Effect of the COVID-19 Pandemic on Female Health Professionals’ Abnormal Uterine Bleeding, Dysmenorrhea, and Premenstrual Syndrome Experiences
Abstract
Purpose: This study aims to determine if abnormal uterine bleeding (AUB), dysmenorrhea, and premenstrual syndrome experiences changed in female health professionals who worked in Turkey during the COVID-19 pandemic compared to the pre-pandemic period, to find out the direction of the change, and to determine the effect size on this change.
Methods: This descriptive and relational study was conducted with 194 female health professionals who actively worked in a health institution during the pandemic process. Data were collected online using the Participant Information Form and the Premenstrual Syndrome Scale. The McNemar Test, the Odds Ratio, the Wilcoxon Signed Ranks Test, the Partial Eta Squared Analysis, the Paired Sample T Test, and the Repeated Measures d Coefficient were used for data analysis.
Results: The dysmenorrhea (OR: 28.462 [95% CI: 9.563-84.707]), the abnormal uterine bleeding (OR: 25.490 [95% CI: 10.046-64.678]), and the PMS (OR: 22.708 [95% CI: 7.891-65.348]) were found to increase during the pandemic. The number of people who had increased PMS severity was found to increase during the pandemic, and the effect size of the pandemic on this increase was very high (η2:12.035).
Conclusions: The risk of increase during the pandemic was 28.5 times more for dysmenorrhea, 25.5 times more for abnormal uterine bleeding, and 23 times more for PMS in female health professionals during the COVID-19 pandemic. In this regard, measures should be taken for the effective management of menstrual problems of female health professionals who take active roles in the management of massive crises like the pandemic to increase their quality of life and work success.
Keywords
Supporting Institution
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Ethical Statement
Ethical approval was obtained prior to the commencement of the study through the Tarsus University Ethics Committee (dated 28/07/2021 and numbered 2021/31).
Thanks
The authors gratefully acknowledge participants who took part in this study.
References
- 1. Pan, R., Zhang, L., Pan, J., et al. (2020). The anxiety status of Chinese medical workers during the epidemic of COVID-19: A metaanalysis. Psychiatry Investigation, 17(5), 475–480. DOI: https://doi. org/10.30773/pi.2020.0161
- 2. Ghatas, V. N., Abdou, S. A. S. A., Essa, R. M., & Elgamal, E. G. (2024). Factors associated with menstrual irregularities among female nursing students. Egyptian Journal of Health Care, 15(3), 913–929. DOI: 10.21608/ejhc.2024.381035
- 3. Kang, L., Li, Y., Hu, S., et al. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3), e14. DOI: https://doi.org/10.1016/ S2215-0366(20)30047-X
- 4. Sasangohar, F., Jones, S. L., Masud, F. N., et al. (2020). Provider burnout and fatigue during the COVID-19 pandemic: Lessons learned from a high-volume intensive care unit. Anesthesia & Analgesia. Advance online publication. DOI: https://doi.org/10.1213/ ANE.0000000000004866
- 5. Tian, F., Li, H., Tian, S., et al. (2020). Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the Level I emergency response to COVID-19. Psychiatry Research, 288, 112992. DOI: https://doi.org/10.1016/j.psychres.2020.112992
- 6. Huang, J. Z., Han, M. F., Luo, T. D., et al. (2020). Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi, 38(3), 192–195. DOI: https://doi.org/10.3760/cma.j.cn121094-20200219-00063
- 7. Liu, Q., Wang, Y., & Van Heck, H. (2017). Stress reactivity and emotion in premenstrual syndrome. Neuropsychiatric Disease and Treatment, 13, 1597–1602. Available at: https://www.tandfonline.com/doi/ full/10.2147/NDT.S132001 DOI: ttps://doi.org/10.2147/NDT.S132001
- 8. Abay, H., & Kaplan, S. (2019). Current approaches in premenstrual syndrome management. Bezmialem Science, 7(2), 150–156. DOI: 10.14235/bas.galenos.2019.3290
Details
Primary Language
English
Subjects
Obstetrics and Gynocology Nursing
Journal Section
Research Article
Authors
Büşra Gök
*
0000-0002-5630-8368
Türkiye
Publication Date
March 3, 2026
Submission Date
December 3, 2025
Acceptance Date
December 30, 2025
Published in Issue
Year 1970 Volume: 17 Number: January, February, March 2026
EndNote
Gök B, Yaman Sözbir Ş, Şentürk Erenel A (March 1, 2026) Effect of the COVID-19 Pandemic on Female Health Professionals’ Abnormal Uterine Bleeding, Dysmenorrhea, and Premenstrual Syndrome Experiences. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 January, February, March 2026