The time when menstruation is expected to occur after the menstrual period has ended?
Hello, doctor.
I underwent laparoscopic surgery for a blocked fallopian tube over three months ago, but I still haven't had any news.
My menstrual cycle has been pretty regular, arriving around the 12th of each month, with a variation of no more than three days.
I had intimate relations on July 2nd, but I haven't gotten my period this month.
I've been feeling a dull sensation in my abdomen, and I've noticed a slight brown discharge.
I took a pregnancy test yesterday, and it showed one line.
I would like to know if this means I am not pregnant.
Thank you.
Gong Xiaojie, 20~29 year old female. Ask Date: 2016/07/19
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, a single line should indicate that you are not pregnant.
If your period does not arrive after waiting another week, it is advisable to see a gynecologist.
Wishing you good health.
Reply Date: 2016/07/19
More Info
After undergoing laparoscopic surgery for tubal obstruction, it is not uncommon for patients to experience a range of post-menstrual symptoms. Given that you are three months post-surgery and have a regular menstrual cycle, it is important to consider several factors regarding your current symptoms and concerns.
Firstly, the absence of menstruation this month, especially after a history of regular cycles, could be attributed to several reasons. Stress, hormonal fluctuations, or changes in your body due to the surgery can all affect your menstrual cycle. It is also worth noting that the body may take some time to adjust after surgical procedures, and this adjustment can sometimes lead to temporary changes in menstrual patterns.
The "dull" feeling in your abdomen could be related to several factors. It might be a residual effect of the surgery, as the body continues to heal internally. It is not uncommon for patients to experience sensations in the abdominal area post-surgery, including discomfort or a feeling of fullness. However, if this sensation is accompanied by severe pain, fever, or any other concerning symptoms, it would be prudent to consult your healthcare provider.
Regarding the brownish discharge you mentioned, this can often occur as a result of hormonal changes or the shedding of old endometrial tissue. Brown discharge is typically old blood that takes longer to exit the body, and it can be a normal part of the menstrual cycle. However, if this discharge persists or is accompanied by an unusual odor or other symptoms, it would be advisable to seek medical advice.
As for the pregnancy test you conducted, a single line typically indicates a negative result, suggesting that you are not pregnant. However, it is important to consider the timing of the test. If you tested too early, it might not have detected a pregnancy even if one exists. If your period does not arrive soon, you may want to repeat the test after a few days or consult with your healthcare provider for further evaluation.
In summary, while some post-operative symptoms can be normal, it is essential to monitor your body and any changes closely. If you continue to experience unusual symptoms, such as persistent abdominal discomfort, significant changes in your menstrual cycle, or any other concerning signs, it is crucial to follow up with your healthcare provider. They may recommend further evaluation, including blood tests or imaging, to ensure that everything is progressing as it should after your laparoscopic surgery. Your health and peace of mind are paramount, so do not hesitate to seek medical advice if you feel uncertain about your symptoms.
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