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Archives of Obstetrics and Gynaecology

ISSN: 2692-787X

Research Article Open Access
Volume 5 | Issue 2 | DOI: https://doi.org/10.33696/Gynaecology.5.067

The Evaluation of Autonomic Dysfunction in Adolescent Patients with Premenstrual Syndrome

Ozlem Akbulut1,*, Ilker Ertugrul2, Melis Pehlivantürk-Kızılkan3, Musa Oztürk4, Orhan Derman5, Sinem Akgül5
  • 1Baskent University Medical Faculty, Department of Pediatrics, Lecturer, Ankara, Turkey
  • 2Hacettepe University Ihsan Dogramaci Children’s Hospital Department of Paediatric Cardiology, Professor, Ankara, Turkey
  • 3Hacettepe University Ihsan Dogramaci Children’s Hospital Division of Adolescent Medicine, Associate Professor, Ankara, Turkey
  • 4Hacettepe University Ihsan Dogramaci Children’s Hospital Department of Paediatric Cardiology, MD, Ankara, Turkey
  • 5Hacettepe University Ihsan Dogramaci Children’s Hospital Division of Adolescent Medicine, Professor, Ankara, Turkey
+ Affiliations - Affiliations

Corresponding Author

Ozlem Akbulut, dr.ziraatci@hotmail.com

Received Date: June 27, 2024

Accepted Date: August 07, 2024

Citation:

Akbulut O, Ertugrul I, Pehlivantürk-Kizilkan M, Oztürk M, Derman O, Akgül S. The Evaluation of Autonomic Dysfunction in Adolescent Patients with Premenstrual Syndrome. Arch Obstet Gynecol. 2024;5(2):87-94.


Copyright: © 2024 Akbulut O, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: The relationship between premenstrual syndrome (PMS) and autonomic nervous system (ANS) is complex, with limited data on PMS-related stress further inducing disturbances in the ANS balance. We aimed to investigate the ANS functions through heart rate changes in adolescents with and without PMS.

Method: Participants aged 12-18 years were evaluated for the presence of PMS with the premenstrual syndrome scale and seperated into PMS and control groups. All participants were evaluated by 12-lead surface electrocardiography (ECG) and 24-hour rhythm Holter recordings during the follicular and luteal phases of the menstrual cycle.

Results: A total of 48 participants (29 PMS, 19 control) were included in our study. The mean age was 15.37 ± 1.42 years in the PMS group and 14.66 ± 1.36 years in the control group. ECG (ventricular rate, PR interval, QRS duration, QT and QTc) and holter (SDNN-ms, SDNNi, RMS_SD, Triangular index) data did not differ in both groups and between phases.

Conclusions: Our results showed that autonomic activity in adolescents with PMS does not vary from that of the control group or according to menstrual cycle phases. This might be attributed to the potential correlation between the augmentation of autonomic activity response and both age and the severity of the illness.

Keywords

Premenstrual syndrome, Adolescent, Autonomic nervous system, Heartrate variability, Autonomic dysfunction, Sympathetic activity

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