdominal pain
• You have any questions or concerns

After Saline Infusion Ultrasound

Do not douche, use tampons, or have sex for one week.
You may experience some cramping or slight bleeding. You may also notice a watery, blood-tinged discharge.

Please call if:

• You develop a temperature greater than 100°F
• You experience any heavy bleeding (one pad per hour or more)
• You have abdominal pain
• You have any questions or concerns

After Biopsy or Excision at the Vulva, Vagina, Perineum

A shallow bath with Epson salt 2 to 3 times a day may help with the healing process.
Diluting your urine with a water bottle as it passes the urethra may decrease irritation at the biopsy site.
Please do not wipe the biopsy area. Keep the area clean by using warm soapy water or a baby/toilet wipe and blot the area only. Wiping me cause more bleeding.
Tucks or witch hazel pads may be used and can be soothing.
Your doctor may have specific instructions depending on the reason for the biopsy, the location of the biopsy, and the method used to perform the biopsy. You and your doctor should discuss when and if sutures need to be removed or if a dressing should be changed.

Please call if:

• You develop a temperature greater than 100°F
• You experience any heavy bleeding (one pad per hour or more)
• You have redness, swelling, or increasing pain at the biopsy site
• You have any questions or concerns

After Biopsy or Excision of a Lesion on the Skin

Your doctor may have specific instructions depending on the reason for the biopsy, the location of the biopsy, and the method used to perform the biopsy. You and your doctor should discuss when and if sutures need to be removed or if a dressing should be changed.
Please do not soak the incision site and keep the area as dry as possible when bathing.

Please call if:

• You have redness, swelling, or increasing pain at the biopsy site
• You have any questions or concerns

After Surgery (Laparoscopy, Hysteroscopy, Abdominal, or Vaginal Surgery)

After most gynecologic surgery, the following will apply. However, your doctor may have specific instructions for you. Please feel free to call with any questions.

Activity:

• No heavy lifting (nothing greater than 10-15 pounds) for the first 2 weeks.
• Do not soak your incision(s); shower for the first 2 weeks.
• No driving while requiring pain medications and until you can wear a seatbelt comfortably and react as needed.
• No intercourse or tampons or anything in the vagina for 6 weeks.
• You may increase your activity as tolerated and gradually each day. It is okay to climb stairs; however, you may have to rest.

Incision Care:
No soaking the incisions, as mentioned, for the first 2 weeks. If steri-strips are in place, you will need to try to keep them there until your follow-up appointment. It is important to clean the incisions daily with soap water and then plain water. You should pat the incision dry. You should avoid wiping the incision both when washing and drying as this can disrupt the incision.

Follow-up:
Most follow-up appointments are scheduled 2 weeks from the post operative period. However, you may need to be seen sooner.

Precautions:
Please call if you experience vaginal bleeding greater than 1 pad/hour, a temperature greater than 100.5°F, nausea, vomiting, chills, increasing abdominal pain, malodorous discharge, pain with urination, chest pain, shortness of breath, sudden edema or pain at your extremities, back pain, redness or drainage at your incision site, or onset of any worrisome signs or symptoms.