Can You Undergo Laparoscopic Surgery During Your Menstrual Period?

Can laparoscopic surgery be performed during menstruation?

Hello, doctor.
I previously had a check-up that revealed an 8 cm cyst on my uterus.
Because it has grown too large, I am concerned that it may cause problems at any time.
I was originally scheduled for surgery next Tuesday, but my period unexpectedly started today (the first day).
Can I still proceed with the surgery? Will this affect the amount of bleeding during the procedure? Should I inform the medical staff in advance? Thank you for your response, and I appreciate your time! Thank you.

Miss Yang, 30~39 year old female. Ask Date: 2018/02/11

Dr. Huang Jianzhong reply Obstetrics and Gynecology

A previous examination revealed an 8 cm cyst in the uterus.
Due to its large size, there are concerns that it may cause problems at any time.
Surgery was originally scheduled for next Tuesday, but today menstruation started suddenly (first day).
Can the surgery still be performed? Will it affect the amount of bleeding during the surgery? Should I inform the medical staff in advance?
Answer: Informing the medical staff in advance is important.
Surgery can still be performed and it will not affect the amount of bleeding during the procedure.

Reply Date: 2018/02/11

More Info

Undergoing laparoscopic surgery during your menstrual period is a topic that often raises concerns among patients. In general, it is possible to have laparoscopic surgery while menstruating, but there are several factors to consider.

First and foremost, the presence of menstruation does not typically contraindicate surgery. Many surgeons are comfortable proceeding with the operation as long as the patient is stable and there are no other complicating factors. However, it is crucial to inform your healthcare team about your menstrual status prior to the surgery. This allows them to prepare adequately and address any potential concerns.

One of the main considerations is the potential for increased bleeding during the procedure. Menstruation can lead to a higher blood volume and, consequently, a greater risk of bleeding. However, laparoscopic surgery is minimally invasive, and surgeons are trained to manage bleeding effectively. They can use techniques such as cauterization to minimize blood loss during the procedure. Additionally, the surgical team will monitor your blood loss closely and can take appropriate measures if necessary.

Another aspect to consider is your comfort level. Some patients may experience increased cramping or discomfort during their menstrual period, which could make the surgical experience less pleasant. If you are experiencing significant pain or discomfort, it may be worth discussing with your surgeon whether rescheduling the surgery is a viable option. Ultimately, the decision should be made collaboratively between you and your healthcare provider, taking into account your specific circumstances and preferences.

It is also essential to consider the type of surgery being performed. In your case, you mentioned having an 8 cm cyst on your uterus. If the surgery is urgent due to the size of the cyst and the potential for complications, your surgeon may advise proceeding with the operation despite your menstrual cycle. On the other hand, if the surgery is elective and can be postponed without significant risk, rescheduling might be a better option.

In summary, while it is generally safe to undergo laparoscopic surgery during your menstrual period, it is crucial to communicate openly with your healthcare team. They will assess your individual situation and help you make an informed decision. If you have any concerns about bleeding, discomfort, or the timing of the surgery, do not hesitate to discuss these with your surgeon. Your health and comfort should always be the top priority when making decisions about surgical interventions.

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