Does Tooth Extraction Affect Your Menstrual Cycle? Insights and Answers - Obstetrics and Gynecology

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Does tooth extraction affect the menstrual cycle?


Doctor, my average menstrual cycle is about 33 days.
My last period was from January 6 to January 11.
I had sexual intercourse on January 29, 30, and 31, but used natural contraception.
On February 3, I had a wisdom tooth extraction and took painkillers and anti-inflammatory medication for three days.
On February 6, I went back to the dentist due to heavy bleeding from the extraction site.
I was expecting my period to arrive around February 11, but it has not come yet.
I only experienced a small amount of dark brown discharge from February 3 to February 11.
I have had similar situations before, but they did not affect my menstrual cycle.
I waited until February 27 and March 5 to take pregnancy tests from different brands, and both were negative.
I am unsure if this is related to the tooth extraction or the medications I took.
Thank you.

Niming, 20~29 year old female. Ask Date: 2016/03/05

Dr. Lü Lizheng reply Obstetrics and Gynecology


The results of the two pregnancy tests were negative, so it is likely that there is no pregnancy.
It could be due to irregular menstruation.
It is advisable to seek medical examination for confirmation.
Sincerely, Dr.
Lyu Lizheng, Taoyuan Hospital.

Reply Date: 2016/03/05

More Info


Tooth extraction, particularly the removal of wisdom teeth, can indeed have an impact on your menstrual cycle, although the relationship is not straightforward. Several factors can contribute to changes in your menstrual cycle following a dental procedure, including stress, medication, and physical trauma.

Firstly, the stress associated with undergoing a dental procedure can affect your hormonal balance. Stress can lead to the release of cortisol, a hormone that can interfere with the normal functioning of the hypothalamus, which regulates the menstrual cycle. This disruption can result in delayed or missed periods. In your case, the anxiety and discomfort from the tooth extraction, along with the subsequent visit for bleeding, could have contributed to your stress levels, potentially affecting your cycle.

Secondly, the medications you took post-extraction, such as pain relievers and anti-inflammatory drugs, may also play a role. While most common pain medications, like ibuprofen or acetaminophen, are not known to significantly affect menstrual cycles, some anti-inflammatory medications can have an impact on the body’s hormonal balance. However, it is important to note that the effect of these medications on menstruation is generally minimal and varies from person to person.

Additionally, the physical trauma from the extraction itself can lead to temporary changes in your body’s normal functioning. The body’s response to surgery includes inflammation and healing processes, which can also influence hormonal levels and, consequently, your menstrual cycle.

In your specific situation, you mentioned that your menstrual cycle is typically around 33 days, and you experienced a delay after the extraction on February 3rd. The spotting you observed from February 3rd to February 11th could be attributed to hormonal fluctuations caused by the stress of the procedure or the medications you were taking. Since you have tested negative for pregnancy on multiple occasions, it is less likely that pregnancy is the cause of your missed period.

It is also worth considering that menstrual cycles can naturally vary in length and regularity due to various factors, including changes in lifestyle, diet, and stress levels. If you have experienced similar irregularities in the past without significant impact, it may be a sign that your body is simply adjusting to the changes.

If your period does not return to normal in the coming weeks or if you continue to experience unusual symptoms, it would be advisable to consult with a healthcare professional. They can provide further evaluation to rule out any underlying conditions that may be affecting your menstrual cycle. In the meantime, focus on self-care, managing stress, and maintaining a healthy lifestyle, as these factors can also contribute to menstrual health.

In summary, while tooth extraction and the associated stress and medications can influence your menstrual cycle, it is essential to monitor your symptoms and consult with a healthcare provider if irregularities persist. Your body may just need some time to adjust after the procedure.

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