The impact of menstrual disorders on quality of life in women with inherited bleeding disorders

Abstract

Menorrhagia, heavy menstrual bleeding, is a common condition that has a substantial impact on the lives of many women. The objective measurement of menorrhagia is often impractical; therefore diagnosis and treatment are usually based on the direct perception of the woman. Menstrual problems are likely to be worse in women with bleeding disorders, as they are more likely to have heavy and painful menstrual periods and ovulation bleeding and pain. These can have a major impact on the quality of women's lives, especially those who suffer heavy menstruation. These problems can also lead to limitations at work and school and hinder educational and academic achievements. Only few studies describe how quality of life (QOL) changes in women with an underlying haemostatic defect; poorer QOL being associated with more frequent bleeding symptoms. Early recognition, accurate diagnosis and appropriate management of bleeding disorders should improve not only the quality of care for affected women but also their QOL. Increased awareness of the high prevalence of menstrual problems especially menorrhagia is essential for early diagnosis and provision of appropriate treatments without any delay. Accurate knowledge of the impact of menorrhagia on health-related quality of life (HRQOL) and its adequate assessment help individualize treatment and assess the magnitude of changes in HRQOL. An ideal situation would be to use a generic and a disease-specific measure together so that comparisons can be made on a general and disease-specific level.

Epidemiology of Dysmenorrhea among University Students in Egypt

“…Dysmenorrhea is a public health concern as it carries negative impacts on physical and emotional health, school attendance, and academic achievement [1,3]. In this cross-sectional study, the occurrence of …”

“…Although it may present alone, variant complaints usually accompany in the form of achings and spasms, gasterointestinal tract (GIT) symptoms or irritation and nervousness [1]. Dysmenorreha usually affect young women at school/university age leading to school/university absence, academic underachievement and undermined quality of life [1][2][3]. However, the awareness of young women about dysmenorrhea, which depends mainly on the source of knowledge, may have an impact on their ability to cope with such symptoms [4].…”

Menstrual disorders: The implications on health and academic activities of female undergraduates in a federal university in Nigeria

“…The disorders in cycles or its irregularities are major gynaecological problems among women (adolescents inclusive) in their reproductive years and a major source of anxiety to them and their family [9,10] . Previous studies also show a high prevalence of one or more types of menstrual irregularity among female students and that these problems affect the women's social activities and school attendance [7,11,12] . For example, studies have associated menstrual disorders with one of those common causes of psychological stress, regular absenteeism among young women in schools, work places, sports participation and other public functions [2,6,7,10,11,13] .…”

Healthcare Utilization of Gynecological and Reproductive Morbidities: Role of Intra-Familial Relations and Empowerment among Women, Rural India

“…(Duley, 2009). Other studies showed that nutrition and body mass index (Fujiwara & Nakata, 2010;Vyver, Steinegger, & Katzman, 2008) show that complications such as polycystic ovary syndrome and infertility (Lambert-Messerlian et al, 2011) & Steege, 1996), and limitations on attendance from regular day to day life and missed activities (Houston et al, 2006;Kadir, Edlund, & Von Mackensen, 2010). The studies on healthcare for GARMs include the medication of such disorders (Ganzevoort et al, 2005;Visser & Wallenburg, 1995;Walker, Greer, & Calder, 1983;Walraven et al, 2002) but mostly from developed region.…”