Contraceptive Methods and the Impact of Menstruation on Daily Functioning in Women With Sickle Cell Disease

Melissa E. Day, BS; Sarah-Jo Stimpson, MD; Mark Rodeghier, PhD; Djamila Ghafuri, MBBS; Michael Callaghan, MD; Ahmar Urooj Zaidi, MD; Bryan Hannan, MS; Adetola Kassim, MD, MS; Andra H. James, MD, MPH; Michael R. DeBaun, MD, MPH; Deva Sharma, MD, MS


South Med J. 2019;112(3):174-179. 

In This Article


As women with SCD live longer through adulthood, women's postadolescent health concerns will become increasingly more relevant and important to consider. Although prior studies have attempted to define menstrual patterns and contraceptive use in women with SCD, they may not apply to individuals living with SCD today. Women with SCD are using a wider variety of contraceptive methods compared with >30 years ago. Healthcare providers should be prepared to discuss the diversity of options available to women with SCD and appropriately counsel them about the risks associated with each type. Further attention and studies are necessary to advance the management of reproductive health issues in women with SCD to improve QOL and menstruation-related morbidity.