Correlation of menstrual distress to severity of gastrointestinal symptoms in inflammatory bowel disease patients

Thomas, Anusha Shirwaikar; Duran, Antonio; Abraham, Bincy

doi:10.1007/s12664-020-01064-5

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Sex hormones can affect gastrointestinal motility and pain sensitivity. It has been observed that worsening of gastrointestinal symptoms in the premenstrual or menstrual cycle can occur in people with IBD and this may affect the clinical assessment of IBD activity ( 7–12 ).…”

Section: What Is the Impact Of Sex And Gender On The Epidemiology Of ...mentioning

confidence: 99%

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

Targownik,

Bollegala,

Huang

et al. 2023

Journal of the Canadian Association of Gastroenterology

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Sex (the physical and physiologic effects resulting from having specific combinations of sex chromosomes) and gender (sex-associated behaviours, expectations, identities, and roles) significantly affect the course of inflammatory bowel disease (IBD) and the experience of living with IBD. Sex-influenced physiologic states, like puberty, the menstrual cycle, pregnancy, and andropause/menopause may also impact and be impacted by IBD. While neither Crohn’s disease nor ulcerative colitis is commonly considered sex-determined illnesses, the relative incidence of Crohn’s disease and ulcerative colitis between males and females varies over the life cycle. In terms of gender, women tend to use healthcare resources at slightly higher rates than men and are more likely to have fragmented care. Women are more commonly prescribed opioid medications and are less likely than men to undergo colectomy. Women tend to report lower quality of life and have higher indirect costs due to higher rates of disability. Women are also more likely to take on caregiver roles for children with IBD. Women with IBD are more commonly burdened with adverse mental health concerns and having poor mental health has a more profound impact on women than men. Pregnant people with active IBD have higher rates of adverse outcomes in pregnancy, made worse in regions with poor access to IBD specialist care. The majority of individuals with IBD in Canada do not have access to a pregnancy-in-IBD specialist; access to this type of care has been shown to allay fears and increase knowledge among pregnant people with IBD.

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Section: What Is the Impact Of Sex And Gender On The Epidemiology Of ...mentioning

confidence: 99%

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

Targownik,

Bollegala,

Huang

et al. 2023

Journal of the Canadian Association of Gastroenterology

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“…In a study by Shirwaikar Thomas et al [ 17 ], patients with lower menstrual distress scores had better quality of life for IBD[ 17 ].…”

Section: Ibd and The Menstrual Cyclementioning

confidence: 99%

“…Another study assessed the severity of GI symptoms in patients with IBD who underwent biological therapy vs traditional treatments during menstruation. There were no discernible differences between the two groups of patients[ 17 ].…”

Section: Ibd and The Menstrual Cyclementioning

confidence: 99%

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Menstrual cycle abnormalities in women with inflammatory bowel disease and effects of biological therapy on gynecological pathology

Malinauskiene,

Zuzo,

Liakina

et al. 2023

World J Clin Cases

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The modern medical education system has gradually evolved starting from 1910 incorporating the suggestions by Abraham Flexner, his public disclosure of the poor conditions at many medical schools provided a means to galvanize all the constituencies needed for reform to occur. He could say what other reformers could not, due to their links to the medical education community. But now we are again going back to a pre-Flexnerian state due to multiple reasons such as gradually diminishing importance of basic science subjects for the students, the decline in the number and quality of investigator initiated research among clinical researchers, lesser emphasis to bedside training by means of detailed clinical examination and making appropriate observation of signs to reach to a diagnosis rather than over reliance on the laboratory tests and radiological modalities for the diagnosis, poor exposure to basic clinical skills starting from college throughout residency and the trend of disrespect and absenteeism from both theoretical and clinical/practical classes. The attitude of students is just to complete their required attendance so that they are not barred from appearing in examinations. This de-Flexnerization trend and regression to pre-Flexnerian era standards, ideologies, structures, processes, and attitudes, are bound to beget pre-Flexnerian outcomes, for you get what you designed for.

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“…Among the triggers implicated the flare of inflammatory bowel disease (IBD) symptoms are variations in ovarian hormones with the menstrual cycle [23]. Thomas and colleagues from Houston Methodist Hospitall, Houston, USA conducted a survey of consecutive women with IBD and administered the short IBD questionnaire (SIBDQ) and evaluated correlation of menstrual symptoms using the Moos Menstrual Distress Questionnaire (MDQ) and endoscopic disease activity as recorded using the Mayo endoscopic score for ulcerative colitis and Simple Endoscopic Score (SES-CD) for Crohn's disease [24]. They noted a statistically negative correlation between MDQ and SIBDQ scores (p < 0.001), no correlation between SIBDQ, MDQ and endoscopic scores (p = 0.094, 0.626, respectively).…”

Section: Correlation Of Menstrual Distress To Severity Of Gastrointesmentioning

confidence: 99%

Indian Journal of Gastroenterology September-October 2020

Limdi

2020

Indian J Gastroenterol

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Correlation of menstrual distress to severity of gastrointestinal symptoms in inflammatory bowel disease patients

Cited by 6 publications

References 27 publications

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

Menstrual cycle abnormalities in women with inflammatory bowel disease and effects of biological therapy on gynecological pathology

Indian Journal of Gastroenterology September-October 2020

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