The possible role of abnormal uterine bleeding in cardiovascular health during perimenopausal age
DOI:
https://doi.org/10.15574/HW.2025.4(179).1622Keywords:
cardiovascular disease, menopause, abnormal uterine bleeding, wartime stressAbstract
The manifestation of cardiovascular disease (CVD) in women typically occurs during menopausal transition. Abnormal uterine bleeding (AUB) in perimenopausal women could capture the disaster settings during wartime.
Aim – to study the possible pathogenic peculiarities of CVD in perimenopausal women with AUB in a frontline city.
Material and methods. The 49 perimenopausal women were enrolled in the study. The 26 women without excessive menstrual loss were included in Group I. The 23 women with AUB were involved in Group II. The variables of body mass index (BMI), menopausal Cooperman’s score and anxiety and stress levels in the study groups were measured. The lipid and carbohydrate metabolism variables, C-reactive protein were detected.
Results. The data obtained showed that the variables of BMI, Cooperman’s score, metabolic markers, and CRP were almost similar in the study groups. However, the level of anxiety and stress variables was significantly higher in women with AUB. The variable of BMI demonstrated weak or moderate correlation with HOMA index, blood serum insulin concentration, and CRP. The multivariate logistic regression supported the link between AUB and the Taylor scale score.
Conclusion. The increased Spielberger scale score, Taylor scale scores, and perceived stress scale score were found in perimenopausal women with AUB. The logistic regression supported the link between AUB and the anxiety Taylor scale score. The disturbed psychological status could be a valuable addition to anti-aging programs during wartime.
The research was carried out in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
References
Cohen A, Haimov I, Szepsenwol O. (2024, Dec). Associations of sleep quality with war-related anxiety, childhood stressors, and war-related stressors in a sample of adult Israeli civilians during the Hamas-Israel war. J Psychiatr Res. 180: 394-401. https://doi.org/10.1016/j.jpsychires.2024.11.003; PMid:39531946
Cuschieri S. (2019, Apr). The STROBE guidelines. Saudi J Anaesth. 13; Suppl 1: S31-S34. https://doi.org/10.4103/sja.SJA_543_18; PMid:30930717 PMCid:PMC6398292
Hu J, He L. (2025, May 16). Factors associated with anxiety and depression in perimenopausal women with abnormal uterine bleeding: A retrospective cohort study. BMC Psychol. 13(1): 514. https://doi.org/10.1186/s40359-025-02853-3; PMid:40380333 PMCid:PMC12084912
Izakova L, Hlavacova N, Jezova D. (2021, Sep 16). Steroid stress hormone changes throughout the menstrual cycle: A rise in evening aldosterone concentration in early luteal phase precedes the symptoms of premenstrual syndrome. J Neuroendocrinol. 33(10): e13043. https://doi.org/10.1111/jne.13043; PMid:34595778
Jebasingh F, Thomas N. (2022, Jan 21). Barker Hypothesis and Hypertension. Front Public Health.;9:767545. https://doi.org/10.3389/fpubh.2021.767545; PMid:35127619 PMCid:PMC8814110
Kassem S, Vagedes J, Gressel O, Samuels N, Elias S, Ben-Arye E. (2025, Jul-Aug 01). Spirit and Sense: Autonomic Response to Integrative Medicine Intervention for Health Care Personnel During Wartime. Biopsychosoc Sci Med. 87(6): 380-387. https://doi.org/10.1097/PSY.0000000000001402; PMid:40511976
Lakhno I, Korovai S, Struk T, Pak S. (2023, Jun). The pathogenic pathways of cardiovascular disease in perimenopausal women. Prz Menopauzalny. 22(2): 59-63. https://doi.org/10.5114/pm.2023.127902; PMid:37674928 PMCid:PMC10477766
Lakhno IV. (2024). Dyslipidemia in Internally Displaced Middle-aged Women in Kharkiv During the War. Medicina Moderna Modern Medicine. 31(4): 331-336. https://doi.org/10.31689/rmm.2024.31.4.331
Lu H, Jiang H, Li C, Derisoud E, Zhao A, Eriksson G et al. (2024, Sep). Dissecting the Impact of Maternal Androgen Exposure on Developmental Programming through Targeting the Androgen Receptor. Adv Sci (Weinh). 11(36): e2309429. https://doi.org/10.1002/advs.202309429; PMid:39075722 PMCid:PMC11423211
Palmiero P, Caretto P, Amati F, Ciccone MM, Maiello M. (2025, Jul 2). Preeclampsia as a Risk Factor of Postmenopausal Cardiovascular Disease: A Cross-Sectional Study. Clin Pract. 15(7): 126. https://doi.org/10.3390/clinpract15070126; PMid:40710036 PMCid:PMC12293754
Ramesh S, James MT, Holroyd-Leduc JM, Wilton SB, Sola DY, Ahmed SB. (2022, May). Heart rate variability as a function of menopausal status, menstrual cycle phase, and estradiol level. Physiol Rep. 10(10): e15298. https://doi.org/10.14814/phy2.15298; PMid:35608101 PMCid:PMC9127980
Solanki JD, Atodaria KA, Joshi DR, Ghodadara CM, Parmar J. (2025, Apr-Jun). Perceived Subjective Stress and its Association with 5-min Electrocardiogram-based Heart Rate Variability in Middle-aged Women of an Urban Area of West India. J Midlife Health. 16(2): 192-200. https://doi.org/10.4103/jmh.jmh_207_24; PMid:40636835 PMCid:PMC12237249
Tian Y, Bai B, Wang L, Zhou Z, Tang J. (2024, Apr 18). Contributing factors related to abnormal uterine bleeding in perimenopausal women: a case-control study. J Health Popul Nutr. 43(1): 52. https://doi.org/10.1186/s41043-024-00540-4; PMid:38637861 PMCid:PMC11025148
Wenner MM, Shenouda N, Shoemaker L, Kuczmarski A, Haigh K, Del Vecchio A et al. (2024, Nov 1). Characterizing vascular and hormonal changes in women across the life span: a cross-sectional analysis. Am J Physiol Heart Circ Physiol. 327(5): H1286-H1295. https://doi.org/10.1152/ajpheart.00373.2024; PMid:39365671 PMCid:PMC11559635
Yazdanpanahi Z, Hajifoghaha M, Hesamabadi A-k et al. (2024). Comparison of depression, anxiety, perceived stress, and resilience in parents faced with abortion in Iran: a longitudinal study. BMC Psychol. 12: 575. https://doi.org/10.1186/s40359-024-02078-w; PMid:39425160 PMCid:PMC11490087
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Ukrainian Journal Health of Woman

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The policy of the Journal UKRAINIAN JOURNAL «HEALTH OF WOMAN» is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license (СС BY-NC).
Authors transfer the copyright to the Journal UKRAINIAN JOURNAL «HEALTH OF WOMAN» when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.