Impact of Menstrual Cycle on Cervical Pre-cancer Surgery: Key Considerations - Obstetrics and Gynecology

More Info

---

When considering the impact of the menstrual cycle on cervical pre-cancer surgery, particularly in the context of a diagnosis of moderate cervical intraepithelial neoplasia (CIN2), there are several key factors to take into account.
Firstly, it is important to understand that cervical pre-cancerous lesions, such as CIN2, are not cancer but rather abnormal changes in the cervical cells that could potentially progress to cervical cancer if left untreated. The recommended treatment for CIN2 often involves surgical procedures such as a loop electrosurgical excision procedure (LEEP) or cone biopsy, which aim to remove the abnormal tissue and prevent progression to cancer.

Regarding the timing of surgery in relation to the menstrual cycle, it is generally advisable to schedule surgical procedures when a patient is not menstruating. This is primarily due to several reasons:
1. Hygiene and Infection Risk: Performing surgery during menstruation can increase the risk of infection due to the presence of blood, which can complicate the surgical field and make it more difficult for the surgeon to operate effectively.

2. Surgical Visibility: Menstrual bleeding can obscure the surgical site, making it challenging for the surgeon to visualize the area that needs to be treated. This could potentially affect the completeness of the excision and the overall outcome of the surgery.

3. Patient Comfort: Undergoing surgery while menstruating can be uncomfortable for the patient, as they may experience additional cramps or discomfort during the procedure.

In your specific case, you mentioned that your menstrual cycle has been irregular and that your period is expected around the time of your scheduled surgery on February 12. If you are considering using medication to induce your period earlier, it is crucial to consult with your healthcare provider. While some doctors may allow the use of menstrual induction medications, they will assess your overall health, the timing of your surgery, and any potential risks associated with this approach.

If your period does not arrive before the surgery date, your healthcare team may still proceed with the surgery, but they will take additional precautions to manage the situation. They may also discuss the possibility of rescheduling the surgery if they believe it is in your best interest.

In summary, while it is not strictly necessary to have your menstrual cycle perfectly aligned with your surgery date, it is generally preferable to avoid menstruation during the procedure. If you have concerns about your menstrual cycle and its impact on your surgery, it is best to have an open discussion with your healthcare provider. They can provide personalized advice based on your medical history and the specifics of your case.
Additionally, it is important to remember that managing cervical pre-cancerous lesions is crucial for your long-term health, and following through with the recommended treatment is essential. Regular follow-ups and monitoring after the surgery will also be important to ensure that any remaining abnormal cells are adequately managed.