Mutlu Meryem, Köycü Alper, Erbek Selim, Özcan İbrahim
Kayseri City Training and Research Hospital, Hearing Speech and Balance Department, Kayseri, Turkey.
Department of Otorhinolaryngology and Head and Neck Surgery, Baskent University, Ankara, Turkey.
Eur Arch Otorhinolaryngol. 2025 Feb;282(2):1085-1093. doi: 10.1007/s00405-024-09084-z. Epub 2024 Nov 28.
The purpose of this study was to evaluate the effect of menstrual cycle phases on the vestibular system in healthy adult women.
A total of 40 healthy adult women aged 18-40 years without hearing or balance complaints were included in the study. The participants were administered the Vestibular Evoked Myogenic Potentials (VEMP) test, the Video Head Impulse Test (vHIT), the Dizziness Handicap Inventory (DHI), and the Hospital Anxiety and Depression Scale (HADS). Participants' pre- and post-menstrual test results were compared.
Cervical VEMP (cVEMP) and ocular VEMP (cVEMP) N1, P1 latency measurements and vHIT results of the participants before and after menstruation were not statistically significantly different (p > 0.05). A statistically significant difference was found in the participants' DHI and HADS scores before and after menstruation (p < 0.05).
It was observed that symptoms such as dizziness and anxiety, which are more common in the premenstrual period, were reflected in our subjective tests but not in our objective tests and clinic. This study will provide a benchmark for comparison in future studies of hormonal changes in menstrual cycle phases.
本研究旨在评估月经周期各阶段对健康成年女性前庭系统的影响。
本研究共纳入40名年龄在18至40岁之间、无听力或平衡问题主诉的健康成年女性。对参与者进行了前庭诱发肌源性电位（VEMP）测试、视频头脉冲测试（vHIT）、头晕残障量表（DHI）和医院焦虑抑郁量表（HADS）测试。比较了参与者月经前和月经后的测试结果。
参与者月经前后的颈肌前庭诱发肌源性电位（cVEMP）和眼肌前庭诱发肌源性电位（oVEMP）的N1、P1潜伏期测量值以及vHIT结果无统计学显著差异（p > 0.05）。月经前后参与者的DHI和HADS评分存在统计学显著差异（p < 0.05）。
观察到经前更常见的头晕和焦虑等症状在我们的主观测试中有体现，但在客观测试和临床检查中未体现。本研究将为未来月经周期各阶段激素变化研究提供比较基准。
