Post-Surgery Menstrual Changes: What to Expect After Hemorrhoid Surgery - Surgery

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Menstrual period has stopped after hemorrhoid surgery?


It is not uncommon for menstruation to be affected by surgery and anesthesia.
If your period coincided with the day of the surgery and you were informed that it would not impact the procedure, experiencing a lighter flow or changes in your menstrual cycle afterward can be considered a normal response.
The body undergoes various stressors during surgery, which can temporarily alter hormonal levels and menstrual patterns.
However, if you have concerns or if the changes persist, it is advisable to consult your healthcare provider for further evaluation.

Wenwen, 30~39 year old female. Ask Date: 2022/10/26

Dr. Zhang Shuhao reply Surgery


General hemorrhoid surgery, anesthesia, and postoperative medications typically do not affect the menstrual cycle; however, pain may sometimes cause pelvic muscles to tense, making it more difficult for menstrual blood to flow.

Reply Date: 2022/10/26

More Info


After undergoing hemorrhoid surgery, it is not uncommon for women to experience changes in their menstrual cycle. The surgical procedure itself, along with the stress and physical changes associated with recovery, can impact hormonal balance and menstrual flow.
Firstly, it’s important to understand that the body undergoes various physiological changes during and after surgery. Anesthesia, medications, and the physical stress of surgery can all contribute to alterations in menstrual patterns. For instance, the stress of surgery can lead to hormonal fluctuations, which may cause a lighter period or even a temporary cessation of menstruation. This is often referred to as "stress-induced amenorrhea," where the body reacts to stress by delaying or suppressing the menstrual cycle.

In your case, experiencing a lighter flow during the first day of your period post-surgery, followed by a significant reduction in bleeding, can be considered a normal response. Many women report similar experiences after surgical procedures, especially if they coincide with their menstrual cycle. The body is focusing on healing, and this can sometimes take precedence over regular menstrual function.

Additionally, the medications prescribed post-surgery, such as pain relievers or antibiotics, can also influence menstrual flow. Some medications can cause changes in the menstrual cycle, leading to lighter periods or even missed cycles. If you were prescribed any hormonal medications or if your body is reacting to pain management strategies, this could also play a role.

It’s also worth noting that the recovery process itself can lead to changes in lifestyle, including diet and physical activity levels, which can further impact menstrual cycles. For instance, if you are less active during recovery or if your diet changes due to post-operative care, these factors can also contribute to changes in your menstrual flow.

While these changes are generally considered normal, it is essential to monitor your symptoms. If you notice any concerning signs, such as severe pain, prolonged absence of menstruation beyond a few cycles, or any unusual discharge, it would be advisable to consult your healthcare provider. They can perform a thorough evaluation to rule out any complications or underlying issues that may need to be addressed.

In summary, experiencing changes in your menstrual cycle after hemorrhoid surgery is typically normal and can be attributed to various factors, including hormonal fluctuations, stress, and medication effects. However, maintaining open communication with your healthcare provider about any concerns is crucial for ensuring a smooth recovery and addressing any potential complications.

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