What to do if menstruation does not resume after tubal ligation

Absence of menstruation after tubal ligation may be caused by postoperative physical stress, temporary endocrine disorders, polycystic ovary syndrome (PCOS), hypothyroidism, or intrauterine adhesions. This condition can be improved through adjusting sleep patterns, hormonal regulation, and medication. If amenorrhea lasts longer than three months or is accompanied by abdominal pain or abnormal weight changes, prompt medical evaluation is necessary.

1. Postoperative Physical Stress: The surgical trauma from tubal ligation triggers a stress response in the body, affecting the function of the hypothalamic-pituitary-ovarian axis and leading to temporary menstrual delay. It is recommended to ensure adequate sleep, avoid anxiety, maintain a balanced diet rich in nutrients, and allow the body to gradually return to its normal rhythm.

2. Temporary Endocrine Disruption: Fluctuations in hormone levels after surgery can affect ovarian ovulation function, resulting in missed periods. It is advised to maintain regular sleep patterns and avoid staying up late, reduce intake of spicy and stimulating foods, and seek medical evaluation for hormone levels if necessary to guide appropriate调理 (regulation).

3. Polycystic Ovary Syndrome (PCOS): Hormonal imbalances cause polycystic changes in the ovaries, leading to anovulation and amenorrhea, often accompanied by hirsutism, acne, and weight gain. Under medical guidance, medications such as dydrogesterone tablets, ethinylestradiol cyproterone acetate tablets, and spironolactone tablets may be used to alleviate symptoms.

4. Hypothyroidism: Insufficient secretion of thyroid hormones affects metabolism and hormonal regulation, causing menstrual irregularities or even amenorrhea, along with symptoms such as fatigue, cold intolerance, and mucous edema. Under medical supervision, medications like levothyroxine sodium tablets, thyroid tablets, and oryzanol tablets can be used to improve symptoms.

5. Intrauterine Adhesions: Surgical procedures may damage the endometrium, leading to partial or complete uterine cavity adhesions, preventing normal menstrual blood discharge. This presents as amenorrhea accompanied by cyclical abdominal pain. Follow medical advice to use medications such as estradiol valerate tablets, progesterone capsules, and enteric-coated aspirin tablets to manage symptoms.

Pay attention to postoperative wound care to prevent infection, maintain a positive mood to reduce psychological stress, eat a light diet rich in protein and vitamins, and engage in moderate walking to promote blood circulation and support recovery of bodily functions.