Heavy menstrual bleeding and quality of life in women of reproductive age
DOI:
https://doi.org/10.37800/RM.2.2024.54-59Keywords:
Heavy uterine bleeding (HUB), normal uterine bleeding (NUB), quality of life assessment, menstrual bleedingAbstract
Relevance: Heavy uterine bleeding (НUB) is a severe medical problem in women of reproductive age. In the last 5-10 years, there has been an increase in the frequency of uterine bleeding and visits to a gynecologist. Even with all the achievements of modern medicine, the number of НUBs remains high in Kazakhstan and developed countries.
Uterine bleeding causes various discomfort in patients (physical, emotional, social, and material), reducing their reproductive potential. Upon admission to the hospital, women with HUB undergo emergency standard hemostatic therapy (conservative and surgical hemostasis). Currently, issues of optimization of therapeutic procedures, improvement of treatment quality and effectiveness of patients with HUB, measures for rehabilitation and prevention of possible relapses, and preservation of reproductive potential are essential. In connection with the above factors, it is urgent to ensure and improve the quality of life of women of reproductive age with HUB.
The study aimed to evaluate the impact of heavy uterine bleeding on the quality of life of women of reproductive age.
Materials and Methods: We conducted this work at the Obstetrics and Gynecology Department No. 2 of Astana Medical University in the Gynecology Department of the Multidisciplinary City Hospital of Astana No. 1 (Kazakhstan). We conducted the study in 2 stages. The first stage included the analysis of English-language articles - the second stage included a prospective analysis of the data of women with НUB of reproductive age.
Results: The prevalence of women with copious НUB who had visited the hospital in September 2023 (849 in total) was 46.64% (n =396), normal uterine bleeding (NUB) – 27.4% (n =233), mild uterine bleeding – 16.1% (n = 137) and absence of menstruation – 9.77% (n =83).
Conclusion: There was a significant difference in the perception of menstrual bleeding between women with HUBs and NUBs. Women with HUB were more likely to have episodes of blood flowing through pads and were much more disadvantaged in their daily lives than women with NUB, abstained and planned activities in connection with bleeding, and were more often absent from work 1-5 days a year. Thus, HUBs significantly reduce the quality of life of women of reproductive age.
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