Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms

Background: The increased stress the world experienced with the coronavirus disease (COVID-19) pandemic affected mental health, disproportionately affecting females. However, how perceived stress in the first year affected menstrual and menopausal symptoms has not yet been investigated. Objectives:...

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Main Authors: Romina Garcia de leon, Alexandra Baaske, Arianne Y. Albert, Amy Booth, C. Sarai Racey, Shanlea Gordon, Laurie W. Smith, Anna Gottschlich, Manish Sadarangani, Angela Kaida, Gina S. Ogilvie, Lori A. Brotto, Liisa A.M. Galea
Format: Article
Language:English
Published: SAGE Publishing 2023-09-01
Series:Women's Health
Online Access:https://doi.org/10.1177/17455057231199051
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author Romina Garcia de leon
Alexandra Baaske
Arianne Y. Albert
Amy Booth
C. Sarai Racey
Shanlea Gordon
Laurie W. Smith
Anna Gottschlich
Manish Sadarangani
Angela Kaida
Gina S. Ogilvie
Lori A. Brotto
Liisa A.M. Galea
author_facet Romina Garcia de leon
Alexandra Baaske
Arianne Y. Albert
Amy Booth
C. Sarai Racey
Shanlea Gordon
Laurie W. Smith
Anna Gottschlich
Manish Sadarangani
Angela Kaida
Gina S. Ogilvie
Lori A. Brotto
Liisa A.M. Galea
author_sort Romina Garcia de leon
collection DOAJ
description Background: The increased stress the world experienced with the coronavirus disease (COVID-19) pandemic affected mental health, disproportionately affecting females. However, how perceived stress in the first year affected menstrual and menopausal symptoms has not yet been investigated. Objectives: This study evaluates the effect that the first year of the COVID-19 pandemic had on female reproductive and mental health. Methods: Residents in British Columbia, Canada, were surveyed online as part of the COVID-19 Rapid Evidence Study of a Provincial Population-Based Cohort for Gender and Sex. A subgroup of participants (n = 4171), who were assigned female sex at birth (age 25–69 years) and were surveyed within the first 6–12 months of the pandemic (August 2020–February 2021), prior to the widespread rollout of vaccines, was retrospectively asked if they noticed changes in their menstrual or menopausal symptoms, and completing validated measures of stress, depression and anxiety. Design: This is a population-based online retrospective survey. Results: We found that 27.8% reported menstrual cycle disturbances and 6.7% reported increased menopause symptoms. Those who scored higher on perceived stress, depression and anxiety scales were more likely to report reproductive cycle disturbances. Free-text responses revealed that reasons for disturbances were perceived to be related to the pandemic. Conclusion: The COVID-19 pandemic has highlighted the need to research female-specific health issues, such as menstruation. Our data indicate that in the first year of the pandemic, almost one-third of the menstruating population reported disturbances in their cycle, which was related to percieved stress, depression and anxiety scores.
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spelling doaj.art-18ce0c4e9bb242e6b2fbe251e8b201cf2023-09-21T17:04:40ZengSAGE PublishingWomen's Health1745-50652023-09-011910.1177/17455057231199051Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptomsRomina Garcia de leon0Alexandra Baaske1Arianne Y. Albert2Amy Booth3C. Sarai Racey4Shanlea Gordon5Laurie W. Smith6Anna Gottschlich7Manish Sadarangani8Angela Kaida9Gina S. Ogilvie10Lori A. Brotto11Liisa A.M. Galea12Institute of Medical Sciences, University of Toronto, Toronto, ON, CanadaWomen’s Health Research Institute, Vancouver, BC, CanadaWomen’s Health Research Institute, Vancouver, BC, CanadaSchool of Population and Public Health, The University of British Columbia, Vancouver, BC, CanadaSchool of Population and Public Health, The University of British Columbia, Vancouver, BC, CanadaWomen’s Health Research Institute, Vancouver, BC, CanadaWomen’s Health Research Institute, Vancouver, BC, CanadaSchool of Population and Public Health, The University of British Columbia, Vancouver, BC, CanadaVaccine Evaluation Center, BC Children’s Hospital Research Institute, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaSchool of Population and Public Health, The University of British Columbia, Vancouver, BC, CanadaDepartment of Obstetrics and Gynaecology, The University of British Columbia, Vancouver, BC, CanadaCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, CanadaBackground: The increased stress the world experienced with the coronavirus disease (COVID-19) pandemic affected mental health, disproportionately affecting females. However, how perceived stress in the first year affected menstrual and menopausal symptoms has not yet been investigated. Objectives: This study evaluates the effect that the first year of the COVID-19 pandemic had on female reproductive and mental health. Methods: Residents in British Columbia, Canada, were surveyed online as part of the COVID-19 Rapid Evidence Study of a Provincial Population-Based Cohort for Gender and Sex. A subgroup of participants (n = 4171), who were assigned female sex at birth (age 25–69 years) and were surveyed within the first 6–12 months of the pandemic (August 2020–February 2021), prior to the widespread rollout of vaccines, was retrospectively asked if they noticed changes in their menstrual or menopausal symptoms, and completing validated measures of stress, depression and anxiety. Design: This is a population-based online retrospective survey. Results: We found that 27.8% reported menstrual cycle disturbances and 6.7% reported increased menopause symptoms. Those who scored higher on perceived stress, depression and anxiety scales were more likely to report reproductive cycle disturbances. Free-text responses revealed that reasons for disturbances were perceived to be related to the pandemic. Conclusion: The COVID-19 pandemic has highlighted the need to research female-specific health issues, such as menstruation. Our data indicate that in the first year of the pandemic, almost one-third of the menstruating population reported disturbances in their cycle, which was related to percieved stress, depression and anxiety scores.https://doi.org/10.1177/17455057231199051
spellingShingle Romina Garcia de leon
Alexandra Baaske
Arianne Y. Albert
Amy Booth
C. Sarai Racey
Shanlea Gordon
Laurie W. Smith
Anna Gottschlich
Manish Sadarangani
Angela Kaida
Gina S. Ogilvie
Lori A. Brotto
Liisa A.M. Galea
Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
Women's Health
title Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
title_full Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
title_fullStr Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
title_full_unstemmed Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
title_short Higher perceived stress during the COVID-19 pandemic increased menstrual dysregulation and menopause symptoms
title_sort higher perceived stress during the covid 19 pandemic increased menstrual dysregulation and menopause symptoms
url https://doi.org/10.1177/17455057231199051
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