Post-Laparoscopic Surgery: Menstrual Concerns and Pregnancy Possibilities

Post-operative menstrual issues after cystectomy?

Hello Dr.
Huang: I have cysts on both ovaries, and in order to conceive, I underwent laparoscopic surgery on March 29th as arranged by my doctor.
I did not take any medication or receive any injections post-surgery; the doctor only advised me to actively try to conceive.
However, I have a concern...
My menstrual cycle has always been regular, and I was supposed to get my period on April 5th, but it has not arrived yet (my cycle is 25 days), and I have had a very small amount of reddish-brown discharge this past week.
I would like to ask the doctor: 1.
How long should I wait before returning for a follow-up appointment if my period does not come? 2.
The doctor advised me to actively try to conceive, but with my period being late, is there still a possibility of pregnancy? 3.
Is the reddish-brown discharge normal? 4.
I had sexual intercourse the day before the surgery on March 28th; is there a possibility of pregnancy? Thank you very much for your answers, doctor.

Niming, 30~39 year old female. Ask Date: 2017/04/26

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have chocolate cysts on both ovaries.
In order to conceive, I underwent laparoscopic surgery on March 29th as arranged by my doctor.
After the surgery, I did not take any medication or receive any injections; the doctor only advised me to actively try to conceive.
However, I have a concern...
My menstrual cycle has always been regular, and I was supposed to get my period on April 5th, but it has not arrived yet (my cycle is 25 days), and I have had a very small amount of reddish-brown discharge this past week.

I would like to ask the doctor:
1.
How long should I wait without my period before returning for a follow-up appointment?
Answer: 2 months.

2.
The doctor advised me to actively try to conceive, but with my period being late, is there still a possibility of pregnancy?
Answer: The likelihood of pregnancy is low.

3.
Is the reddish-brown discharge normal?
Answer: Yes, it is normal.

4.
I had sexual intercourse the day before the surgery on March 28th; is there a possibility of pregnancy?
Answer: It is unlikely to be pregnant.

Reply Date: 2017/04/26

More Info

After undergoing laparoscopic surgery for ovarian cysts on March 29, it is understandable to have concerns about your menstrual cycle and the possibility of pregnancy. Let's address your questions one by one while providing some relevant medical insights.

1. When to Return for Follow-Up: If your menstrual period is typically regular and you have missed it, it is advisable to consult your healthcare provider if your period does not arrive within a week of its expected date. Given that your cycle is usually 25 days, missing your period by more than a week warrants a follow-up appointment. This allows your doctor to assess your situation, possibly perform a pregnancy test, and evaluate any underlying issues that may need attention.

2. Possibility of Pregnancy: The absence of your period does not necessarily mean you cannot become pregnant. After laparoscopic surgery, many women can conceive relatively quickly, especially if the surgery was aimed at addressing issues that could hinder fertility, such as ovarian cysts. However, if your menstrual cycle is delayed, it could indicate a hormonal imbalance or other factors affecting ovulation. If you are actively trying to conceive, consider taking a home pregnancy test if your period does not arrive soon. If the test is negative and your period still does not come, further evaluation may be necessary.

3. Red-Brown Discharge: The presence of a small amount of red-brown discharge can be normal, especially following surgery. This discharge could be remnants of old blood or tissue from the surgical site. However, if the discharge is accompanied by pain, a strong odor, or other concerning symptoms, you should contact your healthcare provider for further evaluation. It is essential to monitor the discharge and report any changes to your doctor.

4. Possibility of Pregnancy from Intercourse on March 28: Given that you had sexual intercourse the day before your surgery, there is a possibility of pregnancy, especially if you were ovulating around that time. Sperm can survive in the female reproductive tract for several days, so if ovulation occurred shortly after your surgery, conception could be possible. If you suspect you might be pregnant, taking a home pregnancy test would be the next logical step.

In summary, while your concerns are valid, it is essential to remain proactive about your reproductive health. If your period does not arrive soon, or if you have any unusual symptoms, do not hesitate to reach out to your healthcare provider. They can provide personalized advice based on your medical history and the specifics of your surgery. Remember, many women successfully conceive after laparoscopic surgery, and your healthcare team is there to support you through this journey.

Similar Q&A

Post-Laparoscopic Surgery Concerns: Endometriosis and Fertility Questions

Hello, Doctor. I underwent laparoscopic surgery in April to remove a nearly 15 cm chocolate cyst and underwent adhesiolysis due to endometriosis. During the procedure, there was significant bleeding due to adhesions, and I also had a myomectomy for adenomyosis. My recovery has be...

Dr. Huang Yuande reply Obstetrics and Gynecology
1. It is possible to experience some bleeding during the recovery period due to potential irritation of the endometrium; however, urinary tract infection is a separate issue. 2. Menstruation is expected to resume about 1 to 2 months after discontinuing the medication. 3. It is no...

Understanding Post-Menstrual Symptoms After Laparoscopic Surgery

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 intima...

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.

Can Laparoscopic Surgery Affect My Chances of Getting Pregnant?

Hello, Doctor: I would like to ask a question! Three years ago, I underwent laparoscopic surgery due to an ectopic pregnancy. Since the surgery, my menstrual cycle has been normal, but occasionally I feel a bit of pain near the incision when I exert myself. Could this have any im...

Dr. Wei Fumao reply Obstetrics and Gynecology
You should consult with the surgeon; they are aware of your abdominal condition.

Post-Laparoscopic Myomectomy: Understanding Your Menstrual Changes

Hello Dr. Lin, I underwent laparoscopic surgery to remove uterine fibroids on May 2nd of this year. I started taking the prescribed medication, a coated tablet for regulating menstruation, on May 16th. I finished the first box on June 5th. My first menstrual cycle post-surgery b...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Hello, it is not uncommon to experience heavy bleeding during the first menstrual period after laparoscopic surgery for uterine fibroids. However, it is important to monitor this closely to prevent excessive blood loss. You should promptly contact your original physician and retu...