Go to top

Ad Astra Per Aspera | To the Stars through Difficulties

Ad Astra Per Aspera | To the Stars through Difficulties

astra fertility new and investigative cycle patients main image

Surgery Patients' Procedure Instructions

Instructions Preparing for Ambulatory Gynaecological Surgery

Please ensure before surgery you have discussed your procedure details and are aware of its potential risks and benefits, in addition to alternative treatment options.

Complete the anaesthesia questionnaire and sign the surgery consent form.

You MUST arrange your own transportation home and an adult escort MUST accompany you home. A responsible adult MUST stay with you overnight following day surgery. You will leave a contact number with the admitting nurse upon your arrival to the surgery unit. DO NOT drive or consume alcohol after your surgery for a 24-hour period.

If you are anticipating having your period on the day of the procedure and you are scheduled for Hysteroscopy, please contact the booking office to reschedule. Menstrual flow can potentially impair vision and make the procedure suboptimal.

If you are close to your expected period or have missed your period, a pregnancy test should be done the day or two before the procedure.


Bring your Ontario Health Card and extended Health Information with you to this appointment.

If your surgery is not covered by OHIP (or if you do not have OHIP), you must make arrangements to pay privately in advance.


Please do the following:

You must have nothing to eat or drink from midnight the night before surgery. You may take your regular medication first thing in the morning with a sip of water.

Leave your valuables at home. This includes jewellery, credit cards, and cash.

Shower or bathe the evening before, or the morning of your surgery. Do not wear cosmetics (including make-up, nail polish, etc.) Do not wear fragrances of any kind (i.e. cologne/aftershave, perfume, fragrant body lotion, etc).

Bring all of your medications in their original containers with you (including all over the counter and herbal medications and inhalers).

Please bring an ADULT INTERPRETER with you, if English is not your first language.

A bowel prep is indicated in special cases. This would include a fluid diet for 3 days before surgery and an enema the morning of the surgery. You will be instructed if this is a requirement for your procedure.

Postoperative Instructions for Patients after Surgery

Expect the following post-op:

    • Vaginal bleeding /spotting up to one week. Pain should decrease with time
    • Some cramping or discomfort
    • Some nausea and vomiting
    • Shoulder pain if you had a laparoscopic procedure
    • You may be given a prescription for medications: please follow physician orders.

Please follow the instructions outlined below post surgery:

  • You can shower the following day after hysteroscopic surgery but avoid bathing if you have vaginal bleeding. If you had laparoscopy, remove the band aid after 48 hours and you can shower. Remove the steri-trips in a week.
  • Do not drive for the first 48 hours following your procedure if you had general anesthesia.
  • You can resume normal physical activities in 48 hours or less, unless advised otherwise.
  • Sexual activity can resume once vaginal bleeding has ceased, and you are in no significant discomfort.
  • Diet: follow a light diet in the first 24 hours if received a general anesthetic; otherwise, resume your normal diet immediately.
  • Call office if you experience any of the following: heavy bleeding (more than a normal period), oozing from your incision, fever, inability to void, or difficulty with bowel movements.
  • In case of urgent inquiry: call the Astra after-hour pager at 905-508-9814 or visit your local emergency department.
  • You will be contacted by our nurse within 48 hours from the surgery date for follow up and further instructions.
  • Report any visit to the ER within 10 days following the procedure to our clinic.
  • Please complete your quality of care survey and bring it with you on your next visit. Our receptionist will collect your completed survey for quality improvement, your feedback is valuable to us.