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Cohort study, 2004

Does stress affect the menstrual cycle?

Over 2 years, women whose stress increased significantly had shorter cycles and shorter bleeds, while women with stable stress had longer cycles. A one-year snapshot showed no link.

Moderate study design Perimenopausal women in the Tremin Research Program.

What they did

Researchers tracked menstrual bleeding patterns and stressful life events in perimenopausal women from the Tremin Research Program. They analyzed data from one year and then looked at the same women over 2 years, grouping them by changes in stress level.

What they found

One year (206 women): no link between stress and cycle length or bleed duration. Over 2 years: women with marked stress increases (n=30) had cycles 0.2 days shorter and bleeds 0.1 day shorter, while women with stable stress (n=103) had cycles 2.9 days longer and bleeds 0.3 days longer (p < .05).

What it means for you

This study followed perimenopausal women, so findings may not apply to younger women with PMS. The actual cycle changes were very small (less than one day). The different results between one year and two years suggest the relationship between stress and cycles is complex.

206

Women in one-year analysis

0.2 days

Shorter cycles in stressed group

2.9 days

Longer cycles in stable-stress group

About the study

Original title
Association between psychological stress and menstrual cycle characteristics in perimenopausal women
Authors
Barsom SH, Mansfield PK, Koch PB et al.
Journal
Women's health issues : official publication of the Jacobs Institute of Women's Health
Year
2004
Study design
Cohort study
Participants
103
What was tested
No intervention; stress and cycle characteristics were observed.

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