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Case-control study, 2026

Do adolescents with heart disease have worse menstrual problems than healthy teenagers?

Adolescents with congenital heart disease had similar menstrual cycles and period pain to healthy controls. However, healthy controls were significantly more likely to miss school due to period pain and experienced more premenstrual bloating, anxiety, and mood swings.

Moderate study design 108 adolescents with congenital heart disease and 76 healthy controls aged 12 to 21 years

What they did

A case-control study comparing 108 adolescents with congenital heart disease (41 mild, 42 moderate, 25 severe) to 76 healthy controls aged 12 to 21 years who had started periods at least two years earlier. Researchers recorded menstrual histories and clinical data.

What they found

No significant differences between groups in age at first period, cycle length, period duration, or pad use per day. Period pain severity and frequency were similar. School absenteeism due to period pain was significantly higher in the healthy control group (p=0.037). Premenstrual physical symptoms, especially bloating, anxiety, and mood swings, were more frequent in healthy controls (p<0.05). Both groups received very little menstrual education from healthcare professionals.

What it means for you

Adolescents with heart disease experienced similar menstrual symptoms to healthy peers but seemed to cope better or tolerate symptoms better, missing less school. The main limit is this is a specific population with heart disease, so results may not apply to all adolescents.

108

adolescents with congenital heart disease

76

healthy control adolescents

p=0.037

significance of school absenteeism difference

About the study

Original title
Menstrual Health in Adolescents with Congenital Heart Disease
Authors
Aygün Arı D, Pehlivantürk Kızılkan M, Ertuğrul İ et al.
Journal
Journal of clinical research in pediatric endocrinology
Year
2026
Study design
Case-control study
Participants
108
What was tested
Not applicable (observational study)
Open access
Yes

Topics