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Related Concept Videos

Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
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Menstrual changes after spinal cord injury.

Anit C Charls1, Nidhi Rawat2, Kurian Zachariah1

  • 1Department of Physical Medicine & Rehabilitation, St. John's Medical College Hospital, Bengaluru, Karnataka, India.

Spinal Cord
|February 16, 2022
PubMed
Summary

Most females with spinal cord injuries (SCI) experience amenorrhea, but menstruation often resumes with reduced duration and flow. Addressing concerns about menstrual resumption after SCI is crucial for patient well-being.

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Area of Science:

  • Neurology
  • Gynecology
  • Rehabilitation Medicine

Background:

  • Spinal cord injury (SCI) can significantly impact physiological functions, including reproductive health in females.
  • Understanding menstrual changes post-SCI is essential for comprehensive patient care and management.

Purpose of the Study:

  • To investigate the prevalence and characteristics of menstrual changes in females following spinal cord injury.
  • To assess the impact of SCI on menstrual cycle regularity, duration, flow, and associated symptoms like dysmenorrhea and autonomic dysreflexia.

Main Methods:

  • A prospective, descriptive, hospital-based study involving 40 females with SCI.
  • Data collected via questionnaires on menstrual history pre- and post-injury, including amenorrhea, cycle characteristics, and autonomic dysreflexia during menstruation.
  • Statistical analysis performed using SPSS, with a p-value < 0.05 considered significant.

Main Results:

  • Amenorrhea was reported in 77.5% of participants post-SCI.
  • The mean duration for the return of menstruation was 2.65 months.
  • Significant reductions were observed in menstrual flow duration (p<0.001), amount of flow (p=0.041), and dysmenorrhea (p<0.001) after SCI.

Conclusions:

  • A high incidence of amenorrhea occurs after spinal cord injury in females, with most eventually resuming their menstrual cycles.
  • Menstruation following SCI is characterized by significantly reduced duration and flow.
  • Healthcare providers should address patient concerns and provide reassurance regarding menstrual resumption and changes after SCI.