Dealing with drug side effects

January 2004     View PDF     En español

Period problems

Period problems are common in all women, but particularly in women with weakened immune systems. These problems include irregular, heavier, lighter and/or painful periods or the end of menstrual bleeding altogether. Problems with periods can be a side effect of some medications. Most recently, excessive menstrual bleeding has been seen when using ritonavir (Norvir).

More research is needed to determine which anti-HIV drugs have an effect on menstruation. Meanwhile, it’s a good idea to track your periods, noting changes if they occur, particularly around the time of beginning a new anti-HIV drug.

Tips for period problems

• Consider what else is happening in your life. Have you lost weight? Are you stressed out? These factors might give you clues as to why you’re having period problems. Addressing them might help in more ways than one!
• For menstrual cramps, hold a hot water bottle or a heating pad over your lower stomach or back. Or take a hot bath. This reduces stress, too!
• Do mild exercise, like walking or stretching. Exercise may increase blood flow and decrease period pain.
• Oral contraceptives (the Pill) are sometimes used to regulate abnormal periods. Some anti-HIV drugs interact with the Pill. A list of drug interactions can be found in Project Inform’s publication, GYN Conditions and HIV/AIDS.