A mother with 9 month baby is planning for tubectomy. What is the ideal time for surgery following menstruation?
A. Ovulatory phase
B. Menstrual phase
C. Secretory phase
D. Proliferative phase
Correct Answer: D. Proliferative phase
Explanation
Answer:
The ideal time for performing a tubectomy (interval sterilization) following menstruation is within the first 7 days after the menstrual period begins (i.e., during the early proliferative phase).
Reason
• The uterus is small, soft, and less vascular during the early post-menstrual phase.
• There is minimal chance of undiagnosed pregnancy.
• Surgical access is easier and safer.
Conclusion
➡ Tubectomy is ideally done within 7 days after menstruation (during the first week).
If you’d like, I can also explain timing for:
• Postpartum sterilization (within 48 hours of delivery)
• Post-abortion sterilization
• Interval tubectomy
Other Options Details
Here is the detailed description of all the options:
A. Ovulatory Phase
• This is the phase of the menstrual cycle when ovulation occurs.
• It usually happens around Day 14 in a typical 28-day cycle.
• Triggered by a surge of Luteinizing Hormone (LH).
• The mature ovarian follicle ruptures and releases the ovum (egg).
• Cervical mucus becomes thin, clear, stretchy (Spinnbarkeit) to help sperm travel.
Women may experience Mittelschmerz (mild mid-cycle pain).
B. Menstrual Phase
• This is the first phase of the cycle (Day 1–5).
• Shedding of the uterine endometrium occurs due to a fall in estrogen and progesterone.
• Results in menstrual bleeding.
FSH (Follicle Stimulating Hormone) begins to rise to stimulate new follicle growth.
C. Secretory Phase
• Also known as the luteal phase (Day 15–28).
• After ovulation, the ruptured follicle forms corpus luteum, which secretes progesterone.
• Progesterone thickens and maintains the endometrium for possible implantation.
• If fertilization does not occur, corpus luteum degenerates and hormone levels fall, leading to menstruation.
D. Proliferative Phase
• Occurs after menstruation (Day 6–14).
• Under the influence of estrogen secreted by the developing follicles, the endometrium regenerates and thickens.
• Cervical mucus becomes thinner to facilitate sperm entry.
Ends just before ovulation.
Summary Table
Phase Days Main Hormone Key Event
Menstrual 1–5 ↓ Estrogen & Progesterone Shedding of endometrium
Proliferative 6–14 Estrogen Endometrium thickens
Ovulatory ~14 LH surge Release of ovum
Secretory 15–28 Progesterone Endometrium maintained
I hope that you liked this article.
Thanks!! 🙏 😊
Writer: Vandita Singh, Lucknow (GS India Nursing Group)