Common menstrual disorders in adolescent girls attending a tertiary care center


  • Hibina K. P. Department of Obstetrics and Gynecology, Government Medical College, Thrissur, Kerala, India
  • Nishi Roshini K. Department of Obstetrics and Gynecology, Government Medical College, Thrissur, Kerala, India
  • Andrews M. A. Department of Medicine, Government Medical College, Thrissur, Kerala, India



Adolescents, Dysmenorrhea, Hyperandrogenism, Hypothyroidism


Background: Menstrual disorders are an important cause of concern among adolescent girls. Most problems are physiological but few have underlying pathology which has adverse effect on the future reproductive health Aim of the study was to know the prevalence and to evaluate the underlying cause of the menstrual problems in adolescent girls seeking medical care.

Methods: This is a cross sectional study conducted in in 215 adolescent girls aged 13-19 years who sought medical care over a period of 12 months for menstrual complaints from the department of obstetrics and gynecology, Govt. Medical College, Thrissur, a tertiary care center in middle of Kerala, South India. Data was analyzed by SPSS software and p value <0.05 was taken statistically significant.

Results: Dysmenorrhea was the most common problem (57.5%), followed by scanty menstruation (35.35%) and 25.2% of girls suffered from premenstrual symptoms. Hypothyroidism was seen in 2.4% of girls 40% were anemic. Statistically significant association was found between hypothyroidism and features of hyperandrogenemia with cycle irregularity. Ultrasonographic evidence of polycystic ovarian morphology was identified among 61.9% girls with irregular cycles.

Conclusions: Even though majority of menstrual issues are self-limiting proper evaluation and follow up for medical disorders like hypothyroidism and anemia are important and appropriate intervention is crucial for future reproductive and general health of adolescents presenting with Menstrual disorders.


Waghachavare VB, Chavan VM, Dhumale GB. a study of menstrual problems among the female junior college students from rural. Natl J Commu Med. 2013;4(2):236-40.

Rebar R. Evaluation of amenorrhea, anovulation, and abnormal bleeding. Endo text. 2000. Available at: Accessed 6 January 2020.

Datar A, Nicosia N. Junk food in schools and childhood obesity. J Policy Anal Manag. 2012;31(2):312-37.

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

Jailkhani SM, Naik JD, Thakur MS, Langre SD, Pandey VO. Patterns & problems of menstruation amongst the adolescent girls residing in the urban slum. Sch J App Med Sci. 2014;2(2A):529-34.

Lakkawar NJ, Jayavani RL, Nivedhana Arthi P, 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.

Ali Abdella DNH, Nasr Abd-Elhalim DEH, Fathy Attia DAM. The body mass index and menstrual problems among adolescent students. IOSR J Nurs Heal Sci. 2016;5(4):13-21.

Prasad DB, Jagannath P, Bora BMK. Evaluation of menorrhagia in adolescent girls: a clinical study. Sch J Appl Med Sci. 2016;4(6):2307-11.

Joshi JV, Bhandarkar SD, Chadha M, Balaiah D, Shah R. Menstrual irregularities and lactation failure may precede thyroid dysfunction or goitre. J Postgrad Med. 1993;39(3):137-41.

Joshi B, Mukherjee S, Patil A, Purandare A, Chauhan S, Vaidya R. A cross-sectional study of polycystic ovarian syndrome among adolescent and young girls in Mumbai, India. Indian J Endocrinol Metab. 2014;18(3):317-24.

Raveendran R, Jacob A, Ismail J. A delve into the menstrual problems in teenagers: a cross sectional study in an urban school in Kerala, India. Int J Reprod Contracept Obstet Gynecol. 2016;5(11):3978-82.

Oksuz E, Sozen F, Kavas E, Arik EP, Akgun Y, Bingol P, et al. Usage of analgesics among young girls and dysmenorrhea. Konuralp Tıp Derg. 2017;9(3):37-45.






Original Research Articles