Post-Laparoscopic Ovarian Cyst Surgery: Can I Resume Birth Control Pills?

Laparoscopic surgery for ovarian cysts

Hello Doctor: I underwent laparoscopic surgery to remove an ovarian cyst on January 10th (the ovary was not removed).
I usually take birth control pills for contraception and menstrual regulation.
On the day of the surgery, January 10th, I was advised by the doctor not to take the medication.
The following day, January 11th, I could not eat anything due to not passing gas, so I also did not take the pills.
I was discharged on January 12th.
Since my family was present, I didn't dare to ask the doctor about contraception.
I would like to know if I can continue taking birth control pills after the surgery.
I did not take them for two days, but on January 12th, I took two pills, and on January 13th, I also took two pills.
Is this acceptable? Thank you for your response!

Ting, 20~29 year old female. Ask Date: 2017/01/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you can take it as you described.
Wishing you good health.

Reply Date: 2017/01/12

More Info

After undergoing laparoscopic surgery for an ovarian cyst, it's understandable to have questions regarding the resumption of birth control pills. Generally, the decision to restart hormonal contraceptives, such as birth control pills, after surgery should be made in consultation with your healthcare provider. However, I can provide some general insights based on medical knowledge.

1. Timing of Resuming Birth Control Pills: After laparoscopic surgery, it is typically safe to resume birth control pills once you are cleared by your physician. The reason for the initial cessation of the pills is often to minimize the risk of complications during and immediately after surgery, such as blood clots. Since you had a laparoscopic procedure and did not undergo major abdominal surgery, the risks associated with restarting the pills may be lower, but this can vary based on individual health factors.

2. Resuming After a Break: If you missed taking your birth control pills for a couple of days post-surgery, it is generally acceptable to restart them. However, taking two pills at once to catch up is usually not recommended unless specifically advised by your doctor. Most guidelines suggest taking the next scheduled dose as soon as you remember and then continuing with your regular schedule. If you miss more than one pill, you may need to follow specific instructions regarding backup contraception.

3. Potential Side Effects: After surgery, your body may be in a state of recovery, and hormonal fluctuations can occur. Resuming birth control pills may lead to side effects such as nausea, headaches, or changes in mood, especially if your body is still adjusting post-surgery. Monitoring how you feel after restarting the pills is important, and any concerning symptoms should be discussed with your healthcare provider.

4. Consulting Your Doctor: Since you were advised not to take the pills immediately after surgery, it’s crucial to follow up with your healthcare provider for personalized advice. They can assess your recovery, discuss any potential risks, and provide guidance on when and how to safely resume your birth control regimen.

5. Long-term Considerations: If you have been using birth control pills for regulating your menstrual cycle, it is important to discuss with your doctor how the surgery may affect your hormonal balance and menstrual patterns. They may recommend monitoring your cycles closely after resuming the pills to ensure they are effective in managing your symptoms.

In summary, while it is generally safe to resume birth control pills after laparoscopic surgery for an ovarian cyst, it is essential to consult your healthcare provider for tailored advice based on your specific situation. They will consider your overall health, the nature of your surgery, and any other medications you may be taking to provide the best recommendations for your post-operative care.

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