The Impact of Alcohol Consumption on Reproductive Health and Menstrual Cycle in Adolescent Girls: A Systematic Review

Articles in Press

Document Type : Review Article

Authors

1 Ph.D. Candidate, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Public Health, Khoy University of Medical Sciences, Khoy, Iran

10.22038/ijogi.2025.91188.6552

Abstract

Introduction: Given the increasing prevalence of alcohol consumption in Adolescence, examining its impact on reproductive health is of great importance. This study aimed to systematically review the available evidence on the association between alcohol consumption and outcomes related to menstrual cycle and fertility among adolescent girls.

Methods: This study employed a systematic review to investigate the impact of alcohol consumption on fertility and the menstrual cycle in adolescent girls. A comprehensive search was conducted in the following databases: PubMed, Scopus, Web of Science, Embase, the Cochrane Library, Google Scholar, SID, and Magiran for observational studies published from 2010 through January 2025. The screening process, data extraction, and quality assessment were performed independently by two researchers. Out of 911 initially identified records, 6 studies met the eligibility criteria and were selected for the final analysis. Data analysis was performed qualitatively using a narrative synthesis approach.

Results: Findings revealed that alcohol consumption among adolescent girls is associated with a range of menstrual problems and reproductive outcomes. Alcohol use, as a high-risk behavior, often co-occurs with other unhealthy habits such as smoking and physical inactivity, and is linked to increased menstrual irregularities, PMS, dysmenorrhea, and even early or unintended pregnancy.

Conclusion: This systematic review suggests that alcohol consumption may be an influential factor affecting reproductive health and menstrual cycle regulation in adolescent girls. The findings highlight the need to address alcohol use in reproductive health education programs, to design multi-level preventive interventions, and to conduct longitudinal studies to clarify causal relationships.

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The Iranian Journal of Obstetrics, Gynecology and Infertility

Articles in Press, Accepted Manuscript
Available Online from 01 November 2025

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