Managing Menstrual Concerns Before Arthroscopic Surgery: What You Need to Know - Orthopedics

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Arthroscopic surgery may coincide with the menstrual period?


Hello, Doctor: I am scheduled for arthroscopic surgery soon, but I have suddenly experienced premenstrual symptoms (my menstrual cycle is generally irregular).
Can I take medication to delay my period? Will taking this medication affect the surgery? Thank you.

Nìmíng, 30~39 year old female. Ask Date: 2020/07/26

Dr. Chen Bochen reply Orthopedics


Hello, menstruation does not affect arthroscopic surgery; however, since a catheter is typically placed during the procedure, the risk of urinary tract infection may slightly increase due to the menstrual period.
Just for your reference, I wish you a successful surgery.

Reply Date: 2020/07/26

More Info


When preparing for arthroscopic surgery, particularly if you have concerns about your menstrual cycle, it’s essential to understand the implications of taking medications to delay your period. Here’s a comprehensive overview of managing menstrual concerns before your surgery.

Understanding Menstrual Cycle Management:
If you have a history of irregular menstrual cycles and are experiencing premenstrual symptoms close to your surgery date, it’s understandable to consider taking medication to delay your period. Medications such as hormonal contraceptives (like birth control pills) or specific medications designed to postpone menstruation can be effective. However, it’s crucial to consult your healthcare provider before making any decisions.

Potential Effects on Surgery:
1. Medication Interactions: Some medications can interact with anesthesia or other medications used during surgery. For instance, certain hormonal treatments may affect blood clotting or interact with anticoagulants. It’s vital to disclose any medications you are taking to your surgical team.

2. Surgical Timing: If your period begins unexpectedly, it may not necessarily cancel your surgery, but it could complicate the procedure. Surgeons often prefer to operate when patients are not menstruating, primarily to minimize the risk of infection and manage any potential complications related to blood loss.

3. Pain Management: If you experience significant discomfort due to menstrual cramps, it could affect your overall comfort during the surgery. Discussing pain management options with your healthcare provider is essential.

Consulting Your Healthcare Provider:
Before taking any medication to delay your period, you should have a thorough discussion with your surgeon or the medical team overseeing your arthroscopic surgery. They can provide personalized advice based on your medical history, the type of surgery you are undergoing, and any potential risks associated with delaying your menstrual cycle.

Alternative Strategies:
If delaying your period is not advisable or feasible, consider the following strategies:
- Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage menstrual cramps and discomfort. However, consult your doctor about the appropriate timing and dosage, especially concerning your surgery.

- Hygiene Products: Ensure you have appropriate menstrual hygiene products available for the day of the surgery. Discuss with your surgical team about any specific recommendations they may have regarding this.

Post-Surgery Considerations:
After your surgery, your body will undergo recovery, and hormonal fluctuations may still occur. It’s essential to monitor your menstrual cycle and any symptoms you experience post-surgery. If you notice significant changes or have concerns, reach out to your healthcare provider for guidance.

Conclusion:
In summary, while it is possible to take medications to delay your menstrual cycle before arthroscopic surgery, it is crucial to consult with your healthcare provider to ensure that it is safe and appropriate for your situation. They can provide tailored advice and help you weigh the benefits and risks associated with delaying your period. Proper communication with your surgical team will ensure that you are well-prepared for your procedure and can help mitigate any potential complications related to your menstrual cycle.

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