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How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study

BACKGROUND: There is increasing recognition that menstruating women prescribed anticoagulants experience heavy menstrual bleeding. OBJECTIVES: The aim of this study is to report the extent of bleeding in menstruating women after commencing anticoagulants and the impact it has on their quality of lif...

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Autores principales: Patel, Jignesh P., Nzelu, Obianuju, Roberts, Lara N., Johns, Jemma, Ross, Jackie, Arya, Roopen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969064/
https://www.ncbi.nlm.nih.gov/pubmed/36861116
http://dx.doi.org/10.1016/j.rpth.2023.100072
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author Patel, Jignesh P.
Nzelu, Obianuju
Roberts, Lara N.
Johns, Jemma
Ross, Jackie
Arya, Roopen
author_facet Patel, Jignesh P.
Nzelu, Obianuju
Roberts, Lara N.
Johns, Jemma
Ross, Jackie
Arya, Roopen
author_sort Patel, Jignesh P.
collection PubMed
description BACKGROUND: There is increasing recognition that menstruating women prescribed anticoagulants experience heavy menstrual bleeding. OBJECTIVES: The aim of this study is to report the extent of bleeding in menstruating women after commencing anticoagulants and the impact it has on their quality of life. METHODS: Women aged 18 to 50, initiated on anticoagulant therapy, were approached to take part in the study. In parallel, a control group of women was also recruited. Women were asked to complete the menstrual bleeding questionnaire and a pictorial blood assessment chart (PBAC) during their next 2 menstrual cycles. Differences between the control and anticoagulated group were compared. Significance was considered at < .05. Ethics committee approval: REC reference: 19/SW/0211. RESULTS: Fifty-seven women in the anticoagulation and 109 women in the control group returned their questionnaires. Women in the anticoagulated group reported an increase in the median length of their menstrual cycle from 5 to 6 days after commencing anticoagulation, compared to 5 days for women in the control group (P < .05). Anticoagulated women reported significantly higher PBAC scores as compared to the control group (P < .05), with two-thirds of women in the anticoagulation group reporting heavy menstrual bleeding. Women in the anticoagulation group reported worsening quality of life scores following the initiation of anticoagulation, compared with women in the control group (P < .05). CONCLUSION: Heavy menstrual bleeding occurred in two-thirds of women commencing anticoagulants, who completed a PBAC, which had negative impact on their quality of life. Clinicians commencing anticoagulation therapy should be mindful of this, and recognized measures should be taken to help minimize this problem for menstruating individuals.
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spelling pubmed-99690642023-02-28 How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study Patel, Jignesh P. Nzelu, Obianuju Roberts, Lara N. Johns, Jemma Ross, Jackie Arya, Roopen Res Pract Thromb Haemost Original Article BACKGROUND: There is increasing recognition that menstruating women prescribed anticoagulants experience heavy menstrual bleeding. OBJECTIVES: The aim of this study is to report the extent of bleeding in menstruating women after commencing anticoagulants and the impact it has on their quality of life. METHODS: Women aged 18 to 50, initiated on anticoagulant therapy, were approached to take part in the study. In parallel, a control group of women was also recruited. Women were asked to complete the menstrual bleeding questionnaire and a pictorial blood assessment chart (PBAC) during their next 2 menstrual cycles. Differences between the control and anticoagulated group were compared. Significance was considered at < .05. Ethics committee approval: REC reference: 19/SW/0211. RESULTS: Fifty-seven women in the anticoagulation and 109 women in the control group returned their questionnaires. Women in the anticoagulated group reported an increase in the median length of their menstrual cycle from 5 to 6 days after commencing anticoagulation, compared to 5 days for women in the control group (P < .05). Anticoagulated women reported significantly higher PBAC scores as compared to the control group (P < .05), with two-thirds of women in the anticoagulation group reporting heavy menstrual bleeding. Women in the anticoagulation group reported worsening quality of life scores following the initiation of anticoagulation, compared with women in the control group (P < .05). CONCLUSION: Heavy menstrual bleeding occurred in two-thirds of women commencing anticoagulants, who completed a PBAC, which had negative impact on their quality of life. Clinicians commencing anticoagulation therapy should be mindful of this, and recognized measures should be taken to help minimize this problem for menstruating individuals. Elsevier 2023-02-04 /pmc/articles/PMC9969064/ /pubmed/36861116 http://dx.doi.org/10.1016/j.rpth.2023.100072 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Patel, Jignesh P.
Nzelu, Obianuju
Roberts, Lara N.
Johns, Jemma
Ross, Jackie
Arya, Roopen
How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title_full How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title_fullStr How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title_full_unstemmed How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title_short How do anticoagulants impact menstrual bleeding and quality of life? - The PERIOD study
title_sort how do anticoagulants impact menstrual bleeding and quality of life? - the period study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969064/
https://www.ncbi.nlm.nih.gov/pubmed/36861116
http://dx.doi.org/10.1016/j.rpth.2023.100072
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