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Study, 2002

Does asthma get worse before menstruation because of airway inflammation?

Yes. Women with asthma that worsens before their period have more inflammation in their airways at that time. The differences were clear.

Early or limited evidence 11 women aged 17 to 40 who reported asthma symptoms that worsened before menstruation

What they did

11 women with asthma symptoms that worsened before their period were studied. During one menstrual cycle, they recorded their peak breathing flow, symptoms, and inhaler use daily. They also had breathing tests and inflammation tests measured twice: once on day 7 of their cycle and again on day 26, about 3 days before the next period.

What they found

Before menstruation, inflammation markers in the airways increased. A marker called FENO was 29.25 ppb before menstruation and 9.16 ppb after. Daytime symptom scores were higher before menstruation. White blood cells called eosinophils in sputum samples were 6.63 percent before menstruation and 4.09 percent after.

What it means for you

Asthma that gets worse before a period involves real inflammation in the airways, not just the airways getting narrower. The study was small (11 women), so larger studies are needed to confirm whether this applies to other women with this type of asthma.

11

Women studied

29.25 ppb

FENO level before menstruation

6.63%

Eosinophils before menstruation

About the study

Original title
Airway inflammation in premenstrual asthma
Authors
Oguzulgen IK, Turktas H, Erbas D
Journal
The Journal of asthma : official journal of the Association for the Care of Asthma
Year
2002
Study design
Study
What was tested
None. Measurements compared at two points in the menstrual cycle.

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