Semaglutide drew five menstrual signals. Liraglutide drew none. A new analysis of the FDA's adverse-event database, published July 9 in Obstetrics & Gynecology, looked at menstrual complaints filed for female patients aged 12 to 55 on GLP-1 drugs. Semaglutide flagged for five kinds of disruption (heavy bleeding, spotting between periods, clots, infrequent periods, skipped ovulation), tirzepatide for two, and liraglutide for none. Three drugs on the same receptor, three different menstrual fingerprints, from a spontaneous-report system that can flag a signal but cannot prove cause.