Managing Late Menstruation Before Surgery: What to Do?

Menstruation is delayed, but I want to postpone it?

She is currently two weeks late for her period (not taking any medication) and is scheduled for surgery in two days.
She hopes her period does not start suddenly.
If she takes medication beforehand, will it induce her period, or should she just wait and see how things go on the day of the surgery?

Yū, 20~29 year old female. Ask Date: 2022/01/02

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Menstrual induction typically takes about 3 days.
2.
To delay menstruation, medication should be started one week in advance to ensure effectiveness.
3.
Given the current situation, it is advised to let things take their natural course.

Reply Date: 2022/01/02

More Info

When managing late menstruation before surgery, especially when the surgery is imminent, it is essential to approach the situation with care and consideration. In your case, with a two-week delay in your menstrual cycle and surgery scheduled in two days, there are several factors to consider.

Firstly, it is important to understand that a late period can be caused by various factors, including stress, hormonal imbalances, changes in weight, or underlying health conditions. If you have not taken any medications that could affect your menstrual cycle, it might be best to allow your body to naturally regulate itself. However, if you are concerned about the possibility of menstruation starting unexpectedly on the day of your surgery, it is advisable to consult with your healthcare provider.

Regarding the use of medications to induce menstruation, such as hormonal treatments, it is crucial to be cautious. Taking such medications close to your surgery date could potentially lead to complications, including changes in blood clotting or unexpected bleeding during the procedure. Therefore, it is generally not recommended to take medications to induce menstruation right before surgery unless specifically advised by your physician.

If you are experiencing significant anxiety about the timing of your menstrual cycle and its potential impact on your surgery, it is best to discuss your concerns with your surgeon or the medical team. They can provide personalized advice based on your medical history and the specifics of the surgery you are undergoing. They may also have protocols in place for managing menstruation during surgical procedures, which can help alleviate your concerns.

In the meantime, it is advisable to focus on self-care and relaxation techniques to manage any stress you may be experiencing. Stress can further delay menstruation, so engaging in activities that promote relaxation, such as gentle yoga, meditation, or deep breathing exercises, may be beneficial.

Ultimately, the decision on how to proceed should be made in consultation with your healthcare provider. They will have the best understanding of your individual situation and can guide you on the safest and most effective course of action. Remember that it is normal to have concerns about surgery and its implications, and open communication with your medical team is key to addressing those worries effectively.

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