Is it possible to have surgery during menstruation? This question interests many women who are forced to take such steps for treatment. It is difficult to answer it unequivocally. The fact is that any surgical operation is a radical method, and it is applied according to a simple principle: choose the lesser of two evils. The indication for it is determined by the degree of need and the risk to health.
Why the question arises
Menstruation is a natural physiological process for any woman, which manifests itself every month with a certain interval and duration. The menstrual cycle has its own individual characteristics. The period of menstruation is called "critical days." It is characterized by significant hormonal disruptions, weakening of the body and a decrease in protection from infections.
Surgery is a therapeutic and diagnostic procedure based on physical, traumatic effects on tissues and internal organs. In most cases, it involves causing serious injury with blood loss and a number of natural consequences. The imposition of these 2 problems (menstruation and surgery) can exacerbate the negative factors causing various complications.
Another thing is that the operation is divided into 2 categories:
Emergency intervention is carried out at the appearance of a danger to human life or a serious damage to his health and ability to work. It should be carried out even in critical circumstances, and periods cannot be the reason for its cancellation.
The planned event should be carried out in the most optimal manner, and therefore such an operation is usually not performed during the month. 5-7 days can not seriously change the picture of pathology. Another problem should be highlighted: preoperative nervous stress can cause unplanned menstrual bleeding, and the date has already been set. Under these conditions, surgery will have to be done, but the doctor should be aware of the problem and keep the situation under tight control.
What reasons are an obstacle
During menstruation, a number of factors arise that cannot be ignored when planning surgical treatment. The most important thing is the hormonal imbalance. It affects the metabolic processes and the state of immune protection. Disturbed hormonal background leads to an increased risk of various complications, and the process of postoperative recovery can dramatically delay.
Another serious cause is a worsening of blood clotting. It is directly related to the first factor. This threatens to cause bleeding that is difficult to control. The influence of this factor is especially dangerous when a cavity-type operation is performed.
No less important conditions are noted when choosing an anesthetic. The following complicating factors are highlighted:
- changing the body's sensitivity to drugs, which requires adjusting the dose of anesthesia,
- significant reduction in pain threshold
- violation of autoimmune processes.
Menstruation changes the body's response to medications, so previously obtained research results may be distorted.
Naturally, in these conditions, the risk of error on the part of the anesthesiologist increases. In principle, even a dentist, having learned about the “critical days”, may refuse to carry out operational activities in the oral cavity. The most optimal period for the operation is the period after 5-8 days from the beginning of the menstrual cycle, but before the manifestation of ovulation.
It should also be noted and the increased risk of infection during the operation carried out in the period under review. The body is weakened, and the immune defense is suppressed - these are conditions for the development of various pathogenic organisms. In addition, conditionally pathogenic organisms that were previously in a latent state are also activated.
What consequences can occur
Surgery during menstruation can cause a number of complications that appear in other conditions, but the likelihood of their occurrence during menstruation increases significantly. Any surgery, even cosmetic, can provoke the following problems:
- Hematoma. An incision made in the soft tissues may be covered by a hematoma, this is caused by a more liquefied blood condition. More often than not, after a few days, such a blood spill resolves itself, but sometimes
Apply physiotherapy and ointment.
- A rough scar, a scar. The process of scarring the suture depends on the production of collagen. But his exchange is disturbed during menstruation, which can be expressed in the form of a rough scar. To eliminate such a defect in visible areas of the body, it will be necessary to use injections of special formulations.
- Pigmentation. A possible complication is pigment spots caused by hemorrhages during surgery, which also increases as a result of more liquid blood.
- Inflammatory reaction, suppuration. This phenomenon is due to increased blood supply, which can occur if the operation is performed during menstruation. Modern anti-inflammatory drugs easily cope with this problem, but they should be used only as directed by a physician.
- Inflammatory processes in the area of the implant. This complication often becomes the result of metabolic disturbances and hormonal imbalances.
The increased risk of all sorts of complications occurs not only after surgery - some cosmetic procedures can also cause problems. Experienced cosmetologists know that during menstruation the following procedures should not be performed:
- skin tightening with threads
- introduction of botox.
When they are implemented on “critical days”, unexpected allergic reactions and reddenings occur. Due to hormonal imbalance, deep chemical peels are especially dangerous.
Some monthly restrictions impose on the holding of postoperative recovery activities. Under the ban falls a number of physiotherapy techniques. So in the category of undesirable effects include the following procedures:
- healing baths and showers
- thermal and electromagnetic effects,
- active gymnastics.
It is also necessary to take into account even this circumstance: after the operation, the motor abilities are limited, which does not fully take care of personal hygiene, and this can lead to the creation of conditions for the intensification of infection in the genitourinary system, not to mention the appearance of appropriate discomfort and irritation.
As a result of the analysis of the circumstances arising during menstruation, we can draw certain conclusions. This period can not be considered an absolute contraindication to surgery. Urgent operation is carried out without any restrictions.
The question of carrying out planned surgical treatment is decided on the basis of the prevailing circumstances. If the transfer date is associated with certain difficulties, the operation is carried out. At the same time, when it is possible to optimize the schedule, it is better to refrain from any planned surgery during the period of menstrual bleeding. In any case, it is important that the doctor knows in advance about the presence of such a problem when deciding on surgical intervention. Such an event should be under appropriate enhanced control.
Little about laparoscopy
Laparoscopy is an endoscopic examination of the pelvic organs as well as the abdominal cavity. It differs from an ordinary operation in that after it is performed, there are practically no traces of incisions on the patient's body. This is due to the fact that the diagnosis and treatment of the disease is not done by opening the cavity, but by introducing tools into it. It is performed under general anesthesia. Such an operation is easier tolerated. In addition, the recovery period ends faster.
Complications that may occur after laparoscopy performed during menstruation
Usually the operation during these days is not carried out, of course, if it is not required urgently. They will not do it even if:
- the patient is in a coma or in shock
- he has acute respiratory diseases
- the patient has broken blood clotting,
- he has heart or vascular diseases.
If you ignore these contraindications, the patient may experience the following complications:
- varicose veins,
- violation of the heart or blood vessels,
- internal bleeding.
When is it better to do?
Laparoscopy often depends on the woman’s menstrual cycle. So, it is not done during menstruation and 1-3 days before the expected date of their beginning. This is due to the fact that due to its holding endometrial infection may occur, damage the inner layer of the uterus. In addition, surgery may cause bleeding. It, in turn, can disrupt the optical field, as a result of which further surgical intervention will be impossible. In order to reduce the risk of blood loss, laparoscopy is usually performed after menstruation, usually on the 5–7th day of the menstrual cycle.
When choosing the date of the operation, its type is also taken into account, as well as the reasons for which it is carried out. So, if the purpose of the operation is to identify the causes of infertility, then it is carried out after the end of the ovulatory phase, that is, approximately in the middle of the cycle.
After surgery, the presence of menstruation can cause a change in treatment plan. There may be restrictions on the conduct of therapeutic gymnastics, physiotherapy, taking therapeutic baths. There is another prohibited method of rehabilitation. This is an electrical procedure. It also can not be carried out after surgery.
Women should be aware that after the operation, menstruation will be absent for some period and be very painful. This is all the norm, so do not be afraid. However, if more than 3 months have passed after laparoscopy, and critical days never came, then this is a reason to consult a doctor. There may be complications.
Why are doctors against surgery on critical days?
You can not do surgery during menstruation. Anaesthesiologists, gynecologists, surgeons and even dentists hold this point of view. All of them believe that surgery during menstruation can cause many complications to occur, and because of the operation at the wrong time, the rehabilitation period may be delayed.
So, why not perform an operation during these days? Anesthesiologists do not perform operations or do them only as a last resort during menstruation for the following reasons:
- In patients at this time, the threshold of pain sensitivity decreases.
- Susceptibility to usual doses of medication becomes either too weak or too strong.
- Decreases the protective reaction of the body.
Because of the improbability of the tests done during the red days, it is difficult for doctors to choose the right medicine and method of anesthesia. In the analyzes can occur such inaccuracies as:
- low hemoglobin and hematocrit in the blood,
- high erythrocyte sedimentation rate,
- low platelet count, red blood cells and white blood cells in the blood.
The analysis of feces and urine will also be unreliable. In order for the results to be correct, tests should be carried out 5 days after the end of menstruation.
Another reason why doctors can prescribe the date of surgery on post-menstrual days is a decrease in patient mobility during the postoperative period. Because of it, it will be difficult for them to observe the hygiene of the genital organs, as a result of which they may experience discomfort in the vaginal area.
What complications can occur after the operation during menstruation?
There are no specific negative effects that occur only in patients operated on during menstruation bleeding. However, doctors conducting such operations note that the risk of complications is much higher for them than for women whose surgery was performed on normal days.
Almost all plastic and cosmetic surgeries are carried out according to plan. Doctors together with their patients decide when it is best to perform the operation. The menstrual cycle though plays a minor, but also an important role in deciding on the date of its holding. In addition, when choosing the date and month, the procedures take into account:
- the results of the tests,
- the age of the patient
- type of operation.
If the monthly came sooner or later than the expected time, and it was on this day that the operation was scheduled, then it is worth warning the attending physician about it. He is likely to change the date of surgery, so that then there are no negative consequences.
Many women hide from doctors that they began menstruating. They do this in order to become more beautiful as soon as possible (in the case when it comes to cosmetic surgery). This is not the right decision. Such a frivolous attitude to the operation can lead to complications, and not only for health. The appearance of the patient may also be affected.
What negative consequences can occur?
After surgery, coarse scars may remain at the incision site. The opinion that the suture will be strongly noticeable only if the operation was performed by an unqualified doctor is incorrect. Scars appear due to the individual characteristics of the organism (the way collagen metabolism occurs). During menstruation, such features are usually strongly pronounced. If scars have arisen - do not despair. You can cope with them by grinding them or smoothing them with the help of specially designed injections.
- Various hematomas may appear. This is due to the fact that the composition of the blood during menstruation becomes more fluid. As a result, bruises appear at the site of tissue dissection. Most often, after a while they pass on their own and no additional procedures for their removal are required. If a woman wants them to pass as quickly as possible, then the doctor may prescribe her special ointments for this and physiotherapeutic procedures.
- Due to hemorrhages that occurred during the operation, pigment spots may appear. They disappear on their own after several months.
- Due to excessive blood supply to the site where the operation was performed, inflammation or suppuration may appear. According to the observations of doctors, most often, they appear in patients whose surgery was carried out in the first days of menstruation. Suppuration may be accompanied by symptoms such as high body temperature, redness of the skin, pain in the operated place. Anti-inflammatory drugs can help to cope with such unpleasant consequences.
- There may be inflammation at the implant site. They arise due to metabolic processes, disruption of the hormonal system in the patient's body. Treat inflammatory processes with antibiotics. In some cases, in order to cope with them, it is necessary to remove the implant, which can be re-installed only after 6 months.