Abnormal Cycle Length Research Articles

Association of Anthropometric Indices with Menstrual Abnormality among Nursing Students of Nepal: A Cross-Sectional Study.

Introduction Obesity has been reported to be linked with menstrual abnormalities including abnormality in cycle length, duration, and period blood loss. However, which anthropometric parameter is a better marker of menstrual abnormality is yet unknown. This study aims to explore the association of BMI, waist-hip ratio (WHR), and waist-height ratio (WHtR) with menstrual abnormalities. Methods This was a cross-sectional study conducted among 240 nursing students on two nursing campuses of Nepal. Demographic and menstrual characteristics related data were collected from the participants via the face-to-face interview technique followed by anthropometric measurements. Binary logistic regression was used to study the association of BMI, WHR, and WHtR with menstrual characteristics. Univariable and multivariable regression models were calculated at 95% confidence interval and a P value of 0.05 using a Statistical Package for Social Sciences, IBM SPSS® v21 (IBM, Armonk, New York). Results Out of 240 participants, 52 participants (21.67%) were underweight (<18.5 kg/m2), and 47 participants (19.58%) were either overweight (≥23 kg/m2) or obese (≥25 kg/m2). Overweight and obese BMI was associated with abnormality in menstrual cycle length (AOR = 4.24; 95% CI = 1.77–10.17), duration of the menstrual period (AOR = 2.52; 95% CI = 1.09–5.81), and periodic menstrual blood loss (AOR = 9.04; 95% CI = 3.55–23.01). Increase in WHtR (>0.5) was associated with abnormal cycle length (AOR = 3.09; 95% CI = 1.09–8.80) and abnormal period duration (AOR = 3.05; 95% CI = 1.10–8.44). An increase in WHR (>0.8) was associated with abnormal cyclical menstrual blood loss (AOR = 4.93; 95% CI = 1.55–15.71). Conclusions Obesity predisposes to menstrual irregularities. BMI is a better predictor of menstrual irregularity as the increase in BMI is associated with abnormality in menstrual cycle length, period duration, and blood loss. Increased WHR was associated with periodic blood loss only. Increased WHtR was associated with abnormal cycle length and period duration, but not menstrual blood loss.

Detecting variations in ovulation and menstruation during the COVID-19 pandemic, using real-world mobile app data.

As war and famine are population level stressors that have been historically linked to menstrual cycle abnormalities, we hypothesized that the COVID-19 pandemic could similarly affect ovulation and menstruation among women. We conducted a retrospective cohort study examining changes in ovulation and menstruation among women using the Natural Cycles mobile tracking app. We compared de-identified cycle data from March-September 2019 (pre-pandemic) versus March-September 2020 (during pandemic) to determine differences in the proportion of users experiencing anovulation, abnormal cycle length, and prolonged menses, as well as population level changes in these parameters, while controlling for user-reported stress during the pandemic. We analyzed data from 214,426 cycles from 18,076 app users, primarily from Great Britain (29.3%) and the United States (22.6%). The average user was 33 years of age; most held at least a university degree (79.9%). Nearly half (45.4%) reported more pandemic-related stress. Changes in average cycle and menstruation lengths were not clinically significant, remaining at 29 and 4 days, respectively. Approximately 7.7% and 19.5% of users recorded more anovulatory cycles and abnormal cycle lengths during the pandemic, respectively. Contrary to expectation, 9.6% and 19.6% recorded fewer anovulatory cycles and abnormal cycle lengths, respectively. Women self-reporting more (32.0%) and markedly more (13.6%) stress during the pandemic were not more likely to experience cycle abnormalities. The COVD-19 pandemic did not induce population-level changes to ovulation and menstruation among women using a mobile app to track menstrual cycles and predict ovulation. While some women experienced abnormalities during the pandemic, this proportion was smaller than that observed prior to the pandemic. As most app users in this study were well-educated women over the age of 30 years, and from high-income countries, their experience of the COVID-19 pandemic might differ in ways that limit the generalizability of these findings.

Effects of Gasoline Inhalation on Menstrual Characteristics and the Hormonal Profile of Female Petrol Pump Workers

Increasing numbers of young women are employed as gasoline station attendants in most developing countries despite the lack of empirical data on the adverse reproductive health effect of this solvent. This study therefore sought to assess the effects of gasoline inhalation on the serum sex hormone profile and menstrual characteristics of female gasoline station attendants in Nigeria, given the global increase in the rate of infertility and the existing evidence on the reproductive toxicity of gasoline constituents. A site-by-site cross-sectional study of 117 female gasoline pump attendants and 118 age-matched controls was carried out between September 2011 and November 2012. The following 3 instruments were used for data collection: a semi-structured questionnaire, a female sex hormone profile assay and exposure status measures. The prevalence of menstrual disorders among the exposed and unexposed women was 37.2% and 28.5% respectively. Exposure to gasoline was significantly associated with disorders in both menstrual cycle length and quantity of flow. Specifically, exposed women had a greater than threefold increased risk of a menstrual disorder, with an odds ratio (OR) of 3.25 for abnormal cycle length and OR of 4.16 for abnormal quantity of flow. In addition, longer duration of exposure (>1 year) was significantly associated with higher likelihood of menstrual disorders. There were also persistent low serum levels of estradiol, and fluctuating levels of other reproductive hormones. Gasoline inhalation may interfere with ovarian functions leading to disordered menstrual characteristics and female sex hormone profiles, as well as future reproductive impairment.

Age at menarche and menstrual cycle pattern among school adolescent girls in Central India.

Background:The onset of menstruation is part of the maturation process. However, variability in menstrual cycle characteristics and menstrual disorders are common. The purpose of this study was to determine the age at menarche and patterns of menstruation among school adolescent girls and explore its variation across socio-economic and demographic factors.Methodology:This is a cross-sectional descriptive study carried out on 1100 school adolescent girls in district Wardha, Central India. Data were collected using a self-administered structured questionnaire on menstruation. Data was entered and analyzed by using Epi Info 6.04 software package. Chi- square value was used for testing statistical significance.Results:Mean ages of menarche were 13.51 + 1.04 years and 13.67 + 0.8 years for urban and rural areas respectively. Abnormal cycle length was common and affected 30.48%. The majority 56.15 experienced dysmenorrhoea and 56.16 percent had premenstrual syndrome. Self medication was practiced by 7.13% of the adolescent girls. The most common premenstrual symptom was headache 26.74%. Absenteeism from the school 13.9% was the effect of menstruation related problems on their daily routine. Dysmenorrhea and premenstrual symptoms were perceived as most distressing symptoms leading to school absenteeism. Majority of the girls 75.58% had discussed menstrual problems with someone, most commonly with their mothers 38.15%. There was a general lack of information about menstrual issues especially with regards to cycle length, duration of menses and age at menarche. Girls from families of high socio-economic class have significantly lower mean menarcheal age in both urban and rural area. The mean age of menarche was significantly higher in girls involved in vigorous sporting activity in urban area compared to their non-sporting counterparts.Conclusion:Age at menarche was delayed. The menstrual disorders among female adolescents are common. A school health education on menstrual problems targeting adolescent girls and their parents and routine screening for menstrual problems by healthcare providers can help to prevent the absenteeism in the school.

Menstrual disorders and occupational, stress, and racial factors among military personnel.

Few studies have assessed multiple stress factors as a potential risk for menstrual disorders. This study evaluated whether work-related stress or life event stress was associated with alterations in menstrual function of military personnel. The study is unique in that it evaluated the association between race and three job factors--job stress, handling chemical mixtures, and being a military or civilian employee of the US Air Force. A comprehensive questionnaire was administered to 170 healthy, premenopausal employed women to examine the relationship between work-related or life event stress and menstrual disorders. Multiple logistic regression analyses showed no statistically significant association between work-related stress and menstrual disorders, whereas life event stress was significantly associated with dysmenorrhea (odds ratio [OR], 2.20; 95% confidence interval [CI], 1.08 to 4.50) abnormal cycle length (OR, 3.42; CI, 1.12 to 10.50), and hypermenorrhea (OR, 2.99; 95% CI, 1.20 to 7.42). Having one or more menstrual disorders was significantly associated with life events by race interaction (OR, 6.52; 95% CI, 2.45 to 17.36). Non-Caucasians had significantly increased risks of hypermenorrhea (OR, 4.99; 95% CI, 2.07 to 12.05) and abnormal cycle length (OR, 4.12; 95% CI, 1.47 to 11.55). The prevalence of menstrual disorders in this military population was 31.2% for dysmenorrhea, 17.9% for hypermenorrhea, and 12.0% for abnormal cycle length. This study suggests that women in the military report less day-to-day job stress but more atypical life events, including those related to their jobs, and that these life events are associated with adverse menstrual consequences.

Influence of hypo- or hyperthyroidism on ovarian function in Brahman cows.

Multiparous Brahman cows (n = 21) were randomly assigned during late fall within BW and body condition score (BCS) to receive either 3.0 mL of corn oil (C; n = 7), 3.0 mg/(cow x d) triiodothyronine (T3) s.c. in 3.0 mL of corn oil (HYPER; n = 7), or 4.0 mg/(kg x d) 6-n-propyl-2-thiouracil (PTU; fed with concentrate) plus 3.0 mL/d corn oil (HYPO; n = 7). Water, minerals, and Coastal bermudagrass hay were available free choice, and all cows received 3.2 kg x cow(-1) x d(-1) of 5:1 corn:soybean meal concentrate. The feeding period extended through three normal estrous cycles. Blood samples were collected weekly during the first and second estrous cycle, or until d 42 for anestrous cows, and daily throughout the third cycle. Also, between d 9 and 14 of the third cycle, or after d 35 in anestrous cows, intensive samples were collected at 2-h intervals for 24 h. Serum T3, thyroxine (T4), and progesterone (P4) were measured in weekly and intensive samples, and cortisol, insulin, GH, and thyroid-stimulating hormone (TSH) were measured in intensive samples. The altered thyroid status of HYPER and HYPO cows was evident (P < .001) during the third estrous cycle in mean daily T3, T4, and intensive TSH (P < .001) concentrations. Changes in BW and BCS were influenced by treatment (P < .001). A greater (P < .001) proportion of HYPER cows exhibited abnormal cycle length, and three of seven cows became anestrous. For cows that continued normal cycles, treatment did not affect (P > .05) the number of follicular waves, diameter of the dominant follicle, diameter of the ovulatory follicle, or P4 profiles during the third cycle. Insulin and GH concentrations did not differ (P > .05) among treatments in intensive samples, but, mean cortisol was greatest (P < .02) in HYPER cows. For Brahman cows that maintained normal estrous cycles, induced hyper-or hypothyroid status did not influence ovarian function.

Controlling estrus in dairy cows — A comparative field study

Two prostaglandins, Estrumate and Dinolytic, and two progestagens, PRID and Norgestomet were compared for their effectiveness in controlling estrus in dairy cows. A total of 636 animals on 62 different farms in southern Lower Saxony/FRG were used in this study. After treatment with one of the four drugs a double fixed time insemination was always performed at 24-hour intervals. Later, an additional untreated animal was assigned to each group of four. The conception rate in the 734 cows which were inseminated and evaluated under standardized experimental conditions were ES, 51.0%; DY, 46.0%; PRID, 44.5%; NOR, 34.7% and untreated animals, 46.9%. When only those cows which had already calved were considered, the rates were 48.0%, 44.6%, 46.9%, 31.9% and 59.1% respectively. The time of treatment post-partum proved to be significant for the non-return rate 90 (P < 0.01) and the conception rate (P < 0.05). Treatment influenced the estrus cycle in all of the cows. Abnormal cycle length following treatment was observed in 50.7%, 52.0%, 41.6% and 52.8% of the cows in each group as compared to 12.1% in the untreated animals. After the third insemination at least 90% of the cows in each group had conceived. The effect of the various farms proved to be significant with regard to the insemination index (P < 0.01), NRR 90 (P < 0.05) and the conception rate (P < 0.05). All four drugs established their suitability for use under field conditions. Still, modifications in the treatment methods and the insemination regimen could lead to higher fertilization rates.