Alhumaidan Lama, Alrefaei Ghaday M, Alfantoukh Abdulrahman M, Alsaeri Amer S, Almuayrifi Mohammed J, Alfehaid Mohammed, Al-Kadi Azzam S
College of Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
College of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus. 2024 Feb 26;16(2):e54964. doi: 10.7759/cureus.54964. eCollection 2024 Feb.
Adults in Saudi Arabia are more likely to be obese, which has negative effects on reproductive health, especially for women. While bariatric surgery (BS) provides a sustainable approach, little is known about how it affects menstrual health and requires a study among the Saudi demographic.
The current investigation is a cross-sectional study conducted in Saudi Arabia. Data were collected using an online questionnaire to assess the impact of BS on menstrual abnormalities in women. Data were cleaned in Excel and analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 24.0, Armonk, NY).
This study included 516 Saudi women who underwent various BS procedures, with 37.2% aged 18-30 years and 97.9% residing in Saudi Arabia. Approximately 85.9% underwent sleeve gastrectomy (SG), experiencing a mean weight loss of 54.2 kg. Co-morbidities included polycystic ovary syndrome (PCOS) (12.4%), hypothyroidism or hyperthyroidism (11%), uterine fibroids (4.7%), and hormonal imbalances (2.5%). Post-surgery, 18% encountered BS complications from BS, while 8.3% used antidepressants. Moderate sports participation ranged from 12.2% (five or more days) to 36.2% (one to three days). In particular, no significant associations were found between complications and various parameters, except a marginal association with educational level (p=0.071). The number of menstruations per year did not change statistically significantly, remaining constant at 10.6±4.8 before surgery and 10.6±4.9 after surgery (p = 0.859). However, there was a mild decrease in the amount and duration of menstruation, reported by 23.3% and 27.3% of the participants preoperatively and post-operatively, respectively.
The study demonstrates the impact of BS on menstrual abnormalities in Saudi women. Despite a significant weight reduction, we found mild improvement in the amount and duration of menstruation with no substantial effect observed on the menstrual cycle frequency. Psychological support after surgery is crucial, considering the increased use of antidepressants.
沙特阿拉伯的成年人更易肥胖，这对生殖健康有负面影响，尤其是对女性。虽然减肥手术提供了一种可持续的方法，但对于其如何影响月经健康却知之甚少，因此需要在沙特人群中开展一项研究。
当前的调查是在沙特阿拉伯进行的一项横断面研究。通过在线问卷收集数据，以评估减肥手术对女性月经异常的影响。数据在Excel中进行清理，并使用社会科学统计软件包（IBM SPSS Statistics for Windows，IBM公司，版本24.0，纽约州阿蒙克）进行分析。
本研究纳入了516名接受各种减肥手术的沙特女性，其中37.2%的年龄在18至30岁之间，97.9%居住在沙特阿拉伯。约85.9%的人接受了袖状胃切除术（SG），平均体重减轻了54.2千克。合并症包括多囊卵巢综合征（PCOS）（12.4%）、甲状腺功能减退或亢进（11%）、子宫肌瘤（4.7%）以及激素失衡（2.5%）。术后，18%的人出现了减肥手术并发症，8.3%的人使用了抗抑郁药。适度运动参与率从12.2%（五天或更多天）到36.2%（一至三天）不等。特别是，除了与教育水平有微弱关联（p = 0.071）外，未发现并发症与各种参数之间存在显著关联。每年的月经次数在统计学上没有显著变化，术前为10.6±4.8次，术后为10.6±4.9次（p = 0.859）。然而，分别有23.3%和地7.3%的参与者术前和术后报告月经量和月经持续时间略有减少。
该研究证明了减肥手术对沙特女性月经异常的影响。尽管体重显著减轻，但我们发现月经量和月经持续时间有轻微改善，而对月经周期频率没有观察到实质性影响。考虑到抗抑郁药使用增加，术后的心理支持至关重要。
