Study of menstrual disorder in adolescent girls at tertiary care centre in rural area

Anubhuti Yadav, Deepa L. Masand


Background: Total adolescent world population is 16%.  Adolescents (10-19 years) constitute 21.3% i.e. nearly 1/5th of total population of India. 19% of the total population-faces a series of serious challenges not only affecting their growth and development but also their livelihood as adults. The objective of the current study was to observe the menstrual disorders among adolescent females and to observe the demographic profile and assess hygiene practices during menstruation and grade of anemia due to menstrual morbidity.  

Methods: A random selection of adolescent’s females were done from gynaecology outpatient department at a tertiary care hospital in rural area. Study done on 180 adolescent girls from January 01, 2016 to June 31st, 2017, it is a descriptive type of observational study. Counseling done of adolescent females on menstrual hygiene and nutrition. Results: Most common menstrual morbidity seen in this study is dysmenorrhea (41.66%) followed by heavy menstrual bleeding i.e 25% and irregular menstrual bleeding (13.33%) subsequently. All these problems are associated with their practices used during menstruation. Poor menstrual hygiene was seen associated with 30 to 35% of abdominal cramps and mood swings, heavy menstrual bleeding and nutritional deficiency leads to moderate anemia (7 to10 gm%) in 83%.

Conclusions: Due to unhygienic practices and lack of education and awareness about hygiene many of the girls were suffering from reproductive tract infections and poor nutrition leads to anemia. So, we all need to educate them about hygiene and spread awareness about the various services provided by the government like supplying of sanitary napkins to overcome infections.


Adolescents, Dysmenorrhea, Hygiene, Menstruation, Morbidity

Full Text:



Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among School Adolescent girls in central India. Global Journal of health science.2012;4:105-11.

Kotecha PV, Sangita Patel, R.K.Baxi, V.S.Mazumdar, Shobha mishra, Ekta Modi, Mansi Diwanji Reproductive health awareness among rural school going adolescents of Vadodara district 2009;3:94-9.

Ghai OP textbook of pediatrics, 8th ed. 2013. Published by CBS publishers and distributers pvt ltd.

Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, Goud BR. Perception regarding menstruation and practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India.2012;4:1353-62.

Martha hickey and Adam Balen. Menstrual disorders in adolescence: investigation and management.2003;9:493-504.

Joydeb Roychowdhury, Snehamay chaudhuri, Asim Sarkar, Pranab Kumar Biswas. A study to evaluate the etiological factors and management of pubery menoorhagia. 2008;7:5.

Dsalegn tegabu zegeye, berihun megabiaw and aba mulu. Age at menarche and menstrual pattern of secondary school adolescent in north west Ethopia. 2009;9:29.

Sharma S, Mehra D, Kohli C, Singh MM. Menstrual hygiene practices among adolescent girls in a resettlement colony of Delhi: a cross-sectional study. Int J Reprod Contracept Obstet Gynecol. 2017; 6:1945-51.

Anil A, Anju A. A study of dysmenorrhea during menstruation in adolescent girls. Indian J Comm Medi: official publication of Indian Assoc Prevent and Social Medi. 2010;32:159.

Ganesh MB, Pankaj PS, Anand Nathu Bhalerao, Ramesh Anantrao Bhosale, Ajay Sahebrao Chandanwale Menstrual morbidities in adolescent female. 2015;2:2349-3178.