Нe current study findings are that multipara women will need more position changes during diagnostic colonoscopy than unipara women, thereby indicating a greater likelihood of a comparatively more diٹcult procedure. Нe length of experience of the endoscopist had no eوٴect on procedural diٹculty. Нe important implications of these results for practicing endoscopists is that diوٴerent diameters or degrees of stiوٴness of the scopes, and even an alternative way of diagnostic screening, such as virtual colonoscopy, might be considered for this select group of women