Procedures Under Sedation Instructions

(Endometrial Biopsy, Sonohysterogram and/or IUD insertion Under Sedation)

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1. Appointment Preparation

a. Consents

• You will be advised by your Primary Care Team of any applicable consents to sign prior to your appointment.

b. Confirm Appointment Details:

• Date and time of the procedure.
• Arrive 30 minutes early to complete any necessary paperwork and pre-procedure assessments.

c. Transportation:

• Arrange for a responsible adult to accompany you and drive you home, as sedation will impair your ability to drive or use public transportation.

d. Fasting Instructions (NPO):

• Do not eat for 6–8 hours before your procedure.
• Water and clear fluids are allowed up to 2 hours before the appointment, as a full bladder is required. 
• If your appointment is for a sono under sedation, you may take your prescribed antibiotics with water on the morning of your appointment.

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2. Medications

a. Medications to Avoid:

• Stop taking blood-thinning medications (e.g., aspirin, warfarin, or NSAIDs) 5–7 days before the procedure, unless directed otherwise by your doctor.
• Avoid herbal supplements (e.g., ginkgo, garlic, or ginseng) as they may increase bleeding risk.

b. Regular Medications:

• Take your usual medications (e.g., for blood pressure or thyroid) with a small sip of water, unless instructed otherwise.

c. Allergies:

• Notify the clinic of any known allergies, especially to anesthesia, antiseptics, or medications.

d. If you are booked for a sono under sedation:

• You may take your prescribed antibiotics with water on the morning of your appointment.

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3. Personal Preparation

a. Hygiene:

• Shower or bathe on the morning of the procedure. Avoid using lotions, creams, or powders on your abdomen or thighs.

b. Clothing:

• Wear loose, comfortable clothing and avoid jewellery or tight-fitting items.
• Bring a change of sanitary pads, as mild spotting or bleeding is common after the procedure.

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4. On the Day of the Procedure

a. Arrival:

• Check in at the clinic reception and provide any required documentation.

b. Pre-Procedure Assessment:

• The clinical team will:some text
  • Verify your fasting status.
  • Review your medical history and medications.
  • Measure your vital signs (blood pressure, heart rate, oxygen level).

c. Sedation:

• The sedation team will discuss the medications to be used and their effects.
• You may receive light to moderate sedation (e.g., midazolam or fentanyl) to help you relax and minimize discomfort.

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5. What to Expect Post-Procedure

a. Recovery Time:

• Plan to remain in the clinic’s recovery area for 30–60 minutes after the procedure for observation.

b. Post-Procedure Symptoms:

• Mild cramping and light spotting are normal.
• You may feel drowsy from the sedation, which will wear off within a few hours.

c. Restrictions:

• Avoid driving, operating heavy machinery, or signing important documents for the remainder of the day.

d. Follow-Up:

• The clinic will provide instructions for follow-up care and how results will be communicated.

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6. When to Call the Clinic

Contact the clinic immediately if you experience:

• Heavy vaginal bleeding (soaking more than one pad per hour).
• Severe abdominal pain unrelieved by over-the-counter pain medications.
• Fever or chills (temperature above 100.4°F or 38°C).
• Signs of an allergic reaction (e.g., rash, swelling, or difficulty breathing).