1 Volume 3 Issue1 International Journal of Occupational and Environmental Hygiene Research Article El-Badry A, et al. Int J Occup Environ Hyg 3:107. DOI: 10.29011/IJOEH-107.100107 Menstrual Irregularities, Urogenital Symptoms and Hormonal Changes Among Nurses of the Delivery Rooms in Menoufa Governorate, Egypt Aziza El-Badry 1* , Mohamed Rezk 2 , Eman Masoud 3 1 Department of Public Health and Community Medicine, Menoufa University, Menoufa, Egypt 2Department of Obstetrics and Gynecology, Menoufa University, Menoufa, Egypt 3 Department of Medical Biochemistry, Faculty of Medicine, Menoufa University, Menoufa, Egypt * Corresponding author: Aziza El-Badry, Department of Public Health and Community Medicine, Menoufa University, Menou- fa, Egypt. Tel: +20-1006237186, +20-1146256413; Email: m_rezk9207@yahoo.com Citation: El-Badry A, Rezk M, Masoud E (2019) Menstrual Irregularities, Urogenital Symptoms and Hormonal Changes Among Nurses of the Delivery Rooms in Menoufa Governorate, Egypt. Int J Occup Environ Hyg 3:107. DOI: 10.29011/IJOEH- 107.100107 Received date: 7 February, 2019; Accepted date: 8 March, 2019; Published date: 15 March, 2019 Abstract Objective: to assess the effect of occupational stress on menstrual cycle, urogenital and hormonal changes among nurses working in the delivery rooms. Methods: a cross-sectional study included 162 nurses (exposed group) and 114 administrative workers (non-exposed group). Demographic, medical and occupational data were collected followed by clinical examination and laboratory investigations. Outcome measures included menstrual disorders, urogenital symptoms and hormonal changes. Results: there is a highly signifcance of shift works, heavy lifting, standing duration and perceived job stress in the exposed group (p<0.001). More nurses experienced menstrual cycle irregularity, abnormal cycle pattern, urogenital symptom in addi- tion to higher serum prolactin (p<0.001). Conclusion: Occupational stress may be linked to an increased risk for menstrual disorders, urogenital symptoms and altered hormonal milieu in nurses working in the delivery rooms. Keywords: Hormonal Changes; Menstrual Irregularities, Nurses of the Delivery Rooms; Urogenital Symptoms, Introduction Work stress-related health effects have been thoroughly investigated with consistent associations with disorders of the cardiovascular [1], neurological and musculoskeletal systems [2,3]. However, less evidence is available on the negative sequalae on women’s reproductive health in terms of menstrual cycle disturbances, urogenital symptoms and hormonal milieu. Some studies confrmed an association between occupational stress and menstrual disorders [4,5] and others refute such association [6]. Many risk factors have been implicated in the increasing rates of urogenital infections among working women which include poor sanitation, low educational levels, immigration and occupational stress [7,8]. The aim of this study was to assess the occupational stress effect on menstrual cycle, urogenital complaints and hormonal changes among nurses working in the delivery rooms in Menoufa governorate, Egypt. Materials and Methods This was a cross-sectional study carried out at the department of Public Health and Community Medicine in collaboration with