Pre-operative & Post-operative Instructions


Office Procedures

D&C Hysteroscopy

You must arrange for someone to drive you home after your procedure.

Expect to have some spotting or vaginal bleeding for 3-5 days. The discharge may last 3-4 weeks after an

endometrial ablation or hysteroscopic resection. You should not have any heaving bleeding and the discharge

should slowly taper off. If it increases, or your pain increases instead of improving, please call the office.

Avoid using tampons or douching and only use pads until the discharge stops.

Avoid sexual intercourse for 1 week after surgery.

Resume normal activities as soon as you feel comfortable, usually in 24-48 hours.

Tylenol, Motrin, Advil, or Aleve may be used for any discomfort as directed on the bottle. Usually there is some

cramping for up to 48 hours with an endometrial ablation; take pain medication as directed by your doctor.

Resume a normal diet as tolerated. You may feel like eating light meals only the day of surgery.

Please remember your follow up appointment in 2-4 weeks.

LEEP

You may have some discomfort (mild cramping) for several hours after the LEEP.

You may have some heavy bleeding right after the procedure. Please contact the office if you soak a Pad in ½ hour or more. A brownish-black discharge for the first week is normal.

Avoid heavy lifting for 3-4 weeks.

Do not use tampons for 4 weeks. Use sanitary pads to protect your clothing.

No intercourse for 4 weeks.

Shower rather than take tub baths, and no swimming for 4 weeks.

If you develop bleeding with clots, call the office.

If you have severe abdominal pain, fever, or a foul-smelling discharge, please call the office.

Always wipe perineal area from front to back after going to the bathroom.

Return to the office in 2 weeks for a post-op exam.

Novasure Endometrial Ablation

You must arrange for someone to drive you home after your procedure.

Expect to have some spotting or vaginal bleeding for 3-5 days. The discharge may last 3-4 weeks after an

endometrial ablation or hysteroscopic resection. You should not have any heaving bleeding and the discharge

should slowly taper off. If it increases, or your pain increases instead of improving, please call the office.

Avoid using tampons or douching and only use pads until the discharge stops.

Avoid sexual intercourse for 2 weeks after surgery.

Resume normal activities as soon as you feel comfortable, usually in 24-48 hours.

Tylenol, Motrin, Advil, or Aleve may be used for any discomfort as directed on the bottle. Usually there is some

cramping for up to 48 hours with an endometrial ablation; take pain medication as directed by your doctor.

Resume a normal diet as tolerated. You may feel like eating light meals only the day of surgery.

Please remember your follow up appointment in 2-4 weeks.

ESSURE

Some soreness and discomfort are to be expected for two to three days following the procedure.

Use prescribed or over the counter medications as directed.

You may experience some spotting or vaginal bleeding for the first two to three days

following the procedure. This is normal.

Pelvic rest is recommended, meaning nothing should be put in the vagina until your bleeding has stopped. Sexual intercourse may be resumed once your discomfort and vaginal bleeding have subsided.

Use another form of birth control until you have your HSG (hysterosalpingogram). This test is necessary to ensure the Essure procedure has effectively occluded both of your fallopian tubes and confirms sterilization. We will schedule you for the HSG in three months.

The HSG can cause some mild, “crampy” discomfort. You may take ibuprofen (600-800 mg) one hour before your HSG appointment if you are not allergic to ibuprofen or aspirin.

Call us if you have:

  • Heavy vaginal bleeding (soaking through one or more pad per hour, for three hours).
  • A fever over 100 F within the first three days following the procedure.
  • Significant pelvic or abdominal pain, not relieved with over-the-counter pain relievers.
  • Foul-smelling vaginal discharge.

Labiaplasty

These are some guidelines to help you during your recovery. They are not meant to be all-inclusive and you should call the office if you have additional questions or concerns.

Prior to your surgery it is important not to take aspirin, Motrin, or blood thinning products (including herbals or supplements) to minimize the chance of bleeding during your operation.

You will need a family member, spouse, or friend bring you to and from the medical facility. You will not be able to transport yourself home after surgery.

The surgery generally takes approximately 2 to 2.5 hours to perform.

Prescriptions for an antibiotic and pain medication will be given prior to your discharge home. Please take the full course of the antibiotic as directed and pain medication as needed.

The first post op visit to the office will take place 7-10 days after your procedure. We highly recommend you call the office or have a representative call to make the appointment.

Bruising, even significant bruising is common around the vaginal and labial areas. It is also common for the bruising to settle into areas remote from the liposuction. This typically resolves over 1-3 weeks.

Swelling is very common after surgery. It usually takes several weeks to fully resolve. DO NOT apply ice. If however, you have excessive swelling, one side is much larger than the other, or you have more pain on one side versus the other, these symptoms could indicate bleeding. Please call the office if any of these occur.

You may sponge bath or shower 24-48 hours after your procedure. You may remove the dressing and undergarments. When you take your first shower have someone nearby to help incase you feel dizzy. Using temped/Luke warm soapy water, allow it to rinse over your body, followed by patting dry the area. Avoid hot or very warm water to prevent engorgement and increase swelling of soft tissues. Apply antibiotic ointment to incision, maxi pad, and undergarment after bathing. We highly encourage using the support for 1-2 weeks after your procedure.

It is okay to change your dressings as needed to keep clean and dry. Maxi pads work well as inexpensive surgical gauze and they don’t interfere with the healing process.

Daily activity is encouraged but it should not be strenuous initially. It is important to be up and about to keep blood circulating in your legs. Lifting should be no more than 5-10 pounds for several weeks. Driving will be restricted until you no longer need narcotics for pain control and have shown to be physically capable to do so. The average time returning to driving takes approximately 2 weeks.

Return to work is variable and depends on the type of job. Approximately 1-2 weeks is when a majority of patients can return to either limited restriction or full work duties. ­

Avoid sexual activity for a minimum of 2-3 weeks. Sexual intercourse can be painful and may delay healing, increase swelling, bruising, and pain. After your 2nd postoperative visit, it will be determined if sexual activity may resume.

If you experience high fevers (T. 101), excess drainage from the incision(s), excessive swelling, redness, pain, or foul odor, please contact the office

O-Shot

There is actually little to no down time following your O-Shot procedure.

You may return to work the same day.

Use Tylenol as directed in the bottle for discomfort and or apply an ice pack to the area for any discomfort.

We recommend waiting 3 days before intercourse or to use tampons

Most patient will notice an immediate improvement in sensation, but it may take several weeks to achieve maximum result. If you have a history of bladder incontinence, this should improve within a few days of your procedure.

Hospital Procedures

General Pre-operative Instructions

You will have an appointment with your doctor a week prior to surgery to review details and sign consents.

Unless otherwise instructed, you should have nothing to eat or drink after midnight.

For C-Sections, arrive at the hospital 2 hours before your scheduled surgery time.

You will meet with, or have a telephone interview with, someone from the anesthesia department prior to surgery. They will let you know if you should take any of your home medications the morning of surgery.

Post-operative Instructions

C-Sections

We want you ambulating and active as soon as possible after surgery, but avoid any strenuous activity at first. You may increase your activity as you are able to tolerate it.

Avoid driving for 3 weeks and until you are off narcotic pain medications.

Avoid intercourse, douching or tampons until seen by your doctor postoperatively.

You may bathe or shower. Make sure to keep your incision dry. Use a cool blow-dryer to help.

Take pain medications as prescribed by your doctor. If you become constipated, you may take Colace twice a day or milk of magnesia.

You are allowed to breast feed while on the pain medications prescribed by your doctor.

If you went home with staples in place, make an appointment for staple removal as directed by your doctor (usually 3-7 days after surgery).

If you have Steri-Strips (paper Band-Aids) on your incision, these will start peeling off in 2 weeks. You can remove them at that time.

Make an appointment for a post-operative visit 1 week after surgery.

Call if you have a fever greater than 100.4, heavy bleeding, pain not controlled by your pain medications, severe nausea/vomiting, redness surrounding the incision or heavy drainage from the incision or any other concerns.

Abdominal Hysterectomy

We want you ambulating and active as soon as possible after surgery, but avoid any strenuous activity at first. You may increase your activity as you are able to tolerate it.

Avoid driving for 3 weeks and until you are off narcotic pain medications.

Avoid intercourse, douching or tampons until seen by your doctor postoperatively.

You may bathe or shower. Make sure to keep your incision dry. Use a cool blow-dryer to help.

Take pain medications as prescribed by your doctor. If you become constipated, you may take Colace twice a day or milk of magnesia.

If you went home with staples in place, make an appointment for staple removal as directed by your doctor (usually 3-7 days after surgery).

If you have Steri-Strips (paper Band-Aids) on your incision, these will start peeling off in 2 weeks. You can remove them at that time.

Make an appointment for a post-operative visit 1 week after surgery.

Call if you have a fever greater than 100.4, heavy bleeding, pain not controlled by your pain medications, severe nausea/vomiting, redness surrounding the incision or heavy drainage from the incision or any other concerns.

Laparoscopic Hysterectomy

You may have some abdominal pain, bloating and shoulder pain in the first 24-48 hours. This often improves if you lie down flat.

Avoid heavy lifting, strenuous activity for 7-10 days. Avoid driving until off narcotic pain medications.

Avoid intercourse, douching or tampons until seen by your doctor postoperatively.

You may bathe or shower.

Take pain medications as prescribed by your doctor. If you become constipated, you may take Colace twice a day, Miralax, or milk of magnesia.

You may have Dermabond on your incisions. The glue will flake off in 7-10 days. You may peel it off at that time.

Call if you have a fever greater than 100.4, heavy bleeding, pain not controlled by your pain medications, severe nausea/vomiting, redness around the incisions, drainage from the incision, or any other concerns.

Schedule a post-operative appointment for 4-6 weeks after surgery unless your doctor asks to see you sooner.

Vaginal Hysterectomy

You may bathe or shower but avoid intercourse, douching or tampons for 8 weeks.

If you become constipated, you may take Colace twice a day, Miralax, or milk of magnesia.

Call if you have a fever greater than 100.4, heavy bleeding, pain not controlled by your pain medications, severe nausea/vomiting or any other concerns.

Schedule a post-operative appointment for 4-6 weeks after surgery.

Laparoscopic Procedure

You may have some abdominal pain, bloating and right shoulder pain in the first 24-48 hours. This often improves if you lie down flat.

Avoid heavy lifting, strenuous activity for 7-10 days. Avoid driving until off narcotic pain medications.

Avoid intercourse, douching or tampons until seen by your doctor postoperatively.

You may bathe or shower.

Take pain medications as prescribed by your doctor. If you become constipated, you may take Colace twice a day, Miralax, or milk of magnesia.

You may have Dermabond on your incisions. The glue will flake off in 7-10 days. You may peel it off at that time.

Call if you have a fever greater than 100.5, heavy bleeding, pain not controlled by your pain medications, severe nausea/vomiting, redness around the incisions, drainage from the incision, or any other concerns.

Schedule a post-operative appointment for 4-6 weeks after surgery unless your doctor asks to see you sooner.


Boynton Beach Location

2828 S. Seacrest Blvd.
Suite 102
Boynton Beach
Florida, 33435

Office Number: (561) 413-2850
Office Fax: (561) 509-7102
Email: info@nodarseobgyn.com

West Palm Beach Location

1495 Forest Hill Blvd.
Suite D
West Palm Beach
Florida, 33406

Office Number: (561) 651-9056
Fax Number: (561) 509-7102
Email: info@nodarseobgyn.com

Copyright by Dr. Jose Nodarse MD. All rights reserved.