Abstract

Intense stress resulting from major life events can affect women's menstrual cycle. The current Coronavirus Disease 2019 (COVID-19) pandemic, impacting various sectors, is considered a major form of stress. During May-November 2020, some women in Iraq have experienced menstrual disruptions, which can happen whether they get infected with the COVID-19 or simply deals with pandemic-induced stress. Thus, this study aimed to evaluate the effect of the COVID-19 pandemic-induced stress on menstrual cycle regularity of reproductive-age women. This study used an observational cross-sectional design conducted in Iraq from May to November 2020. A sample of 500 reproductive-age women filled out an online questionnaire about their menstrual records and psychological stress levels using a Perceived Stress Scale-10 for three months during the pandemic. A comparison between menstrual cycle irregularity and stress levels before and during the pandemic was done with a p-value of <0.05 and statistically significant. It was found that 47.72% of women had irregular menstrual cycles and high perceived stress scales during the pandemic compared to 20.94% with irregular cycles and high-stress levels before the pandemic. In brief, the high-stress level induced by the COVID-19 pandemic is associated with the irregular menstrual cycle in the sampled reproductive-age women.

References

1. Everyday Health. How COVID-19 can mess with menstrual periods. Everyday Health; 2021. 2. Arumsari I, Fauzi R, Maruf MA, Bigwanto M. Economic or public health? Southeast Asia’s tackling of COVID-19 a year later. Kesmas. 2021; 16 (1): 90-6. 3. Bianco V, Cestari AM, Casati D, Cipriani S, Radici G, Valente I. Premenstrual syndrome and beyond: lifestyle, nutrition, and personal facts. Minerva Ginecol. 2014; 66 (4): 365-75. 4. Poromaa IS. Physiological correlates of premenstrual dysphoric disorder (PMDD). Curr Top Behav Neurosci. 2014; 21: 229-43. 5. Xiao S, Coppeta JR, Rogers HB, Isenberg BC, Zhu J, Olalekan SA. A microfluidic culture model of the human reproductive tract and 28-day menstrual cycle. Nat Comm. 2017; 8 (1): 1-13. 6. Singh R, Sharma R, Rajani H. Impact of stress on menstrual cycle: a comparison between medical and non medical students. Saudi J Health Sci. 2015; 4 (2): 115. 7. Munjal P, Nair M. Amenorrhea. Innov AiT. 2021; 14 (10): 599-606. 8. Bae J, Park S, Kwon JW. Factors associated with menstrual cycle irregularity and menopause. BMC Womens Health. 2018; 18 (1): 36. 9. Page J, Hinshaw D, McKay B. In hunt for Covid-19 origin, patient zero points to second Wuhan market – the man with the first confirmed infection of the new coronavirus told the WHO team that his parents had shopped there. The Wall Street Journal; 2021. 10. Kumar A, Nayar KR. COVID 19 and its mental health consequences. J of Ment Heal. 2020; 30 (1): 1–2. 11. Cohen S, Kamarck T, Mermelstein R. Perceived stress scale. American Psycho Assoc. 2014. 12. Nagma S, Kapoor G, Bharti R, Batra A, Batra A, Aggarwal A, et al. To evaluate the effect of perceived stress on menstrual function. J Clin Diagn Res. 2015; 9 (3): QC01-03. 13. Maryam, Ritonga MA, Istriati. Relationship between menstrual profile and psychological stress with dysmenorrhea. Amj. 2016; 3 (3): 382–7. 14. Fenster L, Waller K, Chen J, Hubbard AE, Windham GC, Elkin E, et al. Psychological stress in the workplace and menstrual function. Am J Epidemiol. 1999;149 (2): 127–34. 15. Hatch MC, Figa-Talamanca I, Salerno S. Work stress and menstrual patterns among American and Italian nurses. Scandinavian Journal of Work, Environment and Health. 1999; 25 (2): 144–50. 16. Ok G, Ahn J, Lee W. Association between irregular menstrual cycles and occupational characteristics among female workers in Korea. Maturitas. 2019; 129: 62–67. 17. Boutot M. Stress and the menstrual cycle. Clue; 2016. 18. Herbert C. Overcoming traumatic stress: a self-help guide using cognitive behavioural techniques. London: Hachette UK; 2017. 19. Rani K, Tiwari SC, Kumar S, Singh U, Prakash J, Srivastava N. Psycho-biological changes with add onyoga nidra in patients with menstrual disorders: a randomized clinical trial. J Caring Sci. 2016; 5 (1): 1-9. 20. Iliadis SI, Sylvén S, Hellgren C, Olivier JD, Schijven D, Comasco E, et al. Mid-pregnancy corticotropin-releasing hormone levels in association with postpartum depressive symptoms. Depress Anxiety. 2016; 33 (11): 1023-30. 21. Achmad LN, Sirait BI, Semen GM. The relationship between stress levels and menstrual cycle regularity in students of the Faculty of Medicine, Universitas Kristen Indonesia, class of 2017. Inter J of Med and Heal Res. 2021; 7 (8): 74-9.

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