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COVID Vaccination and Menstrual Cycle- An Overview

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COVID-19 vaccination can cause temporary changes in a woman's menstrual cycle. Read this article to know more.

Medically reviewed by

Dr. Sunita Kothari

Published At December 27, 2022
Reviewed AtApril 18, 2023

The COVID-19 vaccination protects against the deadly SARS- coV- 2 infections. The COVID-19 pandemic affected the world and wretched havoc. The COVID-19 vaccination came as a savior when the world was crippled with the pandemic. Various vaccines were introduced in the market, such as AstraZeneca, Pfizer, Moderna, Sputnik, and Covaxin. However, there has been resistance to vaccinations for many reasons. Disturbance in the menstrual cycle is one of them. Minor changes were noticed in the menstrual cycle after women took covid vaccinations. This caused apprehensions about taking vaccinations.

What Changes Were Observed After Taking COVID-19 Vaccinations?

COVID-19 vaccinations can lead to mild changes in the menstrual cycle, such as changes in flow or duration of the cycle. This has also been established in various studies. However, doctors suggest that these changes should be ignored as vaccinations are more important than a few temporary changes.

What Did the Studies Indicate?

The relation between COVID-19 vaccination and menstruation as a study was published in the science advances journal. This study took the responses of about 35,000 women about menstruation after the COVID-19 vaccinations. The study included both premenopausal and postmenopausal women. The study did not consider the data of women between 45 and 55 years, as they may also experience irregular periods due to premenopausal symptoms.

What Are the Findings of the Study?

The findings of the study include the following:

1) 42 % of the women who received the vaccination reported minor changes in their menstrual cycles. They usually experienced higher than usual menstrual flow.

2) A few women observed this within seven days of getting their vaccination.

3) Other women observed it between the eighth and the 14th day. Some women also reported delays in periods along with more painful menstruation.

4) About 44 % of women experienced no changes at all. Around 14 % of women either experienced no changes or were a mix of both.

5) Women who have experienced pregnancy have reported higher levels of bleeding than others.

6) Women on hormonal therapy also experienced greater bleeding when compared to others.

7) Women with an intrauterine device (IUD) also experienced more bleeding when compared to the others.

The following group of people experienced greater bleeding when compared to others.

  • Older women above the age of 40 years.
  • Women who experienced fatigue as a side effect of COVID vaccination.
  • Women with gynecological issues, such as endometriosis, fibroids, and other issues.
  • Women on hormonal therapy.

What Can Be the Underlying Reason?

Menstruation is the cross-link between the ovaries and the brain. This link is so delicate that it can be disrupted by even small physical or mental stress. Vaccination can act as physical stress as it can produce a series of immune reactions in the body. Vaccination produces a strong immune response in the body. This may have caused disruptions in the menstrual cycle. This is concluded because a similar reaction was observed along with HPV (human papillomavirus) vaccination. However, this reaction is only temporary and is reversed on its own. This does not affect the fertility of the affected women.

What May Be the Implications of This Situation?

A woman's menstrual period can vary from month to month. Some variations are observed every month. However, women do not notice these changes. These changes are felt with increased intensity after the vaccinations due to the information that is available along with it. The way that ladies' periods got back to business as usual within a couple of cycles recommends that this was just a brief change - albeit the specialists forewarned that they do not yet have an adequate amount of information about resulting cycles to express this without a doubt.

The outcomes may likewise not be generalizable to the more extensive US (United States) or worldwide populace - or to ladies with hidden ailments that influence their periods: the ladies in this study were transcendently White, school-taught, with below-the-norm weight records (BMIs), and just those with reliably typical feminine cycle lengths were picked for examination. All things being equal, the scientists portrayed their discoveries as "consoling." "We find no populace level clinically significant change in period length related with Coronavirus immunization," they compose. It is also critical to recall that Coronavirus infection can change periods and other possibly hazardous entanglements. Getting immunization when one can is, in this way, significant.

What Should Be Done When a Person Notices Irregularities in Periods Post Vaccination?

The menstrual cycle is calculated from the first day of the period to the first day of the next period. A normal cycle can last between 24 to 38 days. The periods tend to get regular with age. During a person's 20s and 30s, the periods are known to be regular. After the age of 40 years, the periods tend to get a bit irregular owing to the impending menopause. During these menstruating years, the period flow, duration and cycle keep varying. Menopause starts with irregular periods and varying flow. Any abnormal variations in the periods should be consulted with a doctor. The breakthrough bleeding in premenopausal or postmenopausal women is associated with sudden stress levels. The vaccination may cause sudden stress to the reproductive system and cause sudden bleeding. Hence this should not be interlinked with the sudden return of periods. One should obtain a physician’s consultation if they experience any of the following:

  • Not having periods for more than 90 days.

  • Periods became irregular, which were otherwise regular.

  • If the cycle is always longer than 35 days.

  • If the cycle is always shorter than 21 days.

  • If the duration of periods is greater than seven days.

  • If there is the occurrence of spotting in between periods.

  • If the period is extremely painful.

Conclusion:

Certain temporary changes may occur to women's menstrual cycle due to COVID-19 vaccinations. Though widely reported, these changes are not proven yet.

Hence vaccinations should not be avoided for these minor variations. Vaccinations are more important than a few temporary variations as they are life-saving. However, major variations should not be ignored as they could signify underlying health conditions.

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Dr. Sunita Kothari
Dr. Sunita Kothari

Obstetrics and Gynecology

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