Weisberg Edith, McGeehan Kevin, Fraser Ian S
a Family Planning NSW , Sydney , Australia.
b Department of Obstetrics Gynaecology & Neonatology , University of Sydney , Sydney , Australia.
Eur J Contracept Reprod Health Care. 2016 Dec;21(6):431-435. doi: 10.1080/13625187.2016.1225034. Epub 2016 Sep 13.
The aim of the study was to explore Australian women's experiences of menstruation and effect on quality of life (QoL).
A representative sample of women recruited through a commercial social research sampling organisation completed a detailed online questionnaire about menstruation. Specific detailed questions were asked about perceptions of heavy menstrual bleeding (HMB) and menstrual pain.
The questionnaire was completed by 1575 women aged 20-39 years. Most perceived their bleeding to be light (11.6%) or moderate (60.5%); 363 (22.5%) perceived it to be heavy and 86 (5.3%) very heavy. Women who experienced severe or very severe menstrual pain were significantly more likely to report periods as heavy or very heavy (p < .001). The prevalence ratios for being confined to bed during menstruation for women experiencing severe or very severe menstrual pain were 12.02 (95% CI: 5.71-25.31) and 15.93 (95% CI: 7.51-33.78), respectively, compared with women experiencing no pain. The prevalence ratios for being confined to bed were 1.58 (95% CI: 1.11-2.24) and 1.53 (95% CI: 1.04-2.25) for women with heavy or very heavy bleeding, respectively. Women who experienced severe or very severe menstrual pain associated with their HMB were >12 times more likely to be confined to bed for 0.5-1 day during menstruation than if they reported HMB without pain.
Severe menstrual pain with HMB has a much more profound effect on all aspects of women's QoL than HMB alone; it accounts for more days in bed and for loss of productivity.
本研究旨在探讨澳大利亚女性的月经经历及其对生活质量（QoL）的影响。
通过一家商业社会研究抽样机构招募的具有代表性的女性样本，完成了一份关于月经的详细在线问卷。针对月经过多（HMB）和痛经的认知，提出了具体的详细问题。
1575名年龄在20 - 39岁的女性完成了问卷。大多数人认为自己的月经量少（11.6%）或适中（60.5%）；363人（22.5%）认为月经量多，86人（5.3%）认为月经量非常多。经历严重或非常严重痛经的女性，报告月经量多或非常多的可能性显著更高（p < 0.001）。与无疼痛的女性相比，经历严重或非常严重痛经的女性在月经期间卧床的患病率分别为12.02（95% CI：5.71 - 25.31）和15.93（95% CI：7.51 - 33.78）。月经量多或非常多的女性卧床的患病率分别为1.58（95% CI：1.11 - 2.24）和1.53（95% CI：1.04 - 2.25）。与报告无痛经的HMB女性相比，经历与HMB相关的严重或非常严重痛经的女性在月经期间卧床0.5 - 1天的可能性要高出12倍以上。
伴有HMB的严重痛经对女性生活质量各方面的影响比单独的HMB更为深远；它导致更多的卧床天数和生产力损失。
