Background: Menstrual problems are common among adolescent girls which can affect their daily routine and quality of
life. Early detection and intervention for the menstrual problems can improve future reproductive health. Aims: To nd
the prevalence and type of menstrual disorders, premenstrual syndrome and premenstrual dysphoric disorder among adolescents in the primary
care setting. This was a community based cross sectional survey done covering Materials and methods: the whole of Thiruvananthapuram
district, Kerala..Anganwadis were the primary data collecting units, selected by systematic random sampling. Data was collected using pretested
structured questionnaire and validated premenstrual symptoms screening tool. Mean, standard deviation and simple percentage were used. Chi
square test was used for nding associations and signicance level. P value <0.05 was taken as signicant. The most common reported Results:
problems during menstruation were dysmenorrhoea (73.6%), moderate to severe premenstrual syndrome (13.5%), oligomenorrhoea (12.5%),
menorrhagia (8.4%) and premenstrual dysphoric disorder (6.2%).The prevalence of menstrual problems increased as the age increased
Conclusions: Majority of adolescents suffer from one or other menstrual problem which can affect their academic and social life. It can also
affect their future reproductive health. So school health programs should give emphasis on adolescent menstrual health for a healthy future
generation.