Women's Menstruation During the Covid-19 Pandemic

Study Overview
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Brief Summary
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The COVID-19 crisis has rapidly become the most significant public health crisis of our times. It has particularly impacted healthcare workers (HCW) due to the over-whelming of healthcare resources, as well as a critical absence of protective equipment and risk to their own health as well as the risk of exposure to their family. All these factors have likely resulted in significant levels of stress, anxiety, and affection of the general health

Detailed Description
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During the first wave of the pandemic, overstretched healthcare systems left health workers in hard-hit countries struggling with long working hours, fatigue, and extreme psychological stress. Rapidly vanishing supplies, national lockdown, and a feeding frenzy on the open market for personal protective equipment (PPE) led to shortages. Healthcare workers often had to care for patients with suspected or confirmed COVID-19 infection without proper training or adequate PPE. This contributed to an increased risk to healthcare workers during the initial phase of the pandemic. Study Methods: This is a retrospective cross-sectional study that will be conducted among healthcare professionals working in the obstetrics and gynecology department, Fayoum University Fayoum, Egypt. A survey-based study will be conducted between January 15 and March 1, 2022, using the database of Fayoum University. A self-administered online survey consisting of 80 questions was developed.

Official Title
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Recognizing Menstrual Disturbance During COVID-19 Pandemic Among Obstetrics and Gynecology Healthcare Professionals, Fayoum University Hospital.

Conditions
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Menstrual Irregularity, Stress Related Disorder, COVID-19 Pneumonia, Fear, Anxiety

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All obstetrics and gynecology department healthcare workers who were or had been resident, physicians or consultant physicians, nurses, and paramedical healthcare active during the COVID-19 pandemic period at a designated Fayoum university hospital, regardless of gender, age, experience, and duration of employment. Exclusion Criteria: Exclusion criteria: physicians who were retired or did not currently work in a designated COVID-19 hospital. Physicians from other specialties Physicians were on leave during the pandemic for various reasons.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of irregular menstrual cycle | Irregular menstrual cycle | 6 month after working in the pandemic | 
| Length of cycle | Length of cycle (days) | 6 month after working in the pandemic | 
| Rate of prolonged bleeding per cycle | Duration of bleeding (day) | 6 month after working in the pandemic | 
| Amount of flow | Number of used tampons (pads) during bleeding | 6 month after working in the pandemic | 
| Rate of dysmenorrhea | Dysmenorrhea status | 6 month after working in the pandemic | 
| Recognizing the stress related to work in the Covid-19 pandemic | The person is asked to answer the questions on the scale over the symptoms she has experienced during the past year including today'. Each item scores between 0 and 3 as none, mild, moderate, and severe, respectively. | 6 month after working in the pandemic | 
| Recognizing a change in sexual life | The participants will answer the survey by yes or no. | 6 month after working in the pandemic | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of differences in menstrual cycle length | Menstrual cycle difference between Covid-19 positive and negative healthcare workers (days) | 6 month after working in the pandemic | 
| The number of differences in bleeding days | Duration of bleeding difference between covid positive and negative healthcare workers (days) | 6 month after working in the pandemic | 
| The number of differences in the amount of flow | Amount of flow difference between covid positive and negative healthcare workers (tampons) | 6 month after working in the pandemic | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID-19, Work-related stress, Health care worker, Survey, Menstrual irregularity