Should You Induce or Delay Your Period Before Surgery? - Obstetrics and Gynecology

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Should menstruation be induced or delayed?


Hello, Doctor: I am scheduled for arthroscopic surgery on August 5th.
I have been experiencing some premenstrual symptoms lately, but my menstrual cycle is irregular, and I am concerned that my period may start after July 30th, which would coincide with the surgery date.
In this situation, should I take medication to induce my period or to delay it?

Niming, 30~39 year old female. Ask Date: 2020/07/25

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it's too late for menstruation to arrive, and I need to take medication to induce my period.
Wishing you good health.

Reply Date: 2020/07/25

More Info


When it comes to scheduling surgery, particularly in relation to your menstrual cycle, there are several factors to consider. First, it's essential to understand that the timing of your period can be unpredictable, especially if you have irregular cycles. If your surgery is scheduled for August 5th and you anticipate that your period may start around that time, it is crucial to discuss this with your healthcare provider.

Inducing or delaying your period using medication can have implications for your health and the surgical procedure itself. Here are some key points to consider:
1. Consult Your Surgeon: The first and most important step is to communicate with your surgeon or the medical team performing the arthroscopic surgery. They can provide specific guidance based on your health history and the nature of the surgery. Some surgeries may have specific recommendations regarding menstruation, especially if they involve the pelvic area.

2. Inducing Your Period: If you are considering taking medication to induce your period, it is typically done using hormonal treatments. However, inducing menstruation right before surgery can lead to complications such as increased bleeding during the procedure. This is particularly relevant if the surgery involves areas where blood loss could complicate the operation or recovery.

3. Delaying Your Period: On the other hand, delaying your period may be an option if your doctor agrees. Hormonal treatments can also be used to postpone menstruation. This approach might be more favorable if your surgery is invasive or if the timing of your period could interfere with the surgical process. However, delaying menstruation can also have side effects, and it is essential to weigh these against the benefits.

4. Health Considerations: Your overall health and any underlying conditions should be taken into account. If you have a history of heavy menstrual bleeding or other gynecological issues, this could influence the decision on whether to induce or delay your period.

5. Recovery and Post-Operative Care: Consider how your menstrual cycle might affect your recovery. If you experience significant discomfort or symptoms associated with your period, this could impact your ability to follow post-operative care instructions or participate in rehabilitation.

6. Timing and Surgical Risks: Generally, surgeons prefer to operate when patients are not menstruating, as this can reduce the risk of complications. However, if your period starts unexpectedly, it may not necessarily disqualify you from having the surgery, but it could lead to adjustments in the surgical plan.

In conclusion, the decision to induce or delay your period before surgery should be made in consultation with your healthcare provider. They can provide personalized advice based on your medical history, the type of surgery, and any potential risks involved. Open communication with your surgical team is essential to ensure that you have the best possible outcome from your procedure while managing your menstrual cycle effectively.

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