The rate of failure and side effects of hormonal methods of menstrual suppression in Hajj pilgrims of Kerman province in 1402: a cross-sectional study

Articles in Press

Document Type : Original Article

Authors

1 Midwifery Master of Science Student, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran

2 Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center. Rafsanjan University of Medical Sciences. rafsanjan. Iran.

3 midwifery department. Rafsanjan university of medical sciences. Rafsanjan. Iran

4 Assistant Professor of Health Psychology Department of Psychiatric Nursing, School of Nursing and Midwifery ,Social Determinants of Health Research Center Rafsanjan ,University of Medical Sciences, Rafsanjan, Iran.

10.22038/ijogi.2025.82574.6211

Abstract

Background and purpose: According to religious orders, women during menstruation cannot perform many Hajj rituals. In the absence of a reliable method, confusion in the use of existing hormonal methods due to the occurrence of side effects provides the stress and anxiety of pilgrims. The present study was conducted with the aim of investigating the failure rate and side effects of menstrual suppression methods in Hajj pilgrims.



Materials and methods: In this descriptive-cross-sectional study, all female pilgrims aged 11-54, who were 537 people, who visited the Hajj from Kerman province in 1402, were investigated, and finally 247 people were included in the study. Information was received through a checklist and during a phone call. Data analysis was done using SPSS statistical software (version 22) and one-way variance, Tukey, chi-square and Fisher tests. A p value of less than 0.05 was considered significant.

Results: The most failure was related to megestrol users with the relative frequency of menstruation during travel 26.2% (P=0.003) and spotting 35.7% (P=0.026). 40.5% of women reported side effects during drug use. The most common complication was bleeding and spotting, which was 38.1% more in megestrol recipients than others. The average satisfaction score of megestrol recipients is significantly lower than that of GnRH agonist recipients, while the average satisfaction score of other methods did not differ significantly from each other. (P<0.05)

Conclusion: The present study showed that GNRH agonist has the least complications and failure and the highest satisfaction among hormonal methods of menstrual suppression.

Keywords

Main Subjects

The Iranian Journal of Obstetrics, Gynecology and Infertility

Articles in Press, Accepted Manuscript
Available Online from 23 June 2025

Files

Share

How to cite

Statistics