Can Surgery Proceed During Menstruation? Key Considerations for Patients - Surgery

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Surgical removal of a fibroepithelial tumor?


Hello, doctor.
I am scheduled for surgery on both sides of my breasts, and the surgeon mentioned that I will be under general anesthesia.
I would like to know if the surgery can proceed smoothly if I happen to be on my menstrual period two days before the surgery.
Are there any precautions I should take?

Miss Yan, 20~29 year old female. Ask Date: 2020/02/08

Dr. Li Zhonghuai reply Surgery


Hello! Menstruation does not affect general anesthesia.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/02/08

More Info


When considering whether surgery can proceed during menstruation, there are several key factors to take into account. Generally, having your menstrual period does not automatically disqualify you from undergoing surgery, including procedures that require general anesthesia. However, there are important considerations that both patients and healthcare providers should keep in mind.

Firstly, it is essential to communicate openly with your surgeon and anesthesiologist about your menstrual cycle. They will want to know when your last period started and any symptoms you may be experiencing. While menstruation itself is not a contraindication for surgery, certain symptoms associated with it, such as severe cramps, heavy bleeding, or other discomforts, may influence the decision to proceed. If you are experiencing significant pain or discomfort, your healthcare team may consider rescheduling the surgery for a more convenient time.

Another important consideration is the potential for increased anxiety or stress during your menstrual period. Some patients may feel more anxious or uncomfortable during this time, which could affect their overall experience with the surgery. If you feel that your menstrual symptoms could impact your ability to cope with the surgical procedure, it is worth discussing this with your healthcare provider. They may be able to offer solutions, such as medications to help manage pain or anxiety.

From a physiological standpoint, menstruation can lead to changes in blood volume and clotting factors. However, these changes are typically not significant enough to pose a risk during most surgical procedures. Surgeons are trained to handle a variety of situations, and they will take necessary precautions to ensure your safety during the operation. If you have a history of heavy menstrual bleeding or other coagulation disorders, it is crucial to inform your healthcare team, as they may need to take additional measures to ensure proper management during surgery.

In terms of anesthesia, menstruation does not generally affect the choice of anesthetic agents or the administration of anesthesia. Anesthesiologists are experienced in managing patients with varying physiological conditions, including those who are menstruating. They will monitor your vital signs and overall condition closely during the procedure to ensure your safety.

Lastly, it is important to consider postoperative care. If you experience discomfort or pain related to menstruation after the surgery, it is essential to communicate this to your healthcare team. They can provide appropriate pain management strategies to help you recover comfortably.

In summary, surgery can typically proceed during menstruation, but it is crucial to have an open dialogue with your healthcare team. Discuss any concerns or symptoms you may have, and ensure that they are aware of your menstrual status. They will take the necessary precautions to ensure your safety and comfort during the procedure. If you feel that your menstrual symptoms could significantly impact your experience, consider discussing the possibility of rescheduling the surgery. Ultimately, your healthcare team is there to support you and ensure the best possible outcome for your surgical experience.

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