Menstrual patterns in women with chronic kidney failure in the hemodialysis room of RSUD Tidar Magelang City

Background: Patients with kidney failure in the final stages will experience a loss of kidney function of up to 90% or more, so that the body’s ability to maintain fluid and electrolyte balance is disrupted, excretory function becomes inadequate, hormonal function is disrupted and the condition of uremia or azotemia occurs. Patients who undergo hemodialysis will cause their menstrual cycle to decrease and stop and even their reproductive function will decrease. Because women who suffer from chronic kidney failure for a long time in their bodies will experience an increase in endocrine, prolactin, leptin. These three elements are involved in reducing the secretion of Gonadotropin-releasing hormone (GnRH) in the hypothalamus, which results in estrogen not being able to stimulate Follicle Stimulating Hormone (FSH) and Luteinizing hormone (LH) so that there is no increase in the corpus luteum which will result in changes in pattern. menstruation. Objective: to determine menstrual patterns in women suffering from chronic kidney failure in the hemodialysis room at Tidar Regional Hospital, Magelang City. Method: The research design used was descriptive quantitative with a cross-sectional design involving 27 respondents. Results: 20 respondents (72%) experienced menstrual cycle disorders, 14 respondents (51.9%) experienced oligomenorrhea, 15 respondents (55.15%) experienced hypomenorrhea and almost all patients experienced cycle changes at the beginning of undergoing hemodialysis, 23 respondents (85%). Conclusion: Some respondents experienced changes in menstrual patterns both according to their menstrual cycle and the amount/volume of bleeding.