Irregular Menstrual Cycles After Surgery: Expert Insights

MC is strange?

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, my cycle was around 40 days.
This year, my menstrual dates are as follows: January 28 to February 4, and March 12 to March 17 (I still have light bleeding until now).
In February, during my ovulation period, I had intercourse with my husband, and afterwards, I experienced several days of dull pain in my lower left abdomen, similar to the feeling before my period, which continued until March 10.
When I went to the bathroom, I noticed light spotting when I wiped with toilet paper, but there was no blood on the pad.
It wasn't until the 13th that I had a heavier flow.
I would like to ask Dr.
Lu if this is simply due to my irregular menstrual cycle, or if there might be an underlying issue?

Ms. Chen, 20~29 year old female. Ask Date: 2014/03/24

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 regular schedule, avoid staying up late, reduce stress, and refrain from unnecessary supplements or traditional Chinese medicine.
For severe menstrual issues, it is necessary to consult a doctor.
Sincerely, Dr.
Li-Cheng Lu, Department of Obstetrics and Gynecology, Taoyuan General Hospital.

Reply Date: 2014/03/24

More Info

Irregular menstrual cycles can be a common concern for many women, especially after undergoing surgery. It's important to understand that various factors can influence menstrual regularity, including hormonal changes, stress, physical recovery, and even the type of surgery performed.
In your case, you mentioned that prior to your surgery, your menstrual cycle was consistently 30 days, but since the surgery, it has become irregular, with cycles extending to 40 days and even experiencing missed periods. This change can be attributed to several potential factors:
1. Hormonal Fluctuations: Surgery can cause temporary hormonal imbalances. The body undergoes significant stress during and after surgery, which can affect the hypothalamus and pituitary gland—two critical components in regulating menstrual cycles. This can lead to irregularities in ovulation and, consequently, your menstrual cycle.

2. Physical Stress: The physical stress of surgery and the recovery process can also impact your menstrual cycle. Stress can lead to increased levels of cortisol, which may interfere with the normal hormonal signals that regulate menstruation.

3. Pain and Discomfort: You mentioned experiencing left lower abdominal pain, which could be related to the surgery or other underlying conditions. Pain can also influence hormonal levels and menstrual regularity.

4. Underlying Conditions: If there were pre-existing conditions such as polycystic ovary syndrome (PCOS) or endometriosis, these could also contribute to irregular cycles, especially after a surgical intervention.

5. Post-Surgical Recovery: The recovery phase after surgery can vary significantly among individuals. Factors such as overall health, nutrition, and emotional well-being can all play a role in how quickly your body returns to its pre-surgery state.

Given your symptoms of prolonged bleeding and discomfort, it is advisable to consult with your healthcare provider. They may recommend a pelvic examination or ultrasound to rule out any complications such as retained products of conception, ovarian cysts, or other issues that could be causing your symptoms. Additionally, they may suggest blood tests to check hormone levels, which can provide insight into your menstrual irregularities.

In the meantime, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management techniques, can support your recovery and hormonal balance. It's also essential to track your menstrual cycle and any associated symptoms, as this information can be valuable for your healthcare provider in determining the best course of action.

In conclusion, while irregular menstrual cycles after surgery can be concerning, they are often temporary and can be managed with appropriate medical guidance. If you experience severe pain, heavy bleeding, or any other alarming symptoms, seek medical attention promptly. Your health and well-being should always be the priority.

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