Can You Undergo Surgery During Your Menstrual Period? - Otolaryngology

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Can surgery be performed during menstruation?


I am scheduled to undergo surgery for a deviated septum in a few days, but my menstrual period started today.
I'm unsure how this will affect the surgery and whether it can still proceed.

Pei, 10~19 year old female. Ask Date: 2023/01/28

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the surgery itself theoretically has no impact, but there are some medications after the procedure that may affect the menstrual flow for some individuals.
If this is a concern, it is advisable to consult with a gynecologist beforehand.

Reply Date: 2023/01/28

More Info


Undergoing surgery during your menstrual period is a common concern for many women, and it's understandable to seek clarity on this matter, especially when preparing for a surgical procedure like septoplasty for a deviated septum. Here’s a comprehensive overview of the considerations involved.


Menstrual Cycle and Surgery
1. Physiological Considerations: Menstruation itself is a natural process and does not inherently pose a risk for most surgical procedures. However, there are some physiological factors to consider. During menstruation, women may experience increased blood flow, which could potentially lead to a higher risk of bleeding during surgery. Additionally, hormonal fluctuations can affect pain perception and recovery.

2. Surgeon’s Perspective: Many surgeons are comfortable proceeding with surgery during a woman’s menstrual period, especially if the surgery is minor or if the menstrual flow is manageable. However, it is essential to communicate with your surgeon about your menstrual cycle. They may have specific protocols or preferences based on their experience and the type of surgery being performed.

3. Type of Surgery: The nature of the surgery is also a critical factor. For nasal surgeries like septoplasty, the procedure is typically less invasive than abdominal surgeries, and the risks associated with menstruation are generally minimal. However, if the surgery involves significant manipulation of blood vessels or if there is a concern about excessive bleeding, your surgeon may advise postponing the procedure.

4. Anesthesia Considerations: Some anesthesiologists may prefer not to perform surgery during menstruation due to concerns about potential complications related to anesthesia, such as nausea or discomfort. However, this is often a matter of personal preference and experience.

5. Postoperative Care: If surgery proceeds during your menstrual period, it’s crucial to follow postoperative care instructions closely. You may experience more discomfort or cramping due to the combination of surgery and menstruation, so managing pain effectively will be essential.


Recommendations
- Consult Your Surgeon: The best course of action is to discuss your concerns with your surgeon. They can provide personalized advice based on your health history, the specifics of the surgery, and their clinical experience.

- Monitor Symptoms: If you experience heavy bleeding or severe cramps, it may be worth considering postponing the surgery, as these symptoms could complicate recovery.

- Prepare for Recovery: Ensure you have adequate pain management strategies in place post-surgery, especially if you are menstruating. This may include over-the-counter pain relievers or prescribed medications.

- Stay Hydrated and Nourished: Maintaining hydration and nutrition is essential for recovery, particularly during menstruation when your body may require additional support.


Conclusion
In summary, undergoing surgery during your menstrual period is generally safe, but it is essential to communicate openly with your healthcare team. They will consider your specific circumstances and provide guidance tailored to your situation. Ultimately, the decision should be made collaboratively, ensuring that you feel comfortable and informed about the process.

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