A Smart + Strong Site
Subscribe to:
POZ magazine

Back to home » Treatment News » Top Stories

Most Popular Stories
Undetectable Viral Load Essentially Eliminates Transmission Risk in Straight Couples
FDA Approves New Single-Tablet HIV Regimen, Triumeq
Life Expectancy for Young People With HIV Is Nearly Normal
A 15-Year Jump in Life Expectancy for People With HIV
Scientists Devise Method of Snipping HIV From Immune Cells
Monkey HIV Vaccine Success Opens Door for Human Trials
HIV Combo Pill Less Toxic Thanks to New Form of Tenofovir
What's That Mean?
(just double-click it!)

If you don't understand one of the words in this article, just double-click it. A window will open with a definition from mondofacto's On-line Medical Dictionary. If the double-click feature doesn't work in your browser, you can enter the word below:

Most Popular Lessons
Aging & HIV
The HIV Life Cycle
Herpes Simplex Virus
Syphilis & Neurosyphilis
Treatments for Opportunistic Infections (OIs)
What is AIDS & HIV?
More News

Have medical or treatment news about HIV? Send press releases, news tips and other announcements to news@aidsmeds.com.

Click here for more news


October 11, 2010

New Guidelines Issued on Menstrual Disorders in HIV-Positive Women

The New York State Department of Health AIDS Institute has published new guidelines on menstrual disorders in HIV-positive women. The guidelines, created in collaboration with Johns Hopkins University in Baltimore, review the prevalence of and the potential causes of menstrual disorders in HIV-positive women. The guidelines also provide recommendations for care.

Menstrual Disorders and HIV

A number of menstrual disorders can occur in women. These can include the cessation of bleeding for greater than three months (amenorrhea), excessive and irregular bleeding (menometrorrhagia) and early menopause. Menopause is the process of age-related changes in hormones that ultimately result in the cessation of menstruation, usually by the time a woman is in her 50s or 60s.

Since the beginning of the HIV epidemic, there have been questions about how the disease affects menstruation and menopause in women. Earlier studies, conducted in the 1990s, offered conflicting pictures. Some studies suggested higher rates of menstrual disorders in HIV-positive women compared with HIV-negative women, whereas others found no difference between the two groups.

More recently, it has been suggested that any differences between HIV-positive and HIV-negative women are most likely to occur because of low CD4 cell counts. Conversely, protease inhibitors have also been shown to cause excessive bleeding in some studies, but this has only been confirmed in people with hemophilia.

What the Guidelines Say

The new guidelines recommend that providers thoroughly document their female patients’ complete menstrual histories and assess them for opportunistic infections, sexually transmitted infections (STIs), substance use and the use of both HIV and non-HIV medications.

Women experiencing abnormal bleeding are advised to work with their providers to determine the cause of the menstrual disorder. Some common sources of menstrual disorders include: pregnancies occurring outside the womb (ectopic pregnancy), ovarian cysts, certain types of cancers, STIs, chronic diseases (such as diabetes) and certain types of medications, including hormone therapies and antipsychotics.

The guidelines further recommend HIV-positive women with menstrual irregularities be evaluated the same as HIV-negative women, given that most problems will not be directly related to HIV. They stress, however, that the investigation and management of menstrual irregularities should be overseen by providers with gynecological expertise.

Lastly, women with vaginal pain, pregnancy and pain, or life signs (such as pulse, body temperature and respiration) indicating bleeding are advised to receive an emergency evaluation.

Search: Menstrual, menses, bleeding, monopause, amenorrhea, menometrorrhagia, smoking, antipsychotics, gynecology, vaginal, STI

Scroll down to comment on this story.


(will display; 2-50 characters)


(will NOT display)


(will display; optional)

Comment (500 characters left):

(Note: The AIDSmeds team reviews all comments before they are posted. Please do not include ":" "@" "<" ">" in your comment. The opinions expressed by people providing comments are theirs alone. They do not necessarily reflect the opinions of Smart + Strong, which is not responsible for the accuracy of any of the information supplied by people providing comments.)

Comments require captcha.
Please enter this number for verification:

| Posting Rules

Show comments (0 total)

[Go to top]

Quick Links
About HIV and AIDS
The Cure
Lab Tests
Clinical Trials
HIV Meds
Starting Treatment
Switching Treatment
Drug Resistance
Side Effects
Hepatitis & HIV
Women & Children
Fact Sheets
Treatment News
Community Forums
Conference Coverage
Health Services Directory
POZ Magazine
AIDSmeds on Twitter

Conference Coverage

XX International AIDS Conference
(AIDS 2014)
Melbourne, Australia
July 20 - 25, 2014

21st Conference on Retroviruses and Opportunistic Infections
(CROI 2014)
Boston, MA
March 3 - 7, 2014

7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention
(IAS 2013)
Kuala Lumpur, Malaysia
June 30 - July 3, 2013

more conference coverage

[ about AIDSmeds | AIDSmeds advisory board | our staff | advertising policy | advertise/contact us]
© 2016 Smart + Strong. All Rights Reserved. Terms of use and Your privacy.
Smart + Strong® is a registered trademark of CDM Publishing, LLC.