Effect of war on the menstrual cycle.
Author: Hannoun AB, Nassar AH, Usta IM, Zreik TG, Abu Musa AA.
Source:
Obstetrics & Gynecology, 109(4), 929-932.
OBJECTIVE: To study the effect of a short period of war on the menstrual cycles
of exposed women. METHODS: Six months after a 16-day war, women in exposed
villages aged 15-45 years were asked to complete a questionnaire relating to
their menstrual history at the beginning, 3 months after, and 6 months after the
war. A control group, not exposed to war, was also interviewed. The data
collected were analyzed to estimate the effect of war on three groups of women:
those who stayed in the war zone for 3-16 days (Group A), those who were
displaced within 2 days to safer areas (Group B), and women not exposed to war or
displacement (Group C-control). RESULTS: More than 35% of women in Group A and
10.5% in Group B had menstrual aberrations 3 months after the cessation of the
war. These percentages were significantly different from each other and from that
in Group C (2.6%). Six months after the war most women regained their regular
menstrual cycles with the exception of 18.6% in Group CONCLUSION: We found a
short period of war, acting like an acute stressful condition, resulted in
menstrual abnormalities in 10-35% of women and is probably related to the
duration of exposure to war. This might last beyond the war time and for more
than one or two cycles. In most women the irregular cycles reversed without any
medical intervention. LEVEL OF EVIDENCE: II.
Publication Types:
Multicenter Study