These loops make it difficult to insert the video camera tubing into the colon for examination, which at times adds to the patient’s discomfort. Also, these bends are difficult to exam thoroughly and add to the procedure time for the physician. These loops are often home to infections and inflammation in the colon.
Some women with hysterectomies report higher pain and discomfort levels than the average patient – a disincentive to have another colonoscopy in the future. It has been found that women who have had hysterectomies, have adhesions around the colon in the pelvic area. Adhesions are bands of scar tissue that develop after abdominal or pelvic surgery which may adhere to close-by organs. It is one of the commonest complications of this type of surgery.
Women’s Preferences Affecting Colonoscopies
Many women feel embarrassed just talking about a colonoscopy. But as important a screening procedure this may be to one’s general health, some women simply avoid it. And if her male physician doesn’t recommend the screening, it is highly unlikely that a woman will bring it up for discussion either. Especially if there is no family history of colorectal cancer. But beware, 85 percent of cases have no family history of colorectal cancer.
Studies have found that women who have a female practitioner are more likely to comply with physician-ordered tests such as breast and cervical cancer screening with an average increase of 40 percent for PAP exams and 33 percent for mammography screenings. When asked about preferences for endoscopists, 30 percent to nearly half of the participants wanted a woman to perform the procedure on them.
This is especially important for African-American women. This ethnic group is ten percent more likely to get colorectal cancer than whites. But because the cancer is found in advanced stages, the mortality rate for African Americans is 44 percent higher than found in Caucasians. So it is recommended that blacks get cancer screening earlier than the stated 55 years of age for the first colonoscopy. Most researchers agree that African Americans and men should get their first screening at 45-years old because of the earlier growth of polyps and lesions.