When Will My Period Return After Laparoscopic Surgery for Ovarian Cyst? - Obstetrics and Gynecology

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After laparoscopic surgery for a ruptured corpus luteum cyst, when can I expect my menstrual period to return?


Hello Doctor, I experienced a ruptured corpus luteum cyst on December 18, which resulted in significant bleeding, and I underwent laparoscopic surgery.
After being discharged on December 20, I had light bleeding for three days.
During my hospital stay, it was around the time I would normally expect my period.
Now, on January 26, my period still hasn't arrived.
Is this normal?

Kaili, 20~29 year old female. Ask Date: 2021/01/26

Dr. Wu Xianghui reply Obstetrics and Gynecology


Menstruation will typically occur about 1-2 weeks after surgery for a ruptured corpus luteum.
If a dilation and curettage (D&C) is performed during the procedure, the subsequent menstrual period may be significantly lighter or may not occur at all.

Reply Date: 2021/01/26

More Info


After undergoing laparoscopic surgery for an ovarian cyst, it is common for patients to experience changes in their menstrual cycle. The timing of your period's return can be influenced by several factors, including the nature of the surgery, your individual hormonal balance, and your overall health.

In your case, since you had surgery on December 18 due to a ruptured corpus luteum cyst, it is not unusual for your menstrual cycle to be disrupted. The body undergoes significant stress during surgery, which can affect hormonal levels and delay the onset of menstruation. After surgery, it is typical to experience some bleeding, which you noted lasted for three days. This bleeding may have been a result of the surgery itself rather than your regular menstrual cycle.

Typically, after a surgical procedure like this, it can take anywhere from a few weeks to a couple of months for your menstrual cycle to normalize. Factors that can influence this timeline include:
1. Hormonal Fluctuations: Surgery can lead to temporary hormonal imbalances. The ovaries may take some time to resume normal function, which can delay ovulation and, consequently, menstruation.

2. Stress and Recovery: Physical stress from surgery, as well as emotional stress, can impact your menstrual cycle. Your body is focused on healing, which can take precedence over reproductive functions.

3. Underlying Conditions: If there were any pre-existing conditions affecting your menstrual cycle, such as polycystic ovary syndrome (PCOS) or endometriosis, these may also play a role in how quickly your cycle returns to normal.

4. Medications: If you were prescribed hormonal medications post-surgery, these could also affect your menstrual cycle. For instance, if you were given birth control pills or hormonal therapy, they could alter the timing of your period.

Given that you had surgery just over a month ago and your period has not yet returned, this can be within the range of normal. However, if you are concerned about the delay, it is advisable to consult your healthcare provider. They can evaluate your situation more closely, possibly perform tests to check your hormone levels, and ensure that there are no complications from the surgery.

In general, if you experience any of the following symptoms, you should seek medical attention:
- Severe abdominal pain
- Heavy bleeding (soaking through a pad or tampon every hour)
- Fever or chills
- Signs of infection (increased redness, swelling, or discharge from the surgical site)
In conclusion, while it is common for menstrual cycles to be irregular following laparoscopic surgery for an ovarian cyst, it is important to monitor your body and communicate with your healthcare provider about any concerns. They can provide personalized advice and reassurance based on your specific health history and recovery progress.

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