Menstrual problems among adolescent girls attending at a tertiary care hospital in Bangladesh
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250849Keywords:
Adolescent, Amenorrhea, Dysmenorrhea, Menorrhagia, OligomenorrhoeaAbstract
Background: Adolescents constitute almost 20% of our population and one-fifth of the world’s total population. However, menstrual disorders are a common concern among adolescent girls, often impacting their physical and emotional well-being. This study aimed to assess the prevalence and causes of menstrual problems among adolescent girls attending a tertiary care hospital (BSMMU) in Bangladesh.
Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from January 2017 to December 2017. This study included 668 adolescent girls with various menstrual disorders aged 10-19 years who attended the outpatient department of obstetrics and gynecology of our institution.
Results: In this study, out of 668 adolescent girls, 418 (62.6%) had some form of menstrual disorder. The most common were menorrhagia (30.38%), oligomenorrhea (26.07%), and amenorrhea (21.76%). Among those with amenorrhea, 3.58% and 18.18% had primary and secondary amenorrhea respectively. Abnormal uterine bleeding (47.4%) and polycystic ovarian disease (PCOD) (44.29%) were the leading causes among 289 individuals with menstrual dysfunction. In cases of primary amenorrhea, the most frequent cause was Müllerian agenesis (60%), followed by imperforate hymen (20%). For secondary amenorrhea, PCOD (77.63%) was the dominant cause, with anemia, emotional disturbances, and premature ovarian failure.
Conclusions: The findings show that menorrhagia, oligomenorrhea, and amenorrhea are frequently common menstrual problems among adolescent girls mostly due to abnormal uterine bleeding and PCOD. The study highlights the need for early diagnosis, proper medical intervention, and specialized adolescent gynecology clinics to improve reproductive health outcomes.
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References
World Health Organization (WHO). Bangladesh, Health topics, Corporate links, Mental health, 2009. Available at: https://www.who.int/bangladesh/health-topics/mental-health. Accessed 01 December 2024.
Agarwal AK, Agrawal A. A study of Dysmenorrhea during menstruation in adolescent girls. Indian J Community Med. 2010;35(1):159-64. DOI: https://doi.org/10.4103/0970-0218.62586
Zurayk H, Khattab H, Younis N, El-Mouelhy M, Fadle M. Concepts and measures of reproductive morbidity. Health Transit Rev. 1993;3(1):17-40.
Jain A, Stein K, Arends-Kuenning M, Garate MR. Measuring reproductive morbidity through a sample survey in Peru. In: IUSSP Seminar in Manila, Philippines, on Innovative Approaches to the Assessment of Reproductive Health. IUSSP and Population Institute, University of the Philippines, Liege, Belgium; 1996.
Wasserheit JN, Jeffery RH, Chakraborty J, Bradford AK. Reproductive tract infections in a family planning population in rural Bangladesh. Stud Fam Plann. 1989;20(2):69-80. DOI: https://doi.org/10.2307/1966461
Bang RA, Bang AT, Batule M, Choudhury Y. High prevalence of gynaecological diseases in rural Indian women. Lancet. 1989;1:85-8. DOI: https://doi.org/10.1016/S0140-6736(89)91438-4
Bhatia JC, Cleland J. Self-reported symptoms of gynaecological morbidity and their treatment in South India. Stud Fam Plann. 1995;26(4):203-16. DOI: https://doi.org/10.2307/2137846
National Institute of Population Research and Training (NIPORT). Bangladesh Demographic and Health Survey, 1999-2000. Dhaka, Bangladesh; 2001.
Rahman MM, Kabir M, Shahidullah M. J Ayub Med Coll Abbottabad. 2004;16(2):9-14.
Goswami S, Dutta R, Sengupta S. A profile of adolescent girls with gynaecological problems. J Obstet India. 2005;55(4):353-5.
Prasad D, Singh K, Pankaj S. Clinical spectrum of adolescent girls in tertiary care center. Int J Sci Stud. 2014;2(4):46-8.
Dutta R, Sengupta S. A profile of adolescents with gynaecological problems. J Obstet Gynecol India. 2005;55:353-5.
McEvoy M, Chang J, Coupey SM. Common menstrual disorders in adolescence: nursing interventions. Am J Matern Child Nurs. 2004;29(1):41-9. DOI: https://doi.org/10.1097/00005721-200401000-00011
Reindollar RH, Byrd JR, McDonough PG. Delayed sexual development: a study of 252 patients. Am J Obstet Gynecol. 1981;140(4):371-80. DOI: https://doi.org/10.1016/0002-9378(81)90029-6
George A, Bhaduri A. Dysmenorrhea among adolescent girls-symptoms experienced during menstruation. Health Promot Educ. 2002;17(4).
Jacks TH, Obed JY, Agida ET, Petrova GV. Dysmenorrhoea and menstrual abnormalities among post-menarcheal secondary school girls in Maiduguri, Nigeria. Afr J Med Sci. 2005;34(1):87-9.
Nair MK, Chacko DS, Ranjith Darwin M, Padma K, George B, Ps R. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. The Indian Journal of Pediatrics. 2012;79:74-8. DOI: https://doi.org/10.1007/s12098-011-0431-z
Sanifileppo J, Yussman M. Gynecological problems of adolescence. In: Lavery J, Sanifileppo J, editors. Pediatric and Adolescent Gynecology. New York: Springer-Verlag; 1985:61-3. DOI: https://doi.org/10.1007/978-1-4612-5064-7_6
Deligeoroglou E. Dysfunctional uterine bleeding. Ann NY Acad Sci. 1997;816:158-64. DOI: https://doi.org/10.1111/j.1749-6632.1997.tb52139.x
Falcone T, Desjardins C, Bourque J, Granger L, Hemmings R, Quiros E. Dysfunctional uterine bleeding in adolescents. J Reproduct Medi. 1994;39(10):761-4.
Karki C, Shrestha NS. Gynecological disorders of adolescent girls at Kathmandu Medical College Teaching Hospital. NJOG. 2008;3(2):44-7. DOI: https://doi.org/10.3126/njog.v3i2.10831
Coulam CB, Adamson SC, Annegers JF. Incidence of premature ovarian failure. Obstet Gynecol. 1986;67(4):604-6.
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