The prospective study on prevalence of menstrual disorders in school going adolescents at Sangareddy district, Telangana
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20212190Keywords:
Menstruation, Menstrual disorders, Adolescent girls, Prevalence, Abdominal pain, Screening programsAbstract
Background: Menstrual disorders are common sources of morbidity among adolescent girls. Overall, 75% of adolescent’s experience problems with menstruation either with delaying in onset, irregular menstrual cycles, painful or heavy periods. The study was aimed to evaluate the prevalence and examine the key areas of need and explore the experience of adolescent girls with menstrual problems like dysmenorrhea, Amenorrhea, menorrhagia and PMS.
Methods: The study employed prospective observational design. The pre-designed, self-administered, semi-structured questionnaire was used to elicit the data from 1100 adolescents selected from Government schools in and around Sangareddy district, Telangana by random sampling technique. Data was analyzed by using Chi-square test in Statistical package for social sciences (SPSS) version 22.
Results: A total of (65.6%) subjects were unaware of menstruation before menarche. The mean age at menarche was found to be 12.5±1.36 years. Dysmenorrhea (N=158.6) and PMS (N=125.7) were most commonly reported disorders. Majority of subjects have complained about abdominal pain (N=719). Many of subjects (N=292.7) were found to have history of menorrhagia. Many of them reported about irregular periods (N=172). Study resulted there is positive correlation between dysmenorrhea and dysmenorrhea with PMS with p value <0.05 and also amenorrhea and amenorrhea with dysmenorrhea with p value <0.05 which are significant.
Conclusions: This study revealed that majority of girls prone to menstrual problems which often goes unreported due to lack of knowledge on their reproductive health. Hence there is a huge need of educating and screening programs in schools for early diagnosis and management of menstrual disorders, which will improve quality of life and also lower the risks for future diseases.
References
Patavegar BN, Rasheed NA, Pathak RA, Kapilashrami MC, Farookee AB. Menstrual pattern and menstrual disorders among school going adolescent girls in Delhi. J Applied Basic Res Int. 2015;11:241-6.
Li AD, Bellis EK, Girling JE, Jayasinghe YL, Grover SR, Marino JL, Peate M. Unmet needs and experiences of adolescent girls with heavy menstrual bleeding and dysmenorrhea: a qualitative study. J Paediat Adolesc Gynaecol. 2020;33(3):278-84.
Mahanta TG, Boruah M, Singh VK, Gogoi P, Rane T, Mahanta BN. Effect of social and behaviour change communication by using infotainment in community perception of adolescent girls for reproductive and sexual health care in high priority districts of Assam. Clinical Epidemiology and Global Health. 2016;4(3):133-9.
Cakir M, Mungan I, Karakas T, Girisken I, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediat Int. 2007;49(6):938-42.
Abdelmoty HI, Youssef MA, Abdel-Malak K, Hashish NM, Samir D, Abdelbar M et al. Menstrual patterns and disorders among secondary school adolescents in Egypt. A cross-sectional survey. BMC women's health. 2015;15(1):1-6.
Vani RK, Veena KS, Subitha L, Kumar HVR, Bupathy A. Menstrual Abnormalities in School Going Girls–Are They Related to Dietary and Exercise Pattern?. J Clinic Diagnost Res. 2013;7(11):2537.
Lakkawar NJ, Jayavani RL, Arthi PN, Alaganandam P, Vanajakshi N. A study of menstrual disorders in medical students and its correlation with biological variables. Sch J App Med Sci. 2014;2(6E):3165-75.
Kapoor G, Kumar D. Menstrual hygiene: Knowledge and practice among adolescent school girls in rural settings. Int J Reprod Contracept Obstet Gynecol. 2017;6(3):959-62.
Haque SE, Rahman M, Itsuko K, Mutahara M, Sakisaka K. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. BMJ open. 2014;4(7).
Amu EO, Bamidele JO. Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria. International journal of adolescent medicine and health. 2014;26(1):101-6.
Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: Practices and challenges faced by girls/women of developing countries. J Environmen Pub Heal. 2018;2018.
Slap GB. Menstrual disorders in adolescence. Best practice & research Clinical obstetrics & gynaecology. 2003;17(1):75-92.
Zafar M, Sadeeqa S, Latif S, Afzal H. Pattern and prevalence of menstrual disorders in adolescents. Int J Pharmaceutic Sci Res. 2017;2088-99.
Azurah AG, Sanci L, Moore E, Grover S. The quality of life of adolescents with menstrual problems. Journal of pediatric and adolescent gynecology. 2013;26(2):102-8.
Lee LK, Chen PC, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore medical journal. 2006;47(10):869.
Eryilmaz G, Ozdemir F. Evaluation of menstrual pain management approaches by Northeastern Anatolian adolescents. Pain Management Nursing. 2009;10(1):40-7.
Campbell MA, McGrath PJ. Use of medication by adolescents for the management of menstrual discomfort. Archives of pediatrics & adolescent medicine. 1997;151(9):905-13.
Peacock A, Alvi NS, Mushtaq T. Period problems: disorders of menstruation in adolescents. Archives of disease in childhood. 2012;97(6):554-60.
Nam GE, Han K, Lee G. Association between sleep duration and menstrual cycle irregularity in Korean female adolescents. Sleep medicine. 2017;35:62-6.
Kadir RA, Edlund M, Von Mackensen S. The impact of menstrual disorders on quality of life in women with inherited bleeding disorders. Haemophilia. 2010;16(5):832-9.
Indusekhar R, O'Brien S. Psychological aspects of premenstrual syndrome. Best Practice & Research Clinical Obstetrics & Gynaecology. 2007;21(2):207-20.
Yoshimi K, Shiina M, Takeda T. Lifestyle Factors Associated with Premenstrual Syndrome: A Cross-sectional Study of Japanese High School Students. Journal of pediatric and adolescent gynecology. 2019;32(6):590-5.
Czajkowska M, Drosdzol-Cop A, Gałązka I, Naworska B, Skrzypulec-Plinta V. Menstrual cycle and the prevalence of premenstrual syndrome/premenstrual dysphoric disorder in adolescent athletes. J Pediat Adolesce Gynecol. 2015;28(6):492-8.
Rafique N, Al-Sheikh MH. Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi medical journal. 2018;39(1):67.
Revel-Vilk S, Paltiel O, Lipschuetz M, Ilan U, Hyam E, Shai E, Varon D, Revel A. Underdiagnosed menorrhagia in adolescents is associated with underdiagnosed anemia. J Pediat. 2012;160(3):468-72.
Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediat Adolesc Med. 2000;154(12):1226-9.
Golub LJ, Lang WR, Menduke H. The incidence of dysmenorrhea in high school girls. Postgraduate medicine. 1958;23(1):38-40.
Wilson CA, Keye Jr WR. A survey of adolescent dysmenorrhea and premenstrual symptom frequency: a model program for prevention, detection and treatment. J Adolesc Heal Care. 1989;10(4):317-22.
Shoor P. A study of knowledge, attitude, and practices of menstrual health among adolescent school girls in urban field practice area of medical college, Tumkur. Ind J Heal Sci Biomed Res. 2017;10(3):249.
Bata MS. Age at menarche, menstrual patterns, and menstrual characteristics in Jordanian adolescent girls. Int J Gynecol Obstets. 2012;119(3):281-3.