Prevalence and risk factors for dysmenorrhoea among nursing student and its impact on their quality of life

Shashikala Karanth, S. R. Liya


Background: Dysmenorrhea is an important health problem of adolescent girls, that affects their quality of life and it is one of the leading causes of repeated school absenteeism. The purposes of this study was to determine the prevalence and risk factors for dysmenorrhea among nursing students and its impact on their quality of life.

Methods: A prospective study was carried out in St Johns Nursing College, Bengaluru.200 nursing students aged between 18-20 years were included. Standardized questionnaires were used to obtain relevant data. Data was analysed using Chi-sq. test, correlation and regression analysis by SPSS version 23.

Results: The prevalence of dysmenorrhea was 62.5%. The mean age, age at menarche and, the mean PABC of the students were 18.7±0.48, 13.3±1.20 and 74.96±16.14   respectively, which is not significant. The average length of menstrual cycle was between 28-30 days, duration of bleeding as 3-5 days. Duration of sleep, regular menstrual cycle and low BMI exhibited positive correlation (p<0.05) while Family history and exercising habits did not exhibit significant effect. Dysmenorrhea was significantly associated with repeated school absenteeism (16%).

Conclusions: Dysmenorrhoea is found to be highly prevalent among nursing students and is one of the leading causes of absenteeism. Regular cycle, duration of sleep and low BMI were significant risk factors for dysmenorrhea. Findings of present study suggest the need for educating adolescent girls on appropriate and effective management of dysmenorrhea.



Adolescents, Body mass index (BMI), Dysmenorrhoea

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Margaret A, Manjubala D. Relationship between BMI (body mass index) and dysmenorrhea among adolescents in a college of nursing at Puducherry, India. Int Res J Med Sci. 2016;4(3):4-6.

Berek JS. Berek and Novak’s Gynecology. 15th ed. Philadelphia: Lippincott, Williams and Wilkins; 2011

De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different country. Acta Biomed. 2017;87(3):233-46.

Titilayo A, Agunbiade OM, Banjo O, Lawani A. Menstrualdiscomfort and its influence on daily academic activities and psychosocial relationship among undergraduate female students in Nigeria. Tanzan J Health Res. 2009;11:181-8

Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment. Eur J Obstet Gynecol Reprod Biol. 2010;152:73-7

Tangchai K, Titapant V, Boriboonhirunsarn D. Dysmenorrhea in Thai adolescents: prevalence, impact and knowledge of treatment. J Med Assoc Thai. 2004;87(3):S69-73.

Polat A, Celik H, Gurates B, et al. Prevalence of primary dysmenorrhea in young adult female university students.Arch Gynecol Obstet 2009;279:527-32.

Cheng HF, Lin YH. Selection and efficacy of self-management strategies for dysmenorrhea in young Taiwanese women. J Clin Nurs. 2011;20:1018-25

Wong LP, Khoo EM. Dysmenorrhea in a multiethnic population of adolescent Asian girls. Int J Gynecol Obstet. 2010;108(2):139-42.

Rigon F, De Sanctis V, Bernasconi S, Bianchin L, Bona G, Bozzola M, et al. Menstrual pattern and menstrual disorders among adolescents: an update of the Italian data. Ital J Pediatra. 2012;38:38.

Nohara M, Momoeda M, Kubota T, Nakabayashi M. Menstrual cycle and menstrual pain problems and related risk factors among Japanese female workers, Ind Health, 2011;492:228-34).

Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM. Primary dysmenorrhea in young western Australian women: prevalence, impact, and knowledge of treatment. J Adolesc Health. 1999; 25(1):40-5.

Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med. 2000; 154(12):1226-29.

George A, Bhaduri A., Dysmenorrhea among adolescent girls-symptoms experienced during menstruation. Health Promotion Educ. 2002; 17:4.

Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhea: A population-based survey of 2262 women in Goa, India. BJOG. 2006;113:453-63.

Nair P.G.V., Kannan A. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. IJCM;32(2):156-7.

Singh AK, Singh HD, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrhea: A problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol. 2008;52(4):389-97.

Agarwal AK, Agarwal A. A study of dysmenorrhea during menstruation in adolescent girls. Indian J Comm Med: Official Pub Indian Ass Prevent Social Med. 2010;35(1):159-64.

Omidvar S, Bakouei F, Amiri FN, Begum K. Primary Dysmenorrhea and Menstrual Symptoms in Indian Female Students: Prevalence, Impact and Management; Global J Health Sci. 2016:8(8):135-44

Salmalian H, Saghebi R, Moghadamnia AA, Bijani A, Faramarzi M, Nasiri Amiri F, et al. Comparative effect of thymus vulgaris and ibuprofen on primary dysmenorrhea: A triple-blind clinical study. Caspian J Intern Med. 2014;5:82-8

Eittah HF. Effect of breakfast skipping on young females’ menstruation. Health Sci J. 2014;8(4):469-84.

Gibbs RS, Karlan BY, Haney AF, Nygaard IE. Danforth’s Obstetrics and Gynecology. 10th ed. Philadelphia: Lippincott, Williams and Wilkins; 2008. 9.

Schuiling KD, Likis FE. Women’s Gynecologic Health. 2nd ed. Massachusetts: Jones and Bartlett Learning; 2011.

Ahuja A, Sharma MK, Singh A. Impact of dysmenorrhea on quality of life of adolescent girls of Chandigarh. Journal of Child and Adolescent Behavior. 2016;

Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci. 2010; 115(2):138-45.

Sharma N., Sagayaraj M., Sujatha B. Menstrual characteristics and prevalence of dysmenorrhea in college students. Int J Sci Res Pub. 2014;4(10):1-6.

Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symptoms. J Womens Health (Larchmt). 2003;12(9):911-9.

Bettendorf B, Shay S, Tu F. Dysmenorrhea: Contemporary perspectives. Obstet Gynecol Surv. 2008;63(9):597-603.

Mahvash N, Eidy A, Mehdi K. The effect of physical activity on primary dysmenorrhea of female university students. World Applied Sci J. 2012;17(10):1246-52.

Larroy C. Comparing visual-analog and numeric scales for assessing menstrual pain. Behav Med. 2002;27:179-81

Higham JM, O'brien PM, Shaw R. Assessment of menstrual blood loss using a pictorial chart. BJOG: An Int J Obstet Gynaecol. 1990;97(8):734-9.

El-Hameed NA, Mohamed MS, Ahmed NH, Ahmed ER. Assessment of dysmenorrhea and menstrual hygiene practices among adolescent girls in some nursing schools at EL-Minia governorate, Egypt. J American Sci. 2011;7(216):223.

Santina T, Wehbe N, Ziade F. Exploring dysmenorrhoea and menstrual experiences among Lebanese female adolescents. East Mediterr Health J. 2012;18(8):857-63.

Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, et al. Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, North western Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine. 2017;2017

Zhou HG, Yang ZW. Prevalence of dysmenorrhea in female students in a Chinese university: A prospective study. Health. 2010;2(4):311-4.

Willman EA, Collins WP, Clayton SG. Studies in the involvement of prostaglandins in uterine symptomatology and pathology. Br J Obstet Gynaecol. 1976;83(5):337-41

Kural M, Noor NN, Pandit D, Joshi T, Patil A Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426-31.

Hirata M, Kumabe K, Inove Y. Study of relation between frequency of menstrual pain and body weight in female adolescents. Japanese J Public Health. 2002;49:516-24.

Chauhan M, Kala J. Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation. J Obstet Gynaecol India. 2012; 62:442-5.

Ibrahim NK, AlGhamdi MS, Al-Shaibani AN, AlAmri FA, Alharbi HA, Al-Jadani AK, et al. Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, Predictors and outcome. Pak J Med Sci. 2015;31(6):1312..

Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol. 1996;103:1134-42.

Ju H, Jones M, Mishra GD. A U-shaped relationship between body mass index and dysmenorrhea: A longitudinal study. PLoS One 2015;10(7):e0134187.

Chia CF, Lai JH, Cheung PK, Kwong LT, Lau FP, Leung KH, Leung MT, Wong FC, Ngu SF. Dysmenorrhoea among Hong Kong university students: prevalence, impact and management. Hong Kong Med J. 2013;19:222-8

Svanberg L, Ulmsten U. The incidence of primary dysmenorrhea in teenagers. Arch Gynecol. 1981;230(3):173-7.