Volume 22, Issue 4 (April 2024)                   IJRM 2024, 22(4): 283-294 | Back to browse issues page

Ethics code: IR.IUMS.REC.1400.1173


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Ranjbar F, Haghani S, Aghashahi M, Gharacheh M. Changes in menstrual cycles among Iranian women during the COVID-19 pandemic: A cross-sectional study. IJRM 2024; 22 (4) :283-294
URL: http://ijrm.ir/article-1-3293-en.html
1- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
2- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
3- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran. , gharacheh.m@gmail.com
Abstract:   (377 Views)
Background: Some women experienced alterations in their menstrual cycles during the Coronavirus disease 2019 (COVID-19) pandemic.
Objective: This study aimed to evaluate the changes in menstrual cycles among Iranian women during the COVID-19 pandemic.
Materials and Methods: This cross-sectional study included 1500 women of childbearing age referred to healthcare centers in Tehran, Iran from April-November 2022. Participants were selected using the stratified sampling method. Data were collected via a questionnaire covering information on menstrual cycle, COVID-19 infection, and COVID-19 vaccination status. The study's outcomes focused on menstrual changes by evaluating cycle regularity, duration, and symptoms based on participant-reported observations.
Results: The findings revealed that the pattern of menstrual change during the pandemic occurred in the form of a shorter interval in 8.6%, and longer interval in 8.9%, shorter duration in 10.4%, longer duration in 9.4%, heavier bleeding in 12.3%, lighter bleeding in 14.7%. The chance of menstrual changes in women who were infected with COVID-19 was 54% higher than that of women who were not infected, and the chance of menstrual changes in women who received 3 doses of COVID-19 vaccine was 1.5 times higher than women who had not been vaccinated.
Conclusion: Our research revealed a high incidence of menstrual changes among Iranian women of childbearing age during the COVID-19 pandemic. Healthcare providers should be knowledgeable about the menstrual changes associated with COVID-19 infection and vaccination to provide information and support to affected women.
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Type of Study: Original Article | Subject: Fertility & Infertility

References
1. Danesh L, Amini A, Aslam I, Mensah-Djan A. The effects of SARS-CoV-2 on menstruation. Reprod Biomed Online 2021; 43: 769. [DOI:10.1016/j.rbmo.2021.08.014] [PMID] [PMCID]
2. Kwak Y, Kim Y, Baek KA. Prevalence of irregular menstruation according to socioeconomic status: A population-based nationwide cross-sectional study. PloS One 2019; 14: e0214071. [DOI:10.1371/journal.pone.0214071] [PMID] [PMCID]
3. Bruinvels G, Blagrove RC, Goldsmith E, Shaw L, Martin D, Piasecki J. How lifestyle changes during the COVID-19 global pandemic affected the pattern and symptoms of the menstrual cycle. Int J Environ Res Public Health 2022; 19: 13622. [DOI:10.3390/ijerph192013622] [PMID] [PMCID]
4. Yuksel B, Ozgor F. Effect of the COVID‐19 pandemic on female sexual behavior. Int J Gynaecol Obstet 2020; 150: 98-102. [DOI:10.1002/ijgo.13193] [PMID] [PMCID]
5. Nguyen BT, Pang RD, Nelson AL, Pearson JT, Benhar Noccioli E, Reissner HR, et al. Detecting variations in ovulation and menstruation during the COVID-19 pandemic, using real-world mobile app data. PloS One 2021; 16: e0258314. [DOI:10.1371/journal.pone.0258314] [PMID] [PMCID]
6. Ozimek N, Velez K, Anvari H, Butler L, Goldman KN, Woitowich NC. Impact of stress on menstrual cyclicity during the Covid-19 pandemic: A survey study. J Women's Health 2021; 31: 84-90. [DOI:10.1089/jwh.2021.0158] [PMID]
7. Demir O, Sal H, Comba C. Triangle of COVID, anxiety and menstrual cycle. J Obstet Gynaecol 2021; 41: 1257-1261. [DOI:10.1080/01443615.2021.1907562] [PMID]
8. Takmaz T, Gundogmus I, Okten SB, Gunduz A. The impact of COVID‐19‐related mental health issues on menstrual cycle characteristics of female healthcare providers. J Obstet Gynaecol Res 2021; 47: 3241-3249. [DOI:10.1111/jog.14900] [PMID] [PMCID]
9. Medina-Perucha L, López-Jiménez T, Holst AS, Jacques-Aviñó C, Munrós-Feliu J, Martínez-Bueno C, et al. Self-reported menstrual alterations during the COVID-19 syndemic in Spain: A cross-sectional study. Int J Womens Health 2022; 14: 529-544. [DOI:10.2147/IJWH.S354655] [PMID] [PMCID]
10. Li K, Chen G, Hou H, Liao Q, Chen J, Bai H, et al. Analysis of sex hormones and menstruation in COVID-19 women of child-bearing age. Reprod Biomed Online 2021; 42: 260-267. [DOI:10.1016/j.rbmo.2020.09.020] [PMID] [PMCID]
11. Male V. Menstrual changes after covid-19 vaccination. BMJ 2021; 15: 374. [DOI:10.1136/bmj.n2211] [PMID]
12. Alvergne A, Kountourides G, Argentieri MA, Agyen L, Rogers N, Knight D, et al. A retrospective case-control study on menstrual cycle changes following COVID-19 vaccination and disease. iScience 2023; 26: 106401. [DOI:10.1016/j.isci.2023.106401] [PMID] [PMCID]
13. Muhaidat N, Alshrouf MA, Azzam MI, Karam AM, Al-Nazer MW, Al-Ani A. Menstrual symptoms after COVID-19 vaccine: A cross-sectional investigation in the MENA region. Int J Womens Health 2022; 14: 395-404. [DOI:10.2147/IJWH.S352167] [PMID] [PMCID]
14. Laganà AS, Veronesi G, Ghezzi F, Ferrario MM, Cromi A, Bizzarri M, et al. Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey. Open Med 2022; 17: 475-484. [DOI:10.1515/med-2022-0452] [PMID] [PMCID]
15. Sharp GC, Fraser A, Sawyer G, Kountourides G, Easey KE, Ford G, et al. The COVID-19 pandemic and the menstrual cycle: Research gaps and opportunities. Int J Epidemiol 2022; 51: 691-700. [DOI:10.1093/ije/dyab239] [PMID] [PMCID]
16. Rastegar T, Feryduni L, Fakhraei M. COVID-19 vaccine side effects on menstrual disturbances among Iranian women. New Microbes New Infect 2023; 53: 101114. [DOI:10.1016/j.nmni.2023.101114] [PMID] [PMCID]
17. Samani RO, Hashiani AA, Razavi M, Vesali S, Rezaeinejad M, Maroufizadeh S, et al. The prevalence of menstrual disorders in Iran: A systematic review and meta-analysis. Int J Reprod BioMed 2018; 16: 665-678.
18. Mihm M, Gangooly S, Muttukrishna S. The normal menstrual cycle in women. Anim Reprod Sci 2011; 124: 229-236. [DOI:10.1016/j.anireprosci.2010.08.030] [PMID]
19. Al-Najjar MA, Al-Alwany RR, Al-Rshoud FM, Abu-Farha RK, Zawiah M. Menstrual changes following COVID-19 infection: A cross-sectional study from Jordan and Iraq. Plos One 2022; 17: e0270537. [DOI:10.1371/journal.pone.0270537] [PMID] [PMCID]
20. Bucciarelli V, Nasi M, Bianco F, Seferovic J, Ivkovic V, Gallina S, et al. Depression pandemic and cardiovascular risk in the COVID-19 era and long COVID syndrome: Gender makes a difference. Trends Cardiovasc Med 2022; 32: 12-17. [DOI:10.1016/j.tcm.2021.09.009] [PMID] [PMCID]
21. Im JH, Je YS, Baek J, Chung M-H, Kwon HY, Lee J-S. Nutritional status of patients with COVID-19. Int J Infect Dis 2020; 100: 390-393. [DOI:10.1016/j.ijid.2020.08.018] [PMID] [PMCID]
22. Gorji A, Ghadiri MK. Potential roles of micronutrient deficiency and immune system dysfunction in the coronavirus disease 2019 (COVID-19) pandemic. Nutrition 2021; 82: 111047. [DOI:10.1016/j.nut.2020.111047] [PMID] [PMCID]
23. Edelman A, Boniface ER, Benhar E, Han L, Matteson KA, Favaro C, et al. Association between menstrual cycle length and coronavirus disease 2019 (COVID-19) vaccination: A US cohort. Obstet Gynecol 2022; 139: 481-489. [DOI:10.1097/AOG.0000000000004695] [PMID] [PMCID]
24. Matar SG, Nourelden AZ, Assar A, Bahbah EI, Alfryjat AM, Hasabo EA, et al. Effect of COVID‐19 vaccine on menstrual experience among females in six Arab countries: A cross-sectional study. Influenza Other Respir Viruses 2023; 17: e13088.
25. Kurdoğlu Z. Do the COVID-19 vaccines cause menstrual irregularities? Int J Womens Health Reprod Sci 2021; 9: 158-159. [DOI:10.15296/ijwhr.2021.29]
26. Taşkaldıran I, Vuraloğlu E, Bozkuş Y, Turhan İyidir Ö, Nar A, Başçıl Tütüncü N. Menstrual changes after COVID-19 infection and COVID-19 vaccination. Int J Clin Pract 2022; 2022: 3199758. [DOI:10.1155/2022/3199758] [PMID] [PMCID]

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