Assessment of Behavior of Women during Abnormal Menstrual Bleeding and Its Effect: An Observational Study
Background: Up to 30% of women suffer from heavy menstrual bleeding (HMB) at some point in their lives. Despite the high prevalence of HMB, many women lack a fundamental understanding of the disorder and often present to the emergency department seeking treatment rather than obtaining preventive care in outpatient health clinics. Hence; we planned the present study to assess behavior of women during abnormal menstrual bleeding.
Methods: A total of 50 subjects with abnormal bleeding and 50 subjects with normal menstrual bleeding were included in the present study. A self-framed questionnaire was prepared and was given to all the subjects. Complete demographic data of all the patients was obtained. The questionnaire covered the topics for covering the behavioral aspect of women during abnormal menstrual bleeding and it effect.
Results: ‘Significant results were obtained while comparing the behavior changes among the subjects of the normal bleeding group and of abnormal bleeding group. It was observed that abnormal bleeding had significant negative impact on the quality of life. It often resulted in significant limitation of work, avoidance of social activities, avoidance of travel and feeling of physical weakness. Conclusion: Abnormal bleeding pattern significantly affects the quality of life of women. Therefore, adequate awareness programs should be initiated by community health centers for increasing the awareness of general population about abnormal bleeding and its consequences.
2. O'Flynn N, Britten N. Menorrhagia in general practice--disease or illness. Social science & medicine (1982) 2000 Mar;50(5):651–661.
3. Warner PE, Critchley HO, Lumsden MA, Campbell-Brown M, Douglas A, Murray GD. Menorrhagia II: is the 80-mL blood loss criterion useful in management of complaint of menorrhagia? American Journal of Obstetrics & Gynecology. 2004;190(5):1224–1229.
4. Santer M, Warner P, Wyke S. A Scottish postal survey suggested that the prevailing clinical preoccupation with heavy periods does not reflect the epidemiology of reported symptoms and problems. J Clin Epidemiology. 2005;58:1206–1210.
5. Clark TJ, Khan KS, Foon R, Pattison H, Bryan S, Gupta JK. Quality of life instruments in studies of menorrhagia: a systematic review. European Journal of Obstetrics, Gynecology, & Reproductive Biology. 2002;104(2):96–104.
6. Hallberg L, Högdahl AM, Nilsson L, Rybo G. Menstrual blood loss-a population study. Variation at different ages and attempts to define normality. Acta Obstet Gynecol Scand. 1966;45(3):320-51.
7. Coutinho EM, Segal SJ. Is Menstruation Obsolete? New York: Oxford University Press; 1999
8. Shapley M, Jordan K, Croft PR. An epidemiological survey of symptoms of menstrual loss in the community. British Journal of General Practice. 2004;54:359–363.
9. Bitzer J, Serrani M, Lahav A. Womens attitudes towards heavy menstrual bleeding and their impact on quality of life. Open Access J Contraception. 2013;4:21-8.
10. Matteson KA, Scott DM, Raker CA, Clark MA. The menstrual bleeding questionnaire: development and validation of a comprehensive patient- reported outcome instrument for heavy menstrual bleeding. BJOG. 2015;122(5):681–689. doi:10.1111/1471-0528.13273.
11. Bhatiyani BR, Dhumale SV, Pandeeswari B. Knowledge, attitude and behaviour of women towards abnormal menstrual bleeding and its impact on quality of life. Int J Reprod Contracept Obstet Gynecol 2017;6:4291-6.
Copyright (c) 2019 O P Dudi, Sawai Khatri
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.