Patient's question:
Postoperative day 34 after laparoscopic left tubal resection for ectopic pregnancy, menstruation has not arrived yet. Is this normal? When can I expect my period?Doctor's answer:
According to the situation you described, menstruation usually returns to normal about one and a half months after surgery, as the postoperative period allows for the restoration of normal menopause. Surgery, among other factors, can inhibit the function of the hypothalamus, ovaries, and uterus through the neuroendocrine system, leading to menstrual irregularities. Generally, the menstrual cycle can gradually return to normal within 2-3 months. If the cycle is shorter than about 40 days, it is best to have an in-depth examination by a gynecologist, including tests for six endocrine hormones and ultrasound.It is recommended that you carefully monitor your menstruation, and refrain from sexual activity for one month after surgery. Around 10 days post-surgery, you should visit the hospital for a follow-up ultrasound to understand the condition of the uterine cavity and receive further treatment.