Anal fistula Menstruation
Recently, I developed an unknown lump near my anus and genital area.
At first, I thought it was a pimple and assumed it would go away on its own, so I didn't pay much attention to it.
However, due to the hot weather, I wore tighter denim shorts, which caused the lump to swell significantly.
It has become very painful regardless of whether I'm standing, sitting, lying down, or walking, and there is some skin breakdown.
After visiting a clinic, the doctor administered anesthesia and made an incision to drain the contents.
Now, I have to go to the clinic daily for dressing changes and to monitor the wound.
Over the past few days, I've noticed that my menstrual period is approaching.
I informed the doctor and nurse about my upcoming menstruation and asked how to manage it, but they did not provide me with an answer.
Therefore, I would like to ask for advice on how to handle the situation if my period starts during the dressing change period.
Since I will inevitably need to use the restroom, I am concerned about getting menstrual blood on the dressing and accidentally touching the wound.
I would appreciate any suggestions you could provide.
Thank you.
Xiaohuai, 20~29 year old female. Ask Date: 2018/07/21
Dr. Ke Fangxu reply Surgery
It is unavoidable for perineal wounds to be affected during menstruation.
If you are concerned about menstrual blood contaminating the wound, you can frequently change pads or use tampons.
However, even if there is slight contamination, it is generally not a significant issue.
Reply Date: 2018/07/21
More Info
Managing menstrual periods during post-surgery recovery can be a challenging experience, especially when dealing with a fresh surgical wound. Here are some tips and advice to help you navigate this situation effectively.
1. Maintain Hygiene:
- Frequent Changes: It’s crucial to change your sanitary pads or tampons frequently to maintain hygiene. This is especially important if you have a surgical wound nearby, as you want to minimize the risk of infection.
- Gentle Cleaning: When using the restroom, be gentle while cleaning the area. Use mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the wound.
2. Protecting the Wound:
- Covering the Wound: Before using the restroom, ensure that your surgical site is properly covered with a sterile dressing. This will help protect it from menstrual blood and any potential contaminants.
- Positioning: When using the toilet, try to position yourself in a way that minimizes pressure on the wound. You might find it helpful to lean slightly forward or use a cushion to relieve pressure.
3. Managing Discomfort:
- Pain Relief: If you experience discomfort during your menstrual period, consider using over-the-counter pain relief medications, as long as they are approved by your doctor. This can help alleviate cramps and any discomfort associated with your surgical site.
- Warm Compress: Applying a warm compress to your abdomen can also help relieve menstrual cramps and provide comfort.
4. Monitoring the Wound:
- Watch for Signs of Infection: Keep an eye on your surgical site for any signs of infection, such as increased redness, swelling, or discharge. If you notice any concerning symptoms, contact your healthcare provider immediately.
- Follow-Up Appointments: Continue attending your follow-up appointments for wound care. Inform your healthcare provider about your menstrual cycle and any concerns you have regarding the healing process during this time.
5. Adjusting Activities:
- Limit Strenuous Activities: If you are experiencing heavy menstrual flow or discomfort, consider limiting strenuous activities that could strain your surgical site. Focus on gentle movements and rest as needed.
- Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can help your body recover more effectively. Consider incorporating foods rich in iron and vitamins to support healing, especially if you experience heavier menstrual bleeding.
6. Communication with Healthcare Providers:
- Discuss Concerns: If you have specific concerns about managing your menstrual cycle during recovery, don’t hesitate to discuss them with your healthcare provider. They can offer personalized advice and may suggest alternative wound care methods during your period.
- Ask for Recommendations: If you find that traditional sanitary products are uncomfortable or difficult to manage with your wound, ask your healthcare provider for recommendations on alternative products, such as menstrual cups or period underwear, which may be easier to use.
Conclusion:
Navigating your menstrual period during post-surgery recovery requires careful attention to hygiene and wound care. By following these tips, you can help ensure that both your menstrual health and surgical recovery are managed effectively. Always prioritize communication with your healthcare provider, as they can provide tailored advice based on your specific situation. Remember, your comfort and safety are paramount during this recovery period.
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