ENT Surgical Procedure During Menstruation.
Menstruation starting right before surgery happens all the time. This is not a reason in of itself to postpone any surgery.
There is no contraindication to do any elective ENT surgery during menstruation. It is possible to have very heavy flow during first or second day and some surgeons hesitate to perform surgery like tonsillectomy and micro ear surgery during this stage.
Menstruation can begin at any time including just before and during surgery. It may be embarrassing for the patient to tell the doctor or nursing staff. Make sure you go to the operating room with a pad but NOT internal tampons.
Menstrual cycles can become irregular at times of stress, from surgery and anesthesia. It should not be a problem if you are menstruating at the time of surgery
If one is concerned about heavy bleeding try giving Tranexamic acid or Mefenamic acid which is non-steroidal anti-inflammatory drugs, or NSAIDs (Prostaglandin inhibitors). Tranexamic acid helps with blood clotting, while mefenamic acid reduces swelling in the uterus. Ethamsylate in the form of tablets or injection reduces the capillary bleed during surgery. There are combinations of Ethamsylate with mefenamic acid as tablets.
