Study of reproductive health problems in adolescent girls at ESIC PGIMSR, MGM Hospital, Parel, Mumbai: a retrospective study


  • Jaya K. Gedam Department of Obstetrics and Gynecology, ESI PGIMSR, Model Hospital, Andheri (E), Mumbai, Maharashtra, India



Adolescent girls, Menstrual Problems, Nutritional status, Reproductive health morbidities


Background: There are almost 200 million adolescents in India. It is estimated that the adolescent group constitutes about one fifth of India’s population and it is estimated that this age group will grow to over 214 million by 2020. The period of adolescence for a girl is a period of physical and psychological preparation for safe motherhood. Several factors contribute to the adolescents' growth. A vast majority of adolescent girls in India are suffering from menstrual problems, reproductive morbidities and nutritional deficiencies such as dysmenorrhoea, pre-menstrual syndrome, irregular menses, heavy menstrual bleeding, amenorrhoea, white discharge per vagina, UTI, anaemia etc. So, the present study was carried out to assess menstrual problems, reproductive health problems and nutritional status of adolescent girls coming to our hospital.

Methods: It is a Retrospective study to find about the menstrual problems, reproductive health problems and nutritional status among the adolescent girls of 10-19 years age group who attended O.P.D. for various health problems. Data was collected retrospectively for two years from December 2015.

Results: Mean age of adolescent girls were 14.38 Mean age to attain menarche was 12.93. About 386 (96.34%) adolescent girls were literate. 62.04% and 29.58% of adolescent girls belonged to class IV and Class V respectively. 62.56% of them live in poor housing and environmental status. The source of health information for the majority 123 (32.2%) was from mass media. Frequency and percentages of common menstrual problems like dysmenorrhea, premenstrual syndrome, heavy menstrual bleeding, intermenstrual bleeding and primary amenorrhoea were 29.58%, 26.39%, 16.49%, 24.34 and 1.57% respectively. Other Reproductive health problems white discharge per vagina, itching in private parts, pain in lower abdomen, backache, urinary tract infection, lump in abdomen and others (boils, ulcers, warts etc.) 26.7%, 8.11%, 18.06%, 12.3%, 7.32%, 4.97% and 1.57%. Under weight were 21.98%. Anemia was observed in 57.84% of adolescent girls.

Conclusions: Present study concluded that most of the adolescent girls suffer from various types of menstrual problems, reproductive morbidities and nutritional problems. The findings of the present study recommend that awareness should be created among the adolescent girls, so that they will be able to take appropriate decision on medical care and treatment.


WHO. Adolescent nutrition: a review of the situation in selected South East Asian Countries. Geneva: WHO;2006.

Gary M, Ingersoll. Adolescents. Carson City. Prentice Hall College Div;1989

Progress for Children: A report card on adolescents. Socio-demographic profile of adolescents: Number 10 April 2012 UNICEF. Available at

Strategy Handbook. Rashtriya Kishor Swasthya Karyakram. Adolescent Health Division Ministry of Health and Family Welfare Government of India. January 2014. Available at

Ganguli SK. Adolescent Health. Indian Journal of Public Health. 2003;47:21-28,6-15.

Vir SC. IDA Control- A Public Health Programme priority. UNICEF. Proc Nutr Soc India 1998;47:45-73.

DeMeyer EM. Preventing and controlling Iron deficiency anaemia through primary health care, WHO, GENEVA, 1989;8-26.

Mishra D, Singh HP. Kuppuswamy’s socioeconomic status scale—a revision. Indian J Pediatr. 2003;70(3):273-4.

Mahajan BK, Gupta MC. Textbook of Preventive and Social Medicine, 2nd Ed. 1995;134-5.

Garg. Morbidity profile with reference to housing and environmental status criteria. Indian J Pub Health. 1983;18:85.

Pavithran S, Yashoda S, Priyadharshini S, Nayak BS. Reproductive health problems and health seeking behaviour among adolescent girls of Udupi district, Karnataka. Manipal J Nursing Health Sci. 2015;1(2):87-90.

Mohite RV, Mohite VR, Kumbhar SM, Ganganahalli P. Common menstrual problems among slum adolescent girls of western Maharashtra, India, J Krishna Inst Med Sci Univ. 2013;2(1):89-97.

Singh MM, Devi R, Gupta SS. Awareness and health seeking behaviour of rural adolescent school girls on menstrual and reproductive health problems. Indian J Med Sci. 1999;53(10):439-43.

Kulkarni MV, Durge PM, Kasturwar NB. Prevalence of anemia among adolescent girls in an urban slum. Natl J Community Med. 2012;3(1):108-111.

Dixit RR, Sabane HH, Durge PM. Reproductive Health of Adolescent Girls in an urban population of Meerut, Uttar Pradesh. Health Population: Perspect Issues. 2009;32(4):204-9.

Kulkarni M, Durge PM. Reproductive Health morbidities among adolescent girls: Breaking the silence. Ethno Med 2011;5(3):165-8.

Jogdand K, Yerpude P. A community based study on menstrual hygiene among adolescent girls. Indian J Maternal Child Health. 2011;13(3):1-6.

Family Planning Association of India. Health camp for adolescent girls in urban slum of Mumbai. Mumbai branch FPAI, 2010.






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