Menstrual Irregularities After COVID-19 Vaccination: Causes and Solutions - Obstetrics and Gynecology

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Menstrual issues after vaccination?


Doctor, I previously received the first dose of the BNT vaccine at school without any issues, but after the second dose, my menstrual cycle became irregular (with a lighter flow).
By the time I received the third dose of the BNT vaccine, my period completely stopped, and it has now been over four months.
Recently, I've been going to bed later (around 2 to 3 AM).
There is a family history of breast cancer and diabetes, and I'm wondering if my late nights could be a factor.
However, the fact that I haven't had a period for the previous three months is concerning, so I'm starting to suspect it might be related to the vaccine.
I've heard others say that drinking herbal remedies for menstrual regulation can induce a period immediately, but it can be quite painful.
I considered trying it for a day to see if it would help, but I'm unsure if it would be effective and I'm hesitant to try.
What could be the possible reasons for this, and how can I address it?

Nìmíng, 10~19 year old female. Ask Date: 2022/07/12

Dr. Lin Manying reply Obstetrics and Gynecology


Miss: Hello, it may not necessarily be related to the vaccine.
It is recommended to visit an obstetrician-gynecologist for an examination.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2022/07/12

More Info


Menstrual irregularities following COVID-19 vaccination have been reported by some individuals, and while the exact mechanisms are still being studied, there are several potential factors that could contribute to these changes.
Firstly, it is important to understand that the menstrual cycle is regulated by a complex interplay of hormones, and any significant stressor—be it physical, emotional, or environmental—can disrupt this balance. Vaccination, while generally safe and effective, can induce temporary physiological stress in the body as it mounts an immune response. This immune response can lead to inflammation and hormonal fluctuations, which may manifest as changes in menstrual patterns.
In your case, experiencing irregularities after the second and third doses of the BNT vaccine could be linked to this immune response. Research has suggested that some women may experience changes in their menstrual cycle after vaccination, including heavier or lighter periods, missed cycles, or changes in cycle length. However, these changes are typically temporary and resolve within a few cycles.
Additionally, lifestyle factors such as sleep patterns can also significantly impact menstrual health. You mentioned that you have been going to bed later than usual. Sleep deprivation or irregular sleep patterns can lead to hormonal imbalances, which may further exacerbate menstrual irregularities. Stress, whether from personal circumstances or health concerns (like family history of serious illnesses), can also play a role in menstrual health.
Regarding your concerns about the potential use of herbal remedies like "延經湯" (a traditional remedy for menstrual regulation), it is crucial to approach such treatments with caution. While some herbal remedies may have anecdotal support, their efficacy and safety are not always well-studied, and they can sometimes lead to adverse effects or interact with other medications. It is advisable to consult with a healthcare professional before trying any new treatment, especially if you have underlying health conditions or are taking other medications.

If your menstrual irregularities persist beyond a few cycles or if you experience other concerning symptoms (such as severe pain, heavy bleeding, or significant changes in your overall health), it would be prudent to seek medical advice. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly blood tests, to rule out any underlying conditions that may be contributing to your symptoms.

In summary, while it is possible that your menstrual irregularities are related to the COVID-19 vaccination, they could also be influenced by other factors such as stress, sleep patterns, and overall health. Monitoring your symptoms and maintaining a healthy lifestyle can be beneficial. If the irregularities continue, consulting with a healthcare provider would be the best course of action to ensure your health and well-being.

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