20 Steps to Master the Art of Surviving Your First Colonoscopy

15. Women May Have a Slightly Different Experience

While colonoscopies are generally safe and effective for everyone, women may have a slightly different experience due to anatomical differences. The female colon tends to be longer and more curved than the male colon, which can sometimes make the procedure slightly more challenging or uncomfortable—especially during insertion of the scope. Women who have had abdominal surgeries, hysterectomies, or pelvic scarring may also experience added sensitivity or resistance in certain areas of the colon. However, these concerns can usually be addressed with the right preparation. It’s important to choose a gastroenterologist with experience treating a wide range of patients, and to be open about your medical history and any anxiety or discomfort you may have. Providers can adjust sedation levels, use different scope techniques, or even offer alternatives like virtual colonoscopies. Understanding these gender-specific nuances helps ensure a more comfortable and personalized experience—and encourages more women to stay on top of this vital screening.

16. It’s Normal to Feel Gassy or Bloated Afterward

One of the most common side effects after a colonoscopy is feeling gassy, bloated, or experiencing mild cramping—and it’s nothing to worry about. During the procedure, your doctor gently inflates your colon with air or carbon dioxide to create a better view of the intestinal walls. This distension allows the camera to navigate easily and spot any hidden polyps or abnormalities. However, all that air has to go somewhere. After the procedure, you may pass gas more frequently than usual as your body expels it. This can feel a bit awkward, especially in the recovery room, but it’s completely normal and even encouraged. Walking around, sipping warm liquids, and avoiding carbonated beverages can help relieve discomfort more quickly. In most cases, this bloating passes within a few hours. If it lingers beyond a day or worsens, be sure to contact your provider—especially if it’s accompanied by pain, fever, or significant swelling.