What happens if you have a tooth extracted during your menstrual period?

Oct 18, 2025 Source: Cainiu Health
Dr. Liu Chao
Introduction
In general, tooth extraction during menstruation may lead to increased bleeding, difficulty in stopping the bleeding, higher risk of infection, intensified pain, and prolonged recovery time. It is advisable for women to avoid tooth extraction during their menstrual period. If extraction is necessary due to special circumstances, the patient should inform the dentist about her menstrual condition beforehand. After the extraction, it is essential to strictly follow medical instructions and properly care for the wound, such as avoiding vigorous rinsing and refraining from eating hard or hot foods.

Generally, tooth extraction during menstruation may lead to increased bleeding, difficulty in stopping bleeding, higher risk of infection, intensified pain, and prolonged recovery time. The specific reasons are as follows:

1. Increased bleeding: During menstruation, hormonal fluctuations in women lead to reduced blood clotting function. Blood vessels in the gums and tooth socket tend to dilate, resulting in significantly more bleeding compared to extractions performed outside the menstrual period. Persistent oozing from the extraction site may occur.

2. Difficulty in hemostasis: Due to impaired clotting ability, the normal blood clot formation at the extraction site is affected. A wound that would typically stop bleeding quickly may take much longer to clot, and there may be unstable clot formation or recurrent bleeding.

3. Increased risk of infection: Women's immune resistance is relatively lower during menstruation. As an open wound, the extraction site is more vulnerable to bacterial invasion from the oral cavity, increasing the risk of infection. Symptoms such as redness, swelling, intensified pain, and pus discharge may develop.

4. Increased pain sensitivity: Pain sensitivity is heightened during menstruation. The discomfort from tooth extraction may feel more intense than usual, and inflammatory responses at the wound site may also be more severe, leading to prolonged postoperative pain and disrupted rest.

5. Prolonged recovery: Increased bleeding, difficulty in clotting, and higher infection risk all impair normal healing of the extraction site. This can result in slower resolution of swelling and delayed granulation tissue growth, extending overall recovery time compared to extractions performed outside the menstrual period.

It is recommended that women avoid tooth extraction during their menstrual period whenever possible. If extraction is necessary due to special circumstances, they should inform their dentist about their menstrual status beforehand. After extraction, it is essential to strictly follow medical advice and perform proper wound care—such as avoiding vigorous rinsing, refraining from hard or hot foods, and maintaining good oral hygiene—to support optimal healing.

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