Reduced activity and quality of life in women soldiers with
The study finds the effect of heavy menstrual bleeding (HMB) and dysmenorrhea on daily activity and quality of life (QoL) in young women engaged in demanding activities.

A total of 422 Israeli women soldiers in combat and non-combat roles were included in this cross-sectional study. Participants were asked to consent and to complete study questionnaires. Outcome measures were pictorial bleeding assessment chart (PBAC), visual analog scale (VAS), a verbal multidimensional scoring system for assessment of dysmenorrhea, and approved Hebrew translated age-appropriate PedsQL™

- HMB (PBAC > 100) and severe HMB (PBAC > 185) were demonstrated in 181 and 96 participants, respectively.

- A high PBAC score was recorded in 20% who answered “no” or “unknown” in the questionnaire on having HMB.

- Mild, moderate, and severe dysmenorrhea was demonstrated in 80, 115, and 142 participants, respectively.

- The prevalence of HMB and dysmenorrhea was similar in soldiers in combat and non-combat roles.

- Diagnosis of HMB was related to the lower fitness-for-service score, history of bleeding, and dysmenorrhea. Daily activity and QoL were both affected by the severity of HMB and dysmenorrhea.

Underdiagnosis of HMB and dysmenorrhea is a combination of unawareness from the women's side and inattention from the system. In an era of women empowerment, each woman should be at the optimal physiological and psychological level to start her career, thus addressing the menstrual burden and providing effective treatment is needed in the military scenario and other demanding activities.

Journal of Pediatric & Adolescent Gynecology