Dysmenorrhoea during the COVID-19 lockdown: a study of women in the age group 18-45 years in Goa, India


  • Taran Mukherjee Intern, Goa Medical College, Bambolim, Goa, India
  • Shiara Afonso Intern, Goa Medical College, Bambolim, Goa, India
  • Trusha Kenkre Intern, Goa Medical College, Bambolim, Goa, India
  • Ojal Usgaonkar Intern, Goa Medical College, Bambolim, Goa, India
  • Amit Dias Department of Preventive and Social Medicine, Goa Medical College, Bambolim, Goa, India




COVID-19 lockdown, Dysmenorrhea, Management, Menstrual symptoms, Mixed methods approach


Background: Dysmenorrhea can be incapacitating and affect a woman’s quality of life and productivity. Our aim was to ascertain the prevalence and attributes of dysmenorrhea among women aged 18-45 years in the state of Goa, India; the attitude towards dysmenorrhea and management methods; and to also understand the impact of the COVID-19 lockdown on women experiencing dysmenorrhea.

Methods: A self-administered Google form was circulated and analysed using STATA-statistical software version 16. The study was conducted under the observation of Goa Medical College, in the months of May and June of 2020.

Results: 87.7% (664) of participants experienced dysmenorrhea of which 72% had moderate-severe pain during menses. The pain lasted for 1-4 days in 98.6% of the respondents. A total of 69.25% women took some measures to relieve the pain; however only 27% of them sought professional medical help. During the lockdown 17% participants noticed a change in their periods. A change in the method of pain management was reported in 12.05% of the women. It was noted that the younger age group reported more changes in their periods during the lockdown.

Conclusions: Dysmenorrhea impacted the lives of a large proportion of women. Even though some experienced incapacitating pain, many women did not seek medical advice. The lockdown due to the COVID-19 pandemic affected the menstrual cycle including dysmenorrhoea and its management. The high prevalence of dysmenorrhea coupled with inadequate utilisation of health services, makes it all the more important to utilise the results of this study in order to educate women about the effective methods of treatment.



Ylikorkala O, Dawood MY. New concepts in dysmenorrhea. Am J Obstet Gynecol. 1978;130(7).

Al Asadi J, Abdul Qadir R. Dysmenorrhea and its impact on daily activities among secondary school students in Basra, Iraq. J Fac Med Baghdad. 2013;55(4):339-44.

Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2013;36(1).

Dawood MY. Dysmenorrhea. J Reprod Med. 1985;30(3):154-67.

Dars S, Sayed K, Yousufzai Z. Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls. Pak J Med Sci. 2014;30:141-4.

Liu JH. Hypothalamic amenorrhea: clinical perspectives, pathophysiology, and management. Am J Obstet Gynecol. 1990;163(5 Pt 2):1732-6.

Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol. 1990;97(7):588-94.

Akerlund M. Pathophysiology of dysmenorrhea. Acta Obstet Gynecol Scand Suppl. 1979;87(4):27-32.

Pakniat H, Chegini V, Ranjkesh F, Hosseini MA. Comparison of the effect of vitamin E, vitamin D and ginger on the severity of primary dysmenorrhea: a single-blind clinical trial. Obstet Gynecol Sci. 2019;62(6):462-8.

Zafari M, Behmanesh F, Agha Mohammadi A. Comparison of the effect of fish oil and ibuprofen on treatment of severe pain in primary dysmenorrhea. Casp J Intern Med. 2011;2(3):279-82.

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, Northwestern Ethiopia: a cross-sectional study. Int J Reprod Med. 2017;2017.

InformedHealth.org. Period pain: Overview. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG). 2008. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK279324/. Accessed on 1 January 2021.

Chen CX, Shieh C, Draucker CB, Carpenter JS. Reasons women do not seek health care for dysmenorrhea. J Clin Nurs. 2018;27(1-2).

Google Help. support.google.com. Available from: http://support.google.com/. Accessed on 1 January 2021.

Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG Int J Obstet Gynaecol. 2006;113(4):453-63.

Omidvar S, Bakouei F, Nasiriamiri F, Begum K. Primary dysmenorrhea and menstrual symptoms in indian female students: prevalence, impact and management. Glob J Health Sci. 2015;8:135.

Burnett MA, Antao V, Black A, Feldman K, Grenville A, Lea R, Lefebvre G, Pinsonneault O, Robert M. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Canada. 2005;27(8):765-70.

Tavallaee M, Joffres MR, Corber SJ, Bayanzadeh M, Rad MM. The prevalence of menstrual pain and associated risk factors among Iranian women. J Obstet Gynaecol Res. 2011;37(5).

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.

Abu Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):1-1.

Grandi G, Ferrari S, Xholli A, Cannoletta M, Palma F, Romani C, Volpe A, Cagnacci A. Prevalence of menstrual pain in young women: what is dysmenorrhea? J Pain Res. 2012;5:169.

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

Ezbarami SM, Mirzaei B, Esfarjani F. Comparison the prevalence and severity of dysmenorrhea among athletes and non-athletes and its relation with body composition. Arak Med Univ J. 2014;16(11):80-8.

Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electr Phys. 2016;8(3):2107.

Malitha JM, Islam MdA, Islam S, Al Mamun ASMd, Chakrabarty S, Hossain MdG. Early age at menarche and its associated factors in school girls (age, 10 to 12 years) in Bangladesh: a cross-section survey in Rajshahi District, Bangladesh. J Physiol Anthropol. 2020;39(1).

Akbarzadeh M, Tayebi N, Abootalebi M. The Relationship between age at menarche and primary dysmenorrhea in female students of Shiraz Schools. Shiraz E-Med J. 2017;18(9).

Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. Palazón-Bru A, ed. PLoS One. 2018;13(8).

Parveen N, Majeed R, Rajar UD. Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci. 2009;25(5):857-60.

Azagew AW, Kassie DG, Walle TA. Prevalence of primary dysmenorrhea, its intensity, impact and associated factors among female students’ at Gondar town preparatory school, Northwest Ethiopia. BMC Women’s Health. 2020;20(1):1-7.

Abenhaim HA, Harlow BL. Live births, cesarean sections and the development of menstrual abnormalities. Int J Gynecol Obstet. 2006;92(2).

Juang CM, Yen MS, Twu NF, Horng HC, Yu HC, Chen CY. Impact of pregnancy on primary dysmenorrhea. Int J Gynecol Obstet. 2006 Mar 1;92(3):221-7.

Nwozichi C, Ojediran T, Ojewole F, Farotimi A, Esike J. Knowledge, attitude, and healthcare-seeking behavior towards dysmenorrhea among female students of a private university in Ogun State, Nigeria. J Basic Clin Reprod Sci. 2015;4.

Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med. 2000;154(12):1226-9.

Lee LK, Chen PCY, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore Med J. 2006;47(10):869-74.

Konapur K, Nagaraj C. Dysmenorrhoea and Premenstrual Syndrome: Frequency and effect on daily activities of adolescent girls in rural areas of Bangalore. Int J Med Sci Public Health. 2014;3:1225.

Aktaş D. Prevalence and factors affecting dysmenorrhea in female university students: effect on general comfort level. Pain Manag Nurs. 2015;16(4):534-43.

Parra-Fernández ML, Onieva-Zafra MD, Abreu-Sánchez A, Ramos-Pichardo JD, Iglesias-López MT, Fernández-Martínez E. Management of Primary Dysmenorrhea among University Students in the South of Spain and Family Influence. Int J Environ Res Public Health. 2020;17(15).

Fatima A, Mamatha KR, Ambika B, Rajarathna K. Self-medication practice in primary dysmenorrhea among medical and paramedical students- a cross-sectional questionnaire study. Nat J Physiol Pharm Pharmacol. 2017 ;7(5):458-63.

Ministry of Health and Family Welfare. Available from: https://Www.Mohfw.Gov.In/. Accessed on 1 January 2021.




How to Cite

Mukherjee, T., Afonso, S., Kenkre, T., Usgaonkar, O., & Dias, A. (2022). Dysmenorrhoea during the COVID-19 lockdown: a study of women in the age group 18-45 years in Goa, India. International Journal of Research in Medical Sciences, 10(11), 2509–2517. https://doi.org/10.18203/2320-6012.ijrms20222850



Original Research Articles