DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20200554

Prevalence of menstrual morbidity in adolescents girls: a cross sectional study

Kanmani Karthikkeyan, Nirmala N., Thirumalai Kolundhu Subramanian P., Charumathi V., Dharani B.

Abstract


Background: Menstruation is said to be a physiological process in women. The word ‘menstruation’ was derived from a Latin word ‘menses’. Menstrual dysfunction was found to affect 75% of adolescent girls which includes dysmenorrhoea, menorrhagia and irregular cycles. Premenstrual syndrome constitutes a group of physical and emotional symptoms which occurs one week before menstrual cycle. It was found to be a cycle disorder which appears in the luteal phase. Adolescent girls are at high risk of developing premenstrual syndrome. Because of menstrual dysfunction and premenstrual syndrome, the adolescent girls are at high risk of menstrual morbidity.

Methods: After getting approval from institutional ethical committee of Madras Medical College, the study was carried out in adolescent girls. The study was carried out by giving questionnaire in nearly 505 students for the duration of 6 months. The study participants were explained about the study. The questionnaire was structured so as to obtain information regarding the age at menarche, duration of cycle, awareness about menstruation, source of information regarding menstruation, practices during menstrual cycles, regarding menstrual problems and treatment practices.

Results: The average age of participants was 17 years with an SD of 1.5. of 505 participants, about 6% had 45 days frequency, 10% had 38 days frequency and 2% had 60 days frequency of menstrual cycle. It was found around 1% had 8 days duration and 3% had 9 days duration of menstrual cycle. About 13% of Participants had mild flow, 7% had severe flow and 20% had variable quantity of menstrual flow.

Conclusions: From this study, it was found that menstrual dysfunction were prevalent among adolescent girls. These were found to cause menstrual morbidity among adolescent girls. Hence it is necessary to educate and create awareness about menstrual morbidity among adolescent girls. 


Keywords


Adolescent girls, Menstrual dysfunction, Menstrual morbidity, Premenstrual syndrome

Full Text:

PDF

References


Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolescent Gynecol. 2007 Feb 1;20(1):3-12.

Dalton K, Dalton ME, Guthrie K. Incidence of the premenstrual syndrome in twins. Bri Med J. 1987 Oct 24;295(6605):1027.

Van den Akker OB, Stein GS, Neale MC, Murray RM. Genetic and environmental variation in menstrual cycle: histories of two British twin samples. Acta Gene Med Gemellol: Twin Res. 1987 Oct;36(4):541-8.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders-DSM-IV. Washington DC: American Psychiatric Association; 1994.

Mortola JF. Premenstrual syndrome-pathophysiologic considerations. N Engl J Med. 1998;338:256.

Steiner M, Pearlstein T. Premenstrual dysphoria and the serotonin system: pathophysiology and treatment. J Clin Psych. 2000;61:17-21.

Halbreich U. The diagnosis of premenstrual syndromes and premenstrual dysphoric disorder-clinical procedures and research perspectives. Gynecol Endocrinol. 2004 Jan 1;19(6):320-34.

Johnson SR. Premenstrual syndrome, premenstrual dysphoric disorder, and beyond: a clinical primer for practitioners. Obstetr Gynecol. 2004 Oct 1;104(4):845-59.

Freeman EW. Luteal phase administration of agents for the treatment of premenstrual dysphoric disorder. CNS drugs. 2004 Jun 1;18(7):453-68.

Harlow SD, Campbell OM. Epidemiology of menstrual disorders in developing countries: a systematic review. BJOG: Inter J Obsteti Gynaecol: Revi. 2004 Jan;111(1):6-16.

Neinstein LS. Menstrual dysfunction in pathophysiologic states. Western J Med. 1985 Oct;143(4):476.

Singh KB. Menstrual disorders in college students. Am J Obstetr Gynecol. 1981 Jun 1;140(3):299-302.

Bachmann GA, Kemmann E. Prevalence of oligomenorrhea and amenorrhea in a college population. Am J Obstetr Gynecol. 1982 Sep 1;144(1):98-102.

Janssen CA, Scholten PC, Heintz AP. Reconsidering menorrhagia in gynecological practice: Is a 30-year-old definition still valid?. Eur J Obstetr Gynecol Reprod Biol. 1998 May 1;78(1):69-72.

Juyal R, Kandpal SD, Semwal J. Menstrual hygiene and reproductive morbidity in adolescent girls in Dehradun, India. Bangladesh J Med Sci. 2014 Mar 3;13(2):170-4.