The impact of mental health and psychological stressors on menstrual cycle modulation: exploring the influence of age and hormonal contraceptives.

IF 3.2 3区 医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2024-08-09 DOI:10.1007/s00737-024-01499-1
Jéssica Pereira Castro Petrine, Larissa Sampaio Jacques, Tayná Márcia da Cruz Santos, Fernanda Aparecida Castro Pereira, Paula Midori Castelo, Bruno Del Bianco -Borges
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Abstract

Stress, infections, and psychological and social well-being can affect the reproductive system. Activation of the hypothalamic-pituitary-adrenal axis can disrupt ovarian cyclicity. Estrogens can modulate stress responsiveness and mood. Thus, understanding this interaction and how it modulates the menstrual cycle is crucial for women's reproductive health.

Purpose: The objective of this study was to analyze the influence of a stressor, a period of the Covid-19 pandemic when there were no vaccines available yet, on the psychological state of women aged 18 to 45 years; as well as the influence of mental health on the menstrual cycle, considering the influence of age and hormonal contraceptives.

Method: Online questionnaire using the Google Forms platform was used.

Results: There is a high prevalence of the onset of new psychosocial symptoms. Moreover, most women reported some type of change in their menstrual cycles. The women who were using hormonal contraceptives demonstrated a higher frequency of spotting and menstrual color alterations, while women without hormonal contraceptives demonstrated a higher frequency of cycle duration and menstrual odor alterations. Women without hormonal contraceptives were more susceptible to the development of psychosocial symptoms. Younger adult women were more affected by menstrual changes and psychosocial symptoms. Close to 90% of women who reported several psychosocial symptoms had changes in their menstrual cycles.

Conclusion: These data suggest the impact of stressors, such as a period of the pandemic, on mental health and menstrual cycles, and younger adult women can be more susceptible. This reflects the relationship between mental and reproductive health.

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心理健康和心理压力对月经周期调节的影响:探讨年龄和荷尔蒙避孕药的影响。
压力、感染以及心理和社会福祉都会影响生殖系统。下丘脑-垂体-肾上腺轴的激活会扰乱卵巢的周期性。雌激素可调节压力反应和情绪。因此,了解这种相互作用及其如何调节月经周期对女性的生殖健康至关重要。目的:本研究的目的是分析一个压力源--Covid-19 大流行时期,当时还没有疫苗可用--对 18 至 45 岁女性心理状态的影响;以及心理健康对月经周期的影响,同时考虑年龄和激素避孕药具的影响:方法:使用谷歌表格平台进行在线问卷调查:结果:新的社会心理症状的发生率很高。此外,大多数妇女都表示她们的月经周期发生了某种变化。使用激素避孕药的妇女出现点滴出血和月经颜色改变的频率较高,而未使用激素避孕药的妇女出现周期持续时间和月经气味改变的频率较高。未服用激素避孕药的女性更容易出现社会心理症状。年轻的成年女性更容易受到月经变化和社会心理症状的影响。近 90% 的女性在报告了几种心理社会症状后,月经周期也发生了变化:这些数据表明,大流行时期等压力因素会对心理健康和月经周期产生影响,而年轻的成年女性更容易受到影响。这反映了心理健康与生殖健康之间的关系。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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