Analysis of menstrual conditions and influencing factors in 281 women infected with COVID-19
[Objective]To investigate the menstrual conditions of women infected with COVID-19 in Shanghai and analyze the influencing factors.[Methods]From December 2022 to March 2023,menstrual data from 281 women infected with COVID-19 in Shanghai were collected with a questionnaire survey,including usual menstrual characteristics,the most recent menstrual period post-infection,symptoms of infection,and medication usage.According to the crossover period between the menstrual period and the infection period of the respondents,the samples were divided into two groups for comparative analysis:those whose menstrual and infection periods overlapped(positive group)and those whose menstruation started after conversion to virus-negative(negative conversion group).[Results]Among the 281 respondents,196(65.8%)experienced menstrual changes.Among them,145(51.6%)had changes in menstrual volume,color and texture,and 109(38.8%)had changes in menstrual duration or cycle.Decreased menstrual volume(22.1%),darker color(23.49%),thicker texture(21.0%),increased blood clots(16.7%),and prolonged duration(21.8%)were observed in both groups.The rate of changes in menstrual volume,color,and texture was higher in the positive group(56.8%,69/110)than that in negative group(37.3%,76/171)(P<0.05).Regarding the menstrual cycle changes,the rate of early onset was higher in the positive group(14.5%)compared to the negative conversion group(3.5%)(P<0.05),while the rate of delayed menstruation was higher in the negative conversion group(25.1%)than that in the positive group(5.5%)(P<0.05).Correlation analysis showed a weak association between sore throat and menstrual changes(r=0.154,P<0.05).[Conclusion]Some women infected with COVID-19 experience short-term changes in their menstrual conditions,characterized by reduced volume,darker color,thick texture,increased clots,and prolonged menstrual duration,reflecting a pathogenesis of blood stasis.Menstruation during the infection period tends to occur earlier,while delayed menstruation is more prevalent at post-conversion.
COVID-19menstruationinfluencing factorblood stasistraditional Chinese medicine