Investigators: Paul G. Shekelle, MD, PhD; Co-Investigators: Fatma Batuman, MD;
Bevanne Bean-Mayberry, MD, MHS;
Caroline Goldzweig, MD, MSPH;
Christine Huang, MD;
Donna L. Washington, MD, MPH;
Elizabeth M. Yano, PhD, MSPH; and
Laurie C. Zephyrin, MD, MPH, MBA
Evidence-based Synthesis Program (ESP) Center
West Los Angeles VA Medical Center
Washington (DC): Department of Veterans Affairs; May 2011
In response to a growing need to understand the effects of military service on health status,
this report supplements our prior review by focusing directly on the reproductive and trauma
effects on women in the military or Veterans who have been deployed. The goal is to broaden the
knowledge of VA policy leaders and clinicians about post-deployment health issues for women.
The Key Questions were:
Key Question #1: What research has been published on the effects of deployment on postdeployment
We operationalized "reproductive effects" to encompass the following: fertility issues, birth
defects, menstrual effects (e.g., change in cycles, loss of cycles), urinary tract infections, sexually
transmitted infections, and reproductive cancers (e.g., cervical, ovarian, etc).
Key Question #2: What research has been published on post-trauma sequelae in OEF/OIF
women Veterans, including: mental health problems, suicide, cardiovascular disease, risky health
behaviors (including: tobacco use, hazardous alcohol use, substance abuse, suicide, homicide,
assaultive behavior, and eating disorders), and other post-trauma sequelae?