scholarly journals The Impact of the COVID-19 Pandemic on Women’s Reproductive Health

2021 ◽  
Vol 12 ◽  
Author(s):  
Phelan Niamh ◽  
Lucy Ann Behan ◽  
Lisa Owens

BackgroundThe COVID-19 pandemic has profoundly affected the lives of the global population. It is known that periods of stress and psychological distress can affect women’s menstrual cycles. We therefore performed an observational study of women’s reproductive health over the course of the pandemic thus far.Materials and MethodsAn anonymous digital survey was shared by the authors via social media in September 2020. All women of reproductive age were invited to complete the survey.Results1031 women completed the survey. Mean age was 36.7 ± 6.6 years (range, 15–54). 693/70% reported recording their cycles using an app or diary. 233/23% were using hormonal contraception. 441/46% reported a change in their menstrual cycle since the beginning of the pandemic. 483/53% reported worsening premenstrual symptoms, 100/18% reported new menorrhagia (p = 0.003) and 173/30% new dysmenorrhea (p < 0.0001) compared to before the pandemic. 72/9% reported missed periods who not previously missed periods (p = 0.003) and the median number of missed periods was 2 (1–3). 17/21% of those who “occasionally” missed periods pre-pandemic missed periods “often” during pandemic. 467/45% reported a reduced libido. There was no change in the median cycle length (28 days) or days of bleeding (5) but there was a wider variability of cycle length (p = 0.01) and a 1 day median decrease in the minimum (p < 0.0001) and maximum (p = 0.009) cycle length. Women reported a median 2 kg increase in self-reported weight and a 30-min increase in median weekly exercise. 517/50% of women stated that their diet was worse and 232/23% that it was better than before the pandemic. 407/40% reported working more and 169/16% were working less. Women related a significant increase in low mood (p < 0.0001), poor appetite (p < 0.0001), binge eating (p < 0.0001), poor concentration (p < 0.0001), anxiety (p < 0.0001), poor sleep (p < 0.0001), loneliness (p < 0.0001) and excess alcohol use (p < 0.0001). Specific stressors reported included work stress (499/48%), difficulty accessing healthcare (254/25%), change in financial (201/19%) situation, difficulties with home schooling (191/19%) or childcare (99/10%), family or partner conflict (170/16%), family illness or bereavement (156/15%).ConclusionsThe COVID-19 pandemic has significantly impacted the reproductive health of women. The long term health implications of this are yet to be determined and future studies should address this.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A735-A736
Author(s):  
Lisa A Owens ◽  
Niamh Phelan ◽  
Lucy Ann A Behan

Abstract Background: The Covid-19 pandemic has profoundly affected the lives of the global population. It is known that periods of stress and psychological distress can affect women’s menstrual cycles. We, therefore, performed an observational study of women’s reproductive health over the course of the pandemic. Materials & Methods: An anonymous digital survey was shared by the authors via social media in September 2020. All women of reproductive age were invited to complete the survey. Results: 1031 women completed the survey. The mean age was 36.7 ± 6.6 years. 693/70% reported recording their cycles using an app or diary. 233/23% were using hormonal contraception. 441/46% reported a change in their menstrual cycle since the beginning of the pandemic. 483/53% reported worsening premenstrual symptoms, 100/18% reported new menorrhagia (p=0.003) and 173/30% new dysmenorrhea (p<0.0001) compared to before the pandemic. 72/9% reported missed periods who not previously missed periods (p=0.003) and the median number of missed periods was 2 (IQR 1-3). 17/21% of those who ‘occasionally’ missed periods pre-pandemic missed periods ‘often’ during the pandemic. 467/45% reported a reduced libido. There was no change in the median cycle length (28 days) or days of bleeding (5) but there was a wider variability of cycle length (p=0.01) and a 1-day median decrease in the minimum (p<0.0001) and maximum (p=0.009) cycle length. Women reported a median 2kg increase in self-reported weight and a 30-minute increase in median weekly exercise. 517/50% of women stated that their diet was worse and 232/23% that it was better than before the pandemic. 407/40% reported working more and 169/16% were working less. Women related a significant increase in low mood (p<0.0001), poor appetite (p<0.0001), binge eating (p<0.0001), poor concentration (p<0.0001), anxiety (p<0.0001), poor sleep (p<0.0001), loneliness (p<0.0001) and excess alcohol use (p<0.0001). Specific stressors reported included work stress (499/48%), difficulty accessing healthcare (254/25%), change in financial (201/19%) and living (169/16%) situation, difficulties with homeschooling children (191/19%), family or partner conflict (170/16%), family illness or bereavement (156/15%), and difficulties accessing or providing childcare (99/10%). Conclusions: The Covid-19 pandemic has significantly impacted the reproductive health of women. The long term health implications of this are yet to be determined and future studies should address this.


2017 ◽  
Vol 26 (12) ◽  
pp. 1350-1355
Author(s):  
Ariela L. Marshall ◽  
Juliana Perez Botero ◽  
Aneel A. Ashrani ◽  
Rajiv K. Pruthi ◽  
John A. Heit ◽  
...  

Author(s):  
Sedighe Rezaie-Chamani ◽  
Mona Rahnavardi ◽  
Zahra Bostani Khalesi

Abstract Background Assessment of reproductive health (RH) needs is necessary for describing the status of women’s RH and identification of the actions needed. This study aimed to develop and validate a questionnaire for the assessment of the women’s RH needs. Materials and methods A sequential exploratory mixed method study (qualitative and quantitative) was conducted with Iranian women of reproductive age (age 15–49 years) living in Rasht. The qualitative exploratory phase was used to explain the concept and dimensions of RH needs. The qualitative exploratory phase was used to develop and validate a questionnaire. Results The results of the qualitative section, RH needs consists of two themes “Reproductive Health Education Needs” and “Reproductive Health Services Features”. A Women’s Reproductive Health Needs Assessment Questionnaire (WRHNAQ) was designed with 19 items. The content validity ratio (CVR) and content validity index (CVI) of the questionnaire were 0.89 and 0.93, respectively. The instrument’s internal consistency was confirmed by an alpha coefficient of 0.881. Conclusion The results of this study showed that the WRHNAQ is a culturally sensitive, valid and reliable scale for assessing the RH needs. The WRHNAQ will be helpful for identifying needs and need-based intervention.


Author(s):  
Mehrukh Zehravi ◽  
Mudasir Maqbool ◽  
Irfat Ara

Abstract Reproductive health is a broad concept that encompasses mortality, morbidity, and quality of life associated with the reproductive system, mechanism, and incidents encountered at all ages by men and women. Orthodox Indian society finds the conversation on reproductive health to be a taboo and discourages open conversations about it. Polycystic ovary syndrome (PCOS) is a reproductive-age metabolic endocrine disorder found in females. Females suffering from PCOS are prone to reproductive, metabolic, and cardiovascular disorders. In this paper, we will systematically review about effect of PCOS on Reproductive Health of Women. The numerous electronic databases such as: BMJ, LANCET, PUBMED, Unicef Website, WHO Website and Google Scholar have been comprehensively searched for studies linked to PCOS, its various effects and effect on women’s reproductive health. For additional analyses, we have reviewed reference lists of reviews and collected papers. The effects of PCOS on women’s reproductive health have been verified by several scientific reports worldwide. PCOS is a hormonal condition, as per multiple reports, with the ability to lead to different outcomes. It still appears to be a common cause among females of infertility. An integral aspect of the treatment of this disease is the early diagnosis of long-term morbidities by effective screening tests. In the future, studies must concentrate on the missing holes in our growing perception of this disease. Several studies have confirmed that reproductive morbidity, including irregular uterine bleeding, abortion, miscarriage, and other risk of pregnancy during reproductive years, is associated with PCOS. PCOS is an amalgam of physiological and psychosocial dysfunction, not just an endocrine disorder.


2020 ◽  
Vol 3 (2) ◽  
pp. 309-318
Author(s):  
Emi Yunita ◽  
Byba Melda Suhita ◽  
Koesnadi Koesnadi

The majority of polygamous marriages in Indonesia are only based on law and religion, regardless of the effects of polygamy. The lack attention public about the psychology that occurs in polygamous women. While, the impact of psychological disorders itself can affect to female hormones that can be caused to a reproduction system. The reproductive system can also experience disorders due to illness or abnormalities. The diseases of the reproductive system can be caused by germs, genetic factors, or hormones. Women have complex problems around their reproductive lives. Disorders of the female reproductive system can include menstrual disorders, vaginal cancer, cancer cervix, ovarian cancer, genetalia cancer, endometriosis, vaginal infections, vaginal discharge or fluorine, and Ghonorrhea. The purpose of this study is to explore the occurrence of psychological disorders that affect the reproductive health of polygamous women. The research design used is qualitative research with a phenomenological approach. The data collection in this study used in-depth interview techniques with semi-structured questions with a sample of 10 informants. From the results of the study indicate that the analysis of psychological disorders that have an impact on women's reproductive health in polygamy has good benefits for health workers and for the community, especially women. In analyzing the tendency of psychological disorders that affect the reproductive health of women who are polygamous there are many things that can be used as references on how the effects of polygamous marriages are related to women's reproductive health, both negative and positive impacts. In analyzing the trends of production in polygamous women there are some hopes of supporting improvements in public health, especially women's reproductive health. Based on this research, further research is needed on the analysis of trends in the occurrence of psychological disorders that have an impact on reproductive health in polygamous women in Pamekasan Madura


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