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Survey study, 2025

Does the COVID-19 vaccine affect menstrual cycles and PMS symptoms?

Yes. The study found a clear link between COVID-19 vaccination and menstrual cycle changes, with more changes in certain age groups and those with different period patterns.

Early or limited evidence 1208 women of reproductive age in Abha City, Saudi Arabia

What they did

Researchers surveyed 1208 women of reproductive age in Abha City, Saudi Arabia from January to June 2022. They asked about changes to menstrual cycles, PMS symptoms, and conception delays after receiving a COVID-19 vaccine.

What they found

A clear link was found between COVID-19 vaccination and menstrual cycle changes. Mood swings and lower back pain were the most common PMS symptoms reported. Age, whether periods were regular or irregular, and usual bleeding volume were linked to changes in the menstrual cycle after vaccination. Of 176 women asked about conception delays, 40% reported a 6-month delay after vaccination.

What it means for you

Women experienced menstrual cycle changes after COVID-19 vaccination. These changes were more likely in women of certain ages and those with different period patterns. However, this study cannot prove the vaccine caused these changes - it only shows they occurred together. The 6-month conception delay figure comes from a smaller group of 176 women.

1208

Women surveyed

66.9%

With menarche before age 13

40% (of 176)

With 6-month conception delay

About the study

Original title
Coronavirus disease 2019 vaccination and menstrual cycle changes: A cross-sectional study on females of reproductive age in Saudi Arabia
Authors
Eskandar M, Alassim A, Riaz F et al.
Journal
Medicine
Year
2025
Study design
Survey study
Participants
1,208
What was tested
COVID-19 vaccination (observed, not assigned by researchers)
Open access
Yes
Original abstract

Data supporting the evidence of changes in the menstrual cycle and premenstrual symptoms associated with coronavirus disease (COVID-19) is quite scarce. To determine the association between COVID-19 vaccination and menstrual cycle changes and its relationship with different types of vaccines among women of reproductive age in Abha City, Saudi Arabia. A cross-sectional study was conducted from January 2022 to June 2022, among participants from Asser region of Saudi Arabia by using a self-administered questionnaire through an electronic survey. Data analysis was performed using SPSS version 16.0. Among 1208 study subjects, majority (66.9%) of females had menarche at the age of <13 years, 17.2% had irregular periods, and 24.8% reported an average regularity of periods (23-35 days). A statistically significant association was found among females who experienced a change in their menstrual cycle after receiving COVID-19 vaccine. Mood swings and lower back pain were common symptoms of premenstrual syndrome symptoms. Only 15% females reported a delay in conception. Out of 176 females, 40% showed 6 month delay in conception after receiving vaccine. Multivariate logistic regression analysis showed that age, regularity of periods, and usual volume of bleeding were significantly associated with changes in the menstrual cycle after vaccination. The relationship between COVID-19 vaccine and associated changes on the menstrual cycle and premenstrual syndrome was established in our study. Further research is needed to produce concrete evidence regarding its relationship to eliminate vaccine hesitancy among women.

Reproduced under CC-BY.

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