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

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Does tooth extraction affect the menstrual cycle?


Does tooth extraction affect the menstrual cycle? I had a wisdom tooth extracted on February 3, and two days later the wound reopened, so I went back for bleeding control.
I took pain relief and anti-inflammatory medication.
My period was originally due on January 6, but I didn't get it in February at all, and it finally came on March 7.

Niming, 20~29 year old female. Ask Date: 2016/03/08

Dr. Tian Yiwen reply Obstetrics and Gynecology


Tooth extraction or painkillers theoretically should not affect a woman's menstrual cycle, which can be influenced by external factors such as stress or lifestyle changes.
For instance, some individuals may experience a delayed period due to increased stress from school exams or workplace pressures, which is a common phenomenon.
However, if there has been sexual intercourse, it is advisable to take a pregnancy test if the period is delayed by 1-2 weeks to rule out the possibility of pregnancy.

Reply Date: 2016/03/08

More Info


Tooth extraction, particularly of a wisdom tooth, can have various effects on the body, but its direct impact on the menstrual cycle is not well-documented in medical literature. However, there are several factors to consider that may explain the changes you experienced in your menstrual cycle following the extraction.

Firstly, the stress associated with dental procedures can influence hormonal balance. The body responds to stress by releasing cortisol, which can affect the hypothalamus and pituitary gland, both of which play crucial roles in regulating the menstrual cycle. If you experienced significant anxiety or physical stress from the extraction and subsequent complications, this could potentially lead to a delay in your period.

Secondly, the medications you took post-extraction could also have an impact. Non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics, commonly prescribed after dental procedures, can sometimes influence menstrual cycles. While these medications are generally safe, they can have side effects that might affect your hormonal balance or the timing of your cycle.

Additionally, the physical trauma of the extraction itself, especially if there were complications such as the wound reopening, could lead to a temporary disruption in your menstrual cycle. The body may prioritize healing from the dental procedure over other functions, including menstruation.

Moreover, the menstrual cycle can be influenced by various factors, including stress, diet, exercise, and overall health. If your eating habits changed due to pain or discomfort after the extraction, or if you were less active, these changes could also contribute to a delayed period.

In your case, the timeline you provided indicates that your period was expected in January but did not occur until March. This significant delay could be attributed to the combination of stress from the extraction, the medications you were taking, and any changes in your lifestyle or health during that period.

If you continue to experience irregularities in your menstrual cycle or have concerns about your reproductive health, it is advisable to consult with a healthcare provider. They can conduct a thorough evaluation, including a review of your medical history and any medications you have taken, to determine if there are underlying issues that need to be addressed.

In summary, while tooth extraction itself is unlikely to directly affect your menstrual cycle, the associated stress, medications, and changes in your health and lifestyle can contribute to irregularities. Monitoring your cycle and discussing any ongoing concerns with a healthcare professional will help ensure that any potential issues are identified and managed appropriately.

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