Dysmenorrhea and heavy bleeding as complications in COVID-19-positive women: An observational study

Meena Shamrao Deogade; Nidhi Tahlan; Sadaf Anjum; Parwati; Swarnakant Jena; Deepak Bhati; Amitava Acharyya; Tanuja Manoj Nesari

doi:10.4103/jfmpc.jfmpc_1988_22

Dysmenorrhea and heavy bleeding as complications in COVID-19-positive women: An observational study

J Family Med Prim Care. 2023 Sep;12(9):1849-1853. doi: 10.4103/jfmpc.jfmpc_1988_22. Epub 2023 Sep 30.

Authors

Meena Shamrao Deogade¹, Nidhi Tahlan², Sadaf Anjum², Parwati³, Swarnakant Jena³, Deepak Bhati⁴, Amitava Acharyya⁵, Tanuja Manoj Nesari¹

Affiliations

¹ Department of Dravyaguna (Ayurveda Pharmacology), All India Institute of Ayurveda, Gautampuri, New Delhi, India.
² Department of Stree Roga and Prasuti Tanta (Gynecology), All India Institute of Ayurveda, Gautampuri, New Delhi, India.
³ Department of Panchakarma, All India Institute of Ayurveda, Gautampuri, New Delhi, India.
⁴ Senior Medical Officer and Casualty Head, All India Institute of Ayurveda, Gautampuri, New Delhi, India.
⁵ Scheme Section (Ayush and Public Health Component of Ayurswasthya Yojana), Ministry of AYUSH, Government of India, New Delhi, India.

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.

Keywords: COVID-19; dysmenorrhea; heavy bleeding; menstrual cycle.