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When most people talk about stress, however, they are usually referring to chronic and/or negative forms of stress, such as having too many demands at school or work, or the death of a loved one .
Stress from extreme or traumatic situations has been linked to changes in the menstrual cycle. Stress and menstrual cycle are related to disorders including painful periods, heavy periods, and amenorrhea (no periods) . Some research has found that early life exposure to famine may be related to premature ovarian failure and earlier age of menopause.
Recent research has investigated How stress affects your period leading to Infrequent periods, irregular periods, and heavy or prolonged periods have all been explored in relation to the pandemic. However, more in-depth high-quality research is needed to determine the extent of these impacts.
Stress activates a hormonal pathway in the body called the hypothalamic-pituitary-adrenal (HPA) axis. This activation can increase levels of cortisol and corticotropin-releasing hormone (CRH). The HPA axis, cortisol, and CRH help control stress response in the body. CRH and cortisol release can decrease the production of reproductive hormones, potentially leading to abnormal ovulation, anovulation (i.e. no ovulation), or amenorrhea.
A recent systematic review found that higher levels of psychological stress were associated with irregular periods. However, there was not a consistent relationship between stress and cycle length. Higher levels of stress were linked to both shorter and longer menstrual cycles.
The studies may be conflicting because the stress of study participants may not have been equal. Furthermore, definitions of abnormal cycle lengths differ between the studies and rely heavily on self-reported data from participants, which can be more subjective. It’s also possible that different people respond to stress exposure in different ways.
High levels of stress may be linked to atypical period flow for some people . However, it may be that only certain types of stress affect menstrual flow. For example, stress associated with the COVID-19 pandemic has been linked to heavier period flows . One study of female athletes found that those with higher levels of perceived stress experienced more frequent heavy menstrual bleeding . However, academic stress does not seem to make periods heavier.
Once again, this conflicting data may reflect that there are many different types of stress, that each person’s body may respond differently, and that more research is needed in this area. Tracking your own experiences in the Clue app can help you identify your own unique trends.
High levels of stress might increase the perception of pain in general. Dysmenorrhea (painful periods) is more commonly reported among people with higher levels of self-reported stress . However, the intensity of period cramps may change depending on which type of stressor you experience. For example, exercise has a protective effect against dysmenorrhea . Some female athletes report less intense period cramps despite higher levels of stress .