ABNORMAL MENSTRUAL PATTERNS IN PATIENTS WITH PULMONARY TUBERCULOSIS

Abstract

Several studies have shown abnormal uterine bleeding (AUB) in pulmonary tuberculosis (TB) patients. Even so, Indonesia, as a country with high TB cases, does not seem to have much data regarding this disorder. This study aims to provide an overview of menstrual patterns in pulmonary TB patients as a consideration for clinicians to evaluate. This was a descriptive cross-sectional study using primary data. Subjects were women with pulmonary TB treated in DOTS clinic of Dr. H. A. Rotinsulu Lung Hospital and Center for Community Lung Health (BBKPM) Bandung, from January to February 2023. 40 Subjects were acquired through questionnaire-based interview. This study was conducted on 40 female patients diagnosed with pulmonary TB. The mean age of patients with pulmonary TB was 25.13 years. Before treatment, 50% of patients had normal menstruation, 55% of patients had dysmenorrhea with 37.5% had mild pain, 7.5% of patients had intermenstrual bleeding, 2.5% had secondary dysmenorrhea, and 7.5% had amenorrhea. After treatment, 45% of patients had normal menstruation, 47.5% of patients had dysmenorrhea with 35% experiencing mild pain. In addition, 12.5% had intermenstrual bleeding, 2.5% had secondary dysmenorrhea, and 15% had amenorrhea. Disorders such as frequent/infrequent menstruation, prolonged duration, irregularity, heavy production of blood intermenstrual bleeding, secondary dysmenorrhea, and amenorrhea can be found in pulmonary TB patients both prior and after treatment. There are indeed more findings of patients with abnormal menstruation after the treatment, but with small differences.

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Keywords

abnormal uterine bleeding, menstruation, pulmonary tuberculosis

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