DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20163777

Cross-sectional interview-based study on profile of menstrual cycles and menstrual hygiene among undergraduate medical students in a metropolitan city

Sanhita Shyam Pokle, Aniruddha Arjun Malgaonkar, Sundaram Kartikeyan

Abstract


Background: Taboos, socio-cultural restrictions, misconceptions and unhygienic practices associated with menstruation may cause adverse health outcomes. The mode of imparting information about menstruation may influence a girl’s beliefs and attitude towards menstruation in later years. Aims and Objectives of the study were to assess the profile of menstrual cycles and menstrual hygiene among undergraduate medical students.

Methods: After obtaining requisite permissions and explaining the purpose of the study, written informed consent was obtained from willing participants. All participants were interviewed by the same female investigator using a pre-tested semi-structured questionnaire and the responses were statistically analyzed.

Results: The age at menarche ranged from 9-16 years (median=13 years). During menarche, the primary sources of information were mothers, teachers and elder sisters for 89.15% respondents. The mean duration of menstrual bleeding was 4.74 days (SD=1.11 days). Peri-menstrual symptoms included fatigue, craving for certain foods, breast tenderness and mental irritability. Those with irregular menses had higher likelihood (OR=2.567) of experiencing heavy menstrual bleeding. 59.09% resorted to self-medication. The frequency of changing sanitary pads and cleaning genital area during menses was inadequate in many respondents.

Conclusions: Despite being medical students, many resorted to self-medication for menstrual problems and had inadequate menstrual hygiene.


Keywords


Menstrual irregularities, Menstrual hygiene, Medical students

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References


Fetohy EM. Impact of a health education program for secondary school Saudi girls about menstruation at Riyadh City. J Egypt Public Health Assoc. 2007;82(1,2):105-26.

Dasgupta A, Sarkar M. Menstrual Hygiene: How Hygienic is the Adolescent Girl? Indian J Community Med. 2008;33(2):77-80.

Abd 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 Am Sci. 2011;7(9):216-23.

El-Gilanya A, Badawi K, EL-Fedawyb S. Menstrual hygiene among adolescent school girls in Mansoura, Egypt. Reprod Health Matters. 2005;13:147-52.

Harlow SD, Campbell OMR. Menstrual dysfunction: are we missing an opportunity for improving reproductive health in developing countries? Reprod Health Matters. 2000;8:142-7.

Abou-Zahr C, Vaughn JP. Assessing the burden of sexual and reproductive ill-health: questions regarding the use of disability adjusted life years. Bull WHO. 2000;78:655-66.

Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, Goud BR. Perceptions regarding menstruation and practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India. Int J Collab Res Intern Med Public Health. 2012;4(7):1353-62.

Bharadwaj S, Patkar A. Menstrual hygiene and management in developing countries: Taking stock. Mumbai: Junction Social. 2004.

Bhatia JC, Cleland J. Self-reported symptoms of gynecological morbidity and their treatment in south India. Stud Fam Plann. 1995;26(4):203-16.

Wasserheit JN. The significance and scope of reproductive tract infections among Third World women. Suppl Int J Gynecol Obstet. 1989;3:145-68.

Sharma N, Sharma P, Sharma N, Wavare RR, Gautam B, Sharma M. A cross sectional study of knowledge, attitude and practices of menstrual hygiene among medical students in north India. Jour Phytopharmacol. 2013;2(5):28-37.

El-Shazly MK, Hassanein MH, Ibrahim AG, Nosseir SA. Knowledge about menstruation and practices of nursing students affiliated to University of Alexandria. J Egypt Public Health Assoc. 1990;65(5-6):509-23.

Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, northwestern Nigeria. Afr J Reprod Health. 2010;14(3):201-8.

Nair MKC, Chacko DS, Darwin MR, Padma K, George B, Russell PS. Menstrual Disorders and Menstrual Hygiene Practices in Higher Secondary School Girls. Indian J Pedi. 2012;79(Suppl 1):74-8.

Iliyasu Z, Galadanci HS, Abubakar IS, Ismail AO, Aliyu MH. Menstrual Patterns and Gynecologic Morbidity among University Students in Kano, Nigeria. J Pediatr Adolesc Gynecol. 2012;25(6):401-6.

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

Poureslami M, Osati-Ashtiani F. Assessing Knowledge, Attitudes, and Behavior of adolescent girls in suburban districts of Tehran about dysmenorrhea and menstrual hygiene. J Int Womens Stud. 2002;3(2):51-61.

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

Wu D, Wang X, Chen D, Niu T, Ni J, Liu X, et al. Metabolic gene polymorphisms and risk of dysmenorrhea. Epidemiology. 2000;11(6):648-53.

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

Johnson J. Level of knowledge among adolescent girls regarding effective treatment for dysmenorrhea. J Adolesc Health Care. 1988;9(5):398-402.

Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics. 1981;68(5):661-4.

Wilson CA, Keye WR Jr. A survey of adolescent dysmenorrhea and premenstrual symptom frequency: A model program for prevention, detection and treatment. J Adolesc Health Care. 1989;10(4):317-22.

Alvin PE, Litt IF. Current status of the etiology and the management of dysmenorrhea in adolescence. Pediatrics. 1982;70(4):516-25.

Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982;144:655-60.

Teperi J, Rimpela M. Menstrual pain, health and behaviour in girls. Soc Sci Med. 1989;29:163-9.

Juang CM, Yen MS, Horng HC, Cheng CY, Yuan CC, Chang CM. Natural progression of menstrual pain in nulliparous women at reproductive age: an observational study. J Chin Med Assoc 2006;69(10):484-8.

French L. Dysmenorrhea. Am Fam Physician. 2005;71(2):285-91.

Montero P, Bernis C, Fernandez V, Castro S. Influence of body mass index and slimming habits on menstrual pain and cycle irregularity. J Biosoc Sci. 1996;28(3):315-23.

Alonso C, Coe CL. Disruptions of social relationships accentuate the association between emotional distress and menstrual pain in young women. Health Psychol. 2001;20:411-6.

Adinma ED, Adinma JIB. Perceptions and practices on menstruation amongst Nigerian secondary school girls. Afr J Reprod Health. 2008; 12(1): 74-83.

Mahon T, Fernandes M. Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation and hygiene) programmes. Gend Dev. 2010;18(1):99-113.