Changes in Menstrual Flow After Ovarian Surgery

Decreased menstrual flow?

Hello, I underwent laparoscopic surgery for a chocolate cyst last year.
After the surgery, I still experience menstrual pain, and my menstrual flow varies, although it has decreased compared to before.
Previously, my menstrual period lasted about 7 to 8 days, but now it lasts around 5 to 6 days.
Is this normal? Has the decrease in menstrual flow caused retrograde menstruation to the ovaries? Thank you.

Niming, 20~29 year old female. Ask Date: 2021/04/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be considered normal.
Please continue to follow up with your obstetrician-gynecologist.
Wishing you good health.

Reply Date: 2021/04/04

More Info

After undergoing laparoscopic surgery for a chocolate cyst, it is not uncommon to experience changes in menstrual flow and associated symptoms. Your observation of menstrual pain and fluctuations in menstrual volume is something that many women report after such procedures.
Firstly, it's important to understand that the menstrual cycle can be influenced by various factors, including hormonal changes, the physical impact of surgery, and the body's healing process. After surgery, the body undergoes a period of recovery, during which hormonal levels may fluctuate as the ovaries and uterus adjust to the changes. This can lead to variations in menstrual flow, including changes in the duration and volume of bleeding.

In your case, the reduction in menstrual flow from 7-8 days to 5-6 days is not necessarily abnormal. Many women experience shorter periods after surgery, which can be attributed to several factors. The surgical procedure itself may have altered the uterine lining or the way the ovaries function, leading to changes in the menstrual cycle. Additionally, if there was any scarring or adhesions formed during the surgery, this could also impact menstrual flow.

Regarding your concern about menstrual blood potentially "reversing" into the ovaries, it is essential to clarify that menstrual blood does not flow backward into the ovaries. Menstrual blood is expelled from the uterus through the cervix and vagina. However, conditions like endometriosis can lead to the presence of endometrial tissue outside the uterus, which can cause pain and irregular bleeding. If you have a history of endometriosis or other pelvic conditions, it may be worth discussing this with your healthcare provider.

Persistent menstrual pain, especially if it is severe or worsening, should be evaluated by a healthcare professional. Pain can be a sign of various conditions, including ovarian cysts, adhesions, or other pelvic issues. It is crucial to monitor your symptoms and communicate any significant changes to your doctor.

In summary, while changes in menstrual flow and pain after ovarian surgery can be normal, it is essential to keep track of your symptoms. If you experience severe pain, significant changes in your menstrual cycle, or any other concerning symptoms, it is advisable to follow up with your gynecologist for further evaluation. They may recommend imaging studies, such as an ultrasound, to assess the ovaries and uterus and rule out any complications. Regular follow-ups are crucial for managing your reproductive health, especially after surgery.

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