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Dysmenorrhea and heavy bleeding as complications in COVID-19-positive women: An observational study
Meena Shamrao Deogade1, Nidhi Tahlan2, Sadaf Anjum2
1Department of Dravyaguna (Ayurveda Pharmacology), All India Institute of Ayurveda, Gautampuri, New Delhi, India.
Insights
Coronavirus disease (COVID-19) can cause inflammation affecting the immune system and potentially menstruation. This study observed menstrual changes in COVID-19-positive women, noting increased menstrual pain.
Area of Science:
- Reproductive Health
- Immunology
- Infectious Diseases
Background:
- Menstruation can be influenced by immunological factors and inflammation.
- Coronavirus disease 2019 (COVID-19) triggers systemic inflammation impacting various organs and the immune system.
Purpose of the Study:
- To investigate menstrual cycle alterations in women of reproductive age who tested positive for COVID-19.
Main Methods:
- Data from 35 women admitted to a COVID Health Centre were collected via telephone interviews.
- Purposive sampling was employed for participant selection.
- The Wyatt menstrual pictogram and Visual Analogue Scale (VAS) assessed menstrual bleeding patterns and pain.
Main Results:
- Observed clinical changes in post-COVID menstruation included irregularity, polymenorrhea, oligomenorrhea, clots, and altered duration of menstrual flow.
- While these changes were not statistically significant, a significant increase in menstrual pain was reported (P = 0.003).
Conclusions:
- Menstrual cycle changes were identified in women of reproductive age following COVID-19 infection.
Abstract:
Immunological dysregulation and inflammation may play a role in the nature of menstruation. Coronavirus disease 2019 (COVID-19) can produce a systemic inflammatory reaction that involves extrapulmonary organs and can also affect the immune system. This study aimed to analyze changes in the menstrual cycle in coronavirus (COVID)-positive women of reproductive age.
Methods:
The data of 35 women of reproductive age were collected telephonically from said patients admitted to the COVID Health Centre (CHC) ward of All India Institute of Ayurveda, New Delhi, during June 20, 2020, to October 31, 2020. Purposive sampling was used for data collection. Wyatt menstrual pictogram and Visual Analogue Scale (VAS) were used to assess the bleeding pattern and pain during menstruation, respectively.
Results:
Clinically, changes were noted in post-COVID menstruation such as irregularity, polymenorrhea, oligomenorrhea, clots, and menstrual flow in days. However, all results were statistically non-significant. But significant (P = 0.003) menstrual pain was reported.
Conclusion:
Menstrual changes were observed in COVID-19-positive women belonging to the reproductive age group.
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