Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients

Introduction: This study aims to determine the prevalence and the types of menstrual disorders among patients with systemic lupus erythematosus (SLE) and to identify factors that influence their development. Methods: 61 patients with SLE were enrolled into a cross-sectional, observational stud...

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Main Authors: Mohd Shah, Azarisman Shah, NNA, Fatnoon, D, Zainal
Format: Article
Language:English
Published: Singapore Medical Association 2008
Subjects:
Online Access:http://irep.iium.edu.my/17142/
http://irep.iium.edu.my/17142/1/Prevalence_and_Risk_Factors_for_Menstrual.pdf
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author Mohd Shah, Azarisman Shah
NNA, Fatnoon
D, Zainal
author_facet Mohd Shah, Azarisman Shah
NNA, Fatnoon
D, Zainal
author_sort Mohd Shah, Azarisman Shah
building IIUM Repository
collection Online Access
description Introduction: This study aims to determine the prevalence and the types of menstrual disorders among patients with systemic lupus erythematosus (SLE) and to identify factors that influence their development. Methods: 61 patients with SLE were enrolled into a cross-sectional, observational study at the medical outpatient clinic, Hospital Universiti Sains Malaysia. A total of 120 healthy women were selected randomly to act as the control group. A questionnaire was administered, vital signs were recorded, and blood was evaluated for routine investigations. A review of past medical records was also undertaken. Results: The mean age and standard deviation for the study group was 33.23 +/- 10.96 years, the majority being ethnic Malays. 75 percent had a severe SLE disease activity index score on initial presentation, and 59 percent were on cyclophosphamide. 49 percent of the study population had menstrual irregularities, of which 60 percent had sustained amenorrhoea. Nine patients with sustained amenorrhoea had hormonal assays, which confirmed the diagnosis of premature menopause. Conclusion: This study showed that SLE patients had a higher risk of developing menstrual irregularities compared to the normal/healthy population. The risk was higher in the older age group (greater than 30 years old) and those on cyclophosphamide therapy, especially those with a cumulative dose of more than 10 g. Sustained amenorrhoea was the commonest irregularity and a majority of them had confirmed premature menopause.
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spelling iium-171422012-01-26T08:42:44Z http://irep.iium.edu.my/17142/ Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients Mohd Shah, Azarisman Shah NNA, Fatnoon D, Zainal RC Internal medicine Introduction: This study aims to determine the prevalence and the types of menstrual disorders among patients with systemic lupus erythematosus (SLE) and to identify factors that influence their development. Methods: 61 patients with SLE were enrolled into a cross-sectional, observational study at the medical outpatient clinic, Hospital Universiti Sains Malaysia. A total of 120 healthy women were selected randomly to act as the control group. A questionnaire was administered, vital signs were recorded, and blood was evaluated for routine investigations. A review of past medical records was also undertaken. Results: The mean age and standard deviation for the study group was 33.23 +/- 10.96 years, the majority being ethnic Malays. 75 percent had a severe SLE disease activity index score on initial presentation, and 59 percent were on cyclophosphamide. 49 percent of the study population had menstrual irregularities, of which 60 percent had sustained amenorrhoea. Nine patients with sustained amenorrhoea had hormonal assays, which confirmed the diagnosis of premature menopause. Conclusion: This study showed that SLE patients had a higher risk of developing menstrual irregularities compared to the normal/healthy population. The risk was higher in the older age group (greater than 30 years old) and those on cyclophosphamide therapy, especially those with a cumulative dose of more than 10 g. Sustained amenorrhoea was the commonest irregularity and a majority of them had confirmed premature menopause. Singapore Medical Association 2008 Article PeerReviewed application/pdf en http://irep.iium.edu.my/17142/1/Prevalence_and_Risk_Factors_for_Menstrual.pdf Mohd Shah, Azarisman Shah and NNA, Fatnoon and D, Zainal (2008) Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients. Singapore Medical Journal, 49(5) (413). ISSN 0037-5675 http://smj.sma.org.sg/smjcurrent.html
spellingShingle RC Internal medicine
Mohd Shah, Azarisman Shah
NNA, Fatnoon
D, Zainal
Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title_full Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title_fullStr Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title_full_unstemmed Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title_short Prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
title_sort prevalence and risk factors for menstrual disorders among systemic lupus rythematosus patients
topic RC Internal medicine
url http://irep.iium.edu.my/17142/
http://irep.iium.edu.my/17142/
http://irep.iium.edu.my/17142/1/Prevalence_and_Risk_Factors_for_Menstrual.pdf