Does Gallbladder Surgery Affect Your Menstrual Cycle? - Surgery

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Will gallbladder surgery affect menstruation?


I underwent laparoscopic surgery on the morning of October 31, which was completed by noon due to severe adhesions.
My menstrual period was expected to arrive in mid-November, but it has not come yet.
Could this be related to the surgery?

Zai Zai, 10~19 year old female. Ask Date: 2018/11/23

Dr. Peng Xianwen reply Surgery


In general, a simple gallstone surgery does not affect menstruation.
If possible, it is more convenient to schedule the surgery at a time when menstruation is not occurring.
However, due to individual differences, it is still advisable to follow up with a clinic for an examination.

Reply Date: 2018/11/23

More Info


Gallbladder surgery, particularly laparoscopic cholecystectomy, is a common procedure performed to treat gallbladder stones and related complications. While the primary focus of this surgery is on the gallbladder and its associated issues, patients often wonder about potential effects on other bodily functions, including the menstrual cycle.

In general, gallbladder surgery itself is not directly linked to changes in the menstrual cycle. However, several factors surrounding the surgery and the recovery process can influence menstrual regularity. Here are some considerations:
1. Stress and Hormonal Changes: Undergoing surgery can be a significant physical and emotional stressor. Stress can lead to hormonal fluctuations that may disrupt the menstrual cycle. The body’s response to surgery, including the release of stress hormones like cortisol, can affect the hypothalamus and pituitary gland, which play crucial roles in regulating menstrual cycles.

2. Anesthesia and Medications: The use of anesthesia during surgery and any postoperative medications (such as pain relievers or antibiotics) can also have an impact on the menstrual cycle. These substances can alter hormone levels temporarily, potentially leading to delays in menstruation.

3. Recovery and Physical Health: The recovery phase after surgery can involve changes in physical activity levels, diet, and overall health. If you are less active or experiencing discomfort, it may affect your body’s normal rhythms, including menstruation.

4. Underlying Conditions: If you have pre-existing conditions that affect your menstrual cycle, such as polycystic ovary syndrome (PCOS) or thyroid disorders, these may also play a role in any changes you experience post-surgery.

5. Timing of Surgery: If your surgery occurred close to the expected date of your menstrual cycle, it might coincide with the time when you would typically experience your period. This overlap can make it difficult to determine if the surgery is the cause of a missed or delayed period.

In your case, since the laparoscopic surgery was performed on October 31 and your menstrual cycle is expected around mid-November, it is possible that the surgery and the associated stress, recovery, and hormonal changes could contribute to the delay in your period. However, it is also important to consider other factors, such as stress levels, changes in routine, and any underlying health issues.

If your period does not arrive within a reasonable time frame or if you experience any unusual symptoms (such as severe pain, excessive bleeding, or other concerning signs), it is advisable to consult your healthcare provider. They can perform a thorough evaluation to rule out any complications from the surgery or other underlying conditions that may be affecting your menstrual cycle.

In summary, while gallbladder surgery is not directly linked to menstrual cycle changes, the surrounding factors related to surgery and recovery can influence your cycle. If you have concerns about your menstrual health post-surgery, discussing them with your doctor will provide you with personalized insights and recommendations.

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