Can Cervical Polyp Surgery Be Done During Menstruation?

Issues related to cervical polyp surgery?

Hello, the doctor at National Taiwan University has diagnosed me with cervical polyps and recommended surgical treatment.
They scheduled the surgery for Friday after calculating my menstrual cycle, but I am currently on the first day of my period and the surgery is in three days.
I would like to know if a hysteroscopic procedure to remove the polyps can be performed during my menstrual period.
I have already been waiting for three months for this surgery and am concerned about further delays.
Thank you.

Wendy, 20~29 year old female. Ask Date: 2020/02/11

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it may be inconvenient to schedule an appointment during your menstrual period.
You might want to arrange another time with your doctor.
Wishing you good health.

Reply Date: 2020/02/11

More Info

Cervical polyps are benign growths on the cervix that can cause symptoms such as irregular bleeding or discomfort. When it comes to surgical removal of cervical polyps, timing can be an important consideration, especially in relation to the menstrual cycle.

In general, it is not ideal to perform surgical procedures on the cervix during menstruation. The presence of menstrual blood can complicate the surgical field, making it more difficult for the surgeon to visualize the area and perform the procedure effectively. Additionally, the risk of infection may be slightly increased due to the presence of blood, which can serve as a medium for bacterial growth.
However, if your surgery is scheduled for a time when you are menstruating, it is essential to communicate this with your healthcare provider. They will assess your specific situation, including the severity of your symptoms and the urgency of the surgery. In some cases, if the polyp is causing significant issues, the surgeon may decide to proceed with the surgery despite your menstrual cycle.
If the surgery is postponed, it is crucial to understand that delaying the procedure for a few days may not significantly impact your overall health, especially if the polyp is not causing severe symptoms. Your doctor may suggest rescheduling the surgery for a time when you are not menstruating, which would allow for a clearer surgical field and potentially a smoother procedure.

In terms of the implications of delaying surgery, if the polyp is benign and not causing significant problems, waiting a few days should not pose a major risk. However, if you experience heavy bleeding, pain, or other concerning symptoms, it is important to seek medical attention promptly.

Moreover, it is worth noting that while cervical polyps are generally benign, they can sometimes be associated with other conditions, including hormonal imbalances or chronic inflammation. Therefore, it is essential to have a thorough evaluation and follow-up care after the removal of the polyp to monitor for any recurrence or related issues.

In conclusion, while it is generally not advisable to perform cervical polyp surgery during menstruation, the final decision should be made in consultation with your healthcare provider. They will consider your specific circumstances and the potential risks and benefits of proceeding with the surgery as scheduled. If you have concerns about the timing of your surgery, do not hesitate to discuss them with your doctor, as they can provide personalized advice based on your health status and the nature of the polyp.

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