Irregular Periods After Ovarian Surgery: A Patient's Inquiry

Menstruation is absent?

Hello Dr.
Dai, I am 38 years old.
Over two years ago, I had a left ovarian cystectomy due to a chocolate cyst, while part of my right ovary was preserved.
However, since the surgery, my menstrual cycle has been irregular.
For nearly a year, I have not had a natural period and have to see a doctor to take contraceptive pills or medications to regulate my cycle.
I have had multiple tests for LH and FSH, and both results are normal.
What could be the issue? Thank you.

Jingru, 30~39 year old female. Ask Date: 2005/07/11

Dr. Dai Qihan reply Obstetrics and Gynecology

Please bring your medical records for further examination and consultation at the outpatient clinic, or consult with the original surgeon.
You should be able to receive satisfactory answers.

Reply Date: 2005/07/11

More Info

Irregular periods after ovarian surgery, such as the removal of a chocolate cyst, can be a complex issue influenced by various factors. In your case, having undergone surgery to remove the left ovary while preserving part of the right ovary may have disrupted your hormonal balance and menstrual cycle.
Firstly, it is essential to understand that the ovaries play a crucial role in regulating the menstrual cycle through the production of hormones like estrogen and progesterone. When one ovary is removed, the remaining ovary may take some time to adjust to the changes. This adjustment period can lead to irregularities in your menstrual cycle, as the body may struggle to maintain a consistent hormonal balance.
The fact that you have been experiencing irregular periods for over a year, requiring medication to induce menstruation, suggests that your body is still trying to find its equilibrium. Hormonal fluctuations can result from various factors, including stress, weight changes, and underlying medical conditions. Even though your LH (Luteinizing Hormone) and FSH (Follicle-Stimulating Hormone) levels are normal, it is possible that other hormonal pathways are affected, leading to your irregular cycles.

Additionally, the surgical procedure itself can lead to scarring or adhesions in the pelvic area, which may also impact ovarian function and menstrual regularity. These adhesions can sometimes cause pain or discomfort, which might be mistaken for menstrual cramps.
It is also worth noting that the menstrual cycle can be influenced by factors such as age, lifestyle, and overall health. At 38 years old, you are approaching perimenopause, a transitional phase that can lead to changes in menstrual patterns. During this time, hormonal fluctuations are common, and cycles may become irregular even in women who previously had regular periods.

To address your concerns, it is advisable to continue working closely with your healthcare provider. They may recommend further evaluations, such as ultrasound imaging, to check for any structural issues or adhesions that could be affecting your menstrual cycle. Additionally, they may consider testing other hormones, such as progesterone, to gain a more comprehensive understanding of your hormonal status.

In terms of management, if hormonal medications like birth control pills help regulate your cycle, they may be a suitable option for you. However, it is essential to discuss the risks and benefits of long-term hormonal therapy with your doctor. Lifestyle modifications, such as maintaining a healthy diet, regular exercise, and stress management techniques, can also support hormonal balance and overall reproductive health.

In summary, irregular periods after ovarian surgery can result from various factors, including hormonal imbalances, surgical effects, and age-related changes. It is crucial to maintain open communication with your healthcare provider to monitor your condition and explore appropriate treatment options tailored to your needs. Regular follow-ups and a proactive approach to your reproductive health will help you navigate this challenging period.

Similar Q&A

Managing Irregular Menstruation After Ovarian Surgery: A Guide

Hello, I would like to ask a question. I previously had surgery for a teratoma, but the doctor said that my uterus and ovaries were preserved. However, I am not getting my period even with menstrual induction injections, and I have taken progesterone as well. I had a blood test, ...

Dr. Chen Changfu reply Obstetrics and Gynecology
Women with endocrine disorders and higher levels of body fat are more likely to experience irregular ovulation due to abnormal secretion of pituitary hormones that stimulate ovarian function, leading to irregular menstrual cycles. It is recommended that you focus on weight loss a...

Understanding Irregular Menstrual Cycles After Surgery: Expert Insights

Hello Dr. Lu, I would like to ask you a question. This month, my menstrual cycle feels very strange! Before my surgery, my cycle was consistently 30 days, but after the surgery, it has become irregular, and I even missed my period! From November last year to February this year,...

Dr. Lü Lizheng reply Obstetrics and Gynecology
The response is most likely related to irregular menstruation, also known as hormonal imbalance. It is also important to consider the possibility of unintended pregnancy; you can purchase a home pregnancy test to check. If it is hormonal imbalance, it is advisable to maintain a r...

Does Ovarian Surgery Affect Your Menstrual Cycle? Understanding Post-Op Changes

I had surgery for an ovarian tubo-ovarian abscess at the beginning of August. Three weeks after the surgery, my menstrual period started and lasted for about a week. After it ended, I continued to have discharge, and on the fifth day after the period ended, I started bleeding aga...

Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Any surgical procedures on reproductive organs, such as sterilization, excision, or the removal of an intrauterine device (IUD), can affect the menstrual cycle for up to three months or even six months afterward. The cycle may return to normal after some time. However, if bleedin...

Post-Laparoscopy: Understanding Your First Menstrual Cycle Changes

Hello, doctor. I underwent a second laparoscopic surgery for endometriosis and uterine fibroids at the end of June. My menstrual period has been delayed by two weeks compared to normal, and the flow has been light and lasted for three weeks up to now. I had a follow-up ultrasound...

Dr. Huang Yuande reply Obstetrics and Gynecology
1. It is common for the menstrual cycle to be easily disrupted after ovarian and uterine surgeries. As long as the bleeding is not excessive, it is generally sufficient to monitor the situation. 2. Since you did not specify the reason for using "hormones," it is difficu...