Menstrual health without stigma From menarche to menopause, MenstrualHealth is intrinsically linked to general health and must find regular attention in clinical practice. MenstrualHygieneDay MHDay2023 WeAreCommitted
, there are no validated screening tools or screening programs for either. Formal diagnoses require additional burdens; for example, surgery for endometriosis, and 2–3 months of tracking of symptoms for PMDD. Efforts to increase education about menstrual health and related disorders need to be ramped up in the public, as well as in medical communities.
Beyond hormonal contraception, which can also carry problematic side effects such as depression, there are limited treatment options for people who struggle with potentially pathological menstrual symptoms. Research efforts for effective screening strategies and non-invasive and swift diagnoses, as well as availability of effective treatment options, must increase.
Medical interventions can also interfere with the menstrual cycle. Studies have shown that mRNA vaccines against COVID-19 can induce changes in menstrual cycle length. This observation was missed initially because potential adverse events related to or reflected in the menstrual cycle are generally not recorded in clinical trials, which raises questions about the mechanisms for the safeguarding of menstrual health before drugs and biologicals enter the market.
Patient-centered, standardized menstrual health outcomes need to be recorded by default in clinical work, as well as in research. Women, girls and other people who menstruate need to be involved in design of clinical studies in which they are being asked to participate. Open, stigma-free discourse in healthcare settings is essential for the generation of evidence-based knowledge on menstrual health and setting the course for a truly comprehensive approach to health.
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