Questionnaire Study on Menstrual Disorders in Adolescent Girls in Singapore

Background: Adolescence is a transient and dynamic period characterised by several changes in the child’s body and mind. Onset of menarche is major physiological milestone in adolescent girls which is often associated with menstrual irregularities and other hormonal events. Aim of the present study was to evaluate the profile of adolescent girls attending the outpatient clinic.Methods: This hospital based cross-sectional, prospective, observational study was conducted at Bafna hospital from January 2019 to December 2020. We analysed 220 consecutive adolescent girls with gynaecological health issues. The data was collected and analysed using pre-designed questionnaire.Results: Menstrual disorders (64.5%) were most common followed by teenage pregnancies (20.9%). Other complaints included vulvar disorders, breast diseases, genital trauma, hirsuitism, UTI and psychological problems. Anemia (28.1%) and PCOS (30.9%) were also diagnosed. Hormonal treatment was offered to 59.5% girls whereas surgical intervention done in 4% for various indications.Conclusions: Menstrual disorders, teenage pregnancies, PCOS and anemia were the most common issues seen. Adolescent gynaecological problems are unique and specific regarding presentation, diagnosis and treatment options. It is important to tackle them on top priority due to its impact on future reproductive health.

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The burden of menstrual problems and factors affecting adolescent school going girls in Jaipur

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2017.v03i04.25 ◽

2017 ◽

Vol 3 (4) ◽

pp. 401-403

Author(s):

Samar Hossain ◽

Monica Gulia

Keyword(s):

Adolescent Girls ◽

Menstrual Disorders ◽

Community Based ◽

Factors Affecting ◽

Care Community ◽

Sexual Health Information ◽

Field Practice ◽

Study Population ◽

School Girls ◽

The Continuum

Objective: The objective of this study was to find out the burden of menstrual problems and factors affecting adolescent school girls. Methods: Study population included all the adolescent school going girls of 10-19 years age group, residing in the field practice area of RHTC Achrol. The study began in January, 2015 till the estimated sample size of 400 was achieved. Results: Menorrhagia (6 to 8 days) was seen in 104 (26.0%) adolescent girls. 72 (18.0%) girls had polymenorrhoea (<20 days) & 6 (1.5%) had oligomenorrhoea (>35 days). Conclusion: The study revealed that menstrual disorders like oligomenorrhoea, hypomenorrhoea, polymenorrhoea and menorrhagia ranged from 1.5% to 26.0% and around 20% girls had PMS. As per GOI through Rajiv Gandhi scheme for empowerment of adolescent girls -SABLA in an effort to provide adolescent reproductive and sexual health information and services along the continuum of care, community based intervention and demand generation initiatives should be linked to facility based service across all levels of health system.

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Endocrine and menstrual disorders in adolescent girls: clinical parallels

Endocrine Abstracts ◽

10.1530/endoabs.63.p326 ◽

2019 ◽

Cited By ~ 1

Author(s):

Olga Gumeniuk ◽

Yiriy Chernenkov ◽

Irina Ribakova ◽

Tatyana Kutina

Keyword(s):

Adolescent Girls ◽

Menstrual Disorders

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Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2013-0500 ◽

2014 ◽

Vol 26 (1) ◽

pp. 101-106 ◽

Cited By ~ 3

Author(s):

Eyitope O. Amu ◽

James O. Bamidele

Keyword(s):

Adolescent Girls ◽

Sampling Technique ◽

Age At Menarche ◽

Sources Of Information ◽

Menstrual Disorders ◽

Cross Sectional ◽

The Social ◽

Cross Sectional Design ◽

Multistage Sampling ◽

Academic Lives

Abstract Background: Menstrual disorders are common sources of morbidity among adolescent girls and often cause anxiety for these girls and their families. Objective: This paper aims to determine the patterns of menstruation as well as the prevalence of menstrual disorders and their consequences among adolescent girls in Osogbo, South Western Nigeria. Subjects: Adolescent school girls aged 10–19 years comprised the sample. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self administered, semi-structured questionnaire was used to elicit information from 402 adolescents selected from private secondary schools in the Osogbo Local Government Area (LGA) of Osun State, using a multistage sampling technique. Data were analyzed using SPSS version 15. Results: A total of 391 (97.8%) respondents had heard about menstruation before, with the three most important sources of information being their mothers (81.8%), teachers (7.4%), and peer groups (6.1%). The mean age at menarche was 12.5±1.0 years. Menstrual bleeding lasted between 2–7 days in 81.1% and cycle length lasted for 21–35 days in 81.6% of the respondents. The three most important menstrual disorders they experienced were dysmenorrhea (77.8%), menorrhagia (57.4%) and metrorrhagia (18.6%), among others. Menstrual disorders, especially dysmenorrhea, interfered with the daily activities of the respondents. Conclusion: The prevalence of menstrual disorders among adolescents in the Osogbo LGA is high. Measures should be undertaken to educate the adolescents and their mothers about menstrual disorders and to mitigate their effects on the social and academic lives of these adolescents.

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High prevalence of hirsutism and menstrual disorders in obese adolescent girls and adolescent girls with type 1 diabetes mellitus despite different hormonal profiles

Acta Endocrinologica ◽

10.1530/eje-11-0670 ◽

2012 ◽

Vol 166 (2) ◽

pp. 307-316 ◽

Cited By ~ 16

Author(s):

Dinane Samara-Boustani ◽

Ana Colmenares ◽

Caroline Elie ◽

Myriam Dabbas ◽

Jacques Beltrand ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Adolescent Girls ◽

Pubertal Development ◽

Menstrual Disorders ◽

Obese Adolescent ◽

Hormonal Profiles ◽

High Prevalence

ObjectivesTo compare the pubertal development, the hormonal profiles and the prevalence of hirsutism and menstrual disorders in obese adolescent girls and adolescent girls with type 1 diabetes mellitus (T1DM).MethodsData were collected from 96 obese adolescent girls and 78 adolescent girls with T1DM at Tanner stage IV or V, whose ages ranged between 11.9 and 17.9 years.ResultsHigh prevalence of hirsutism and menstrual disorder was found in the obese adolescent girls (36.5 and 42% respectively) and the adolescent girls with T1DM (21 and 44% respectively). The obese girls were significantly younger at pubarche, thelarche and menarche than the girls with T1DM. Hirsutism in the obese girls and those with T1DM was associated with hyperandrogenaemia and a raised free androgen index (FAI). When the cause of the raised FAI was investigated in both the groups of girls with hirsutism, the raised FAI in the obese girls was due to low serum sex hormone-binding globulin (SHBG) levels. In contrast, the raised FAI of the girls with T1DM and hirsutism was due to hyperandrogenaemia. Menstrual disorders in the T1DM girls were associated also with hyperandrogenaemia unlike obese girls.ConclusionsHirsutism and menstrual disorders are common in obese adolescent girls and adolescent girls with T1DM. Although hyperandrogenaemia is present in both groups of girls, the androgenic profiles of the two groups differ. The hyperandrogenaemia in the obese girls is primarily due to their decreased serum SHBG levels, whereas the hyperandrogenaemia in the girls with T1DM is due to their increased androgen production.

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Gynecological disorders of adolescent girls at Kathmandu Medical College Teaching Hospital

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v3i2.10831 ◽

2014 ◽

Vol 3 (2) ◽

pp. 44-47

Author(s):

Chanda Karki ◽

Nira Singh Shrestha ◽

Roshan T Rayamajhi

Keyword(s):

Adolescent Girls ◽

Teenage Pregnancy ◽

College Teaching ◽

Study Group ◽

Specialist Care ◽

Menstrual Disorders ◽

Menstrual Dysfunction ◽

Sexually Transmitted ◽

Gynecological Disorders ◽

Stage Of Development

Aim: To assess the gynecological disorders in adolescents and to study the menstrual disorders in the study group. Result: A total of 1697 adolescent girls aged 13 to 19 years attending the gynecological outpatient department of KMCTH were included in the study. Their detail history was taken followed by general and systemic examinations and investigations like hemogram, coagulation profile, hormonal assays, and ultrasonography as per need were performed. Thus their gynecological problems including menstrual disorders were identified. With this information the details of their menstrual abnormalities were also analyse. Teenage pregnancy was the most frequently observed (56.33%) diagnosis. Menstrual disorders were found to be the second most common (23.80%) gynecological problem. They varied from amenorrhea (29.20%) to menorrhagia. Dysfunctional uterine bleeding was the commonest etiology of menstrual dysfunction (204/286) in the study group. Conclusion: Unsafe abortion and sexually transmitted infections were some of the other problems of adolescent girls. It is important to note that adolescents are not a homogenous group. Their needs vary with their sex, stage of development, life circumstances and the socioeconomic conditions of their environment. This is the time when they have the maximum burden of education and career building on their shoulders. They are the group who hesitate to seek services from traditional facilities. Therefore every health institution should initiate or strengthen adolescent friendly services and provide specialist care to this special group of people. DOI: http://dx.doi.org/10.3126/njog.v3i2.10831 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 44-47

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Menstrual Patterns and Disorders Among Adolescent Girls in Bandar Abbas, Iran

Disease and Diagnosis ◽

10.34172/ddj.2020.04 ◽

2020 ◽

Vol 9 (4) ◽

pp. 148-152

Author(s):

Sajjad Shamloo ◽

Azin Alavi ◽

Koorosh Nematpour ◽

Zahra Mirshekari ◽

Abolfazl Taheri

Keyword(s):

Adolescent Girls ◽

Significant Relationship ◽

Cross Sectional Study ◽

Incidence Rates ◽

Cluster Sampling ◽

Menstrual Disorders ◽

Cross Sectional ◽

Multi Stage ◽

The Mean ◽

Bandar Abbas

Background: Menstrual cycle is one of the important factors to protect women’s sexual health, and it is affected by various factors in different individuals. Disrupting the balance of this cycle imposes numerous impacts on women’s health. The present study aimed to investigate the incidence rate and factors associated with menstrual disorders among high school girls in Bandar Abbas, Iran. Materials and Methods: The population of current cross-sectional study was selected through a multi-stage cluster sampling method. Data were collected through a questionnaire. We entered the data of 370 individuals into SPSS software (version 23, SPSS Inc., Chicago, IL, USA) and analyzed them using descriptive statistics and Mann-Whitney U test. The significant level was considered as 0.05. Results: The mean age of the subjects was 16.29 ± 0.89 years. In addition, the mean menarche age and BMI were 12.82 ± 1.09 years and 20.67 ± 4.17. The incidence rates of hypomenorrhea, hypermenorrhea, amenorrhea, oligomenorrhea, and polymenorrhea were 24.6%, 8.4%, 9.7%, 5.7%, and 13.0%, respectively. There was a significant relationship between age trend with disorders like amenorrhea, oligomenorrhea, and polymenorrhea. However, there was no significant relationship between age trend with hypomenorrhea and hypermenorrhea. Generally, the prevalence of menstrual disorders increased with the increase in BMI, though this relationship was not significant. Conclusion: Due to the relatively high incidence of menstrual disorders in the present study and since numerous major illnesses such as infertility originate from these disorders, we suggest that effective measures be taken to promote the culture of menstrual health among adolescent girls and correct the misconceptions of families.

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Socio-demographic correlates of menstrual problems among school going adolescent girls in a rural block of Haryana

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211216 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1680

Author(s):

Vinod Chayal ◽

Garima Shivhare ◽

Ramesh Verma ◽

Meenakshi Kalhan ◽

Rohit Dhaka ◽

...

Keyword(s):

Adolescent Girls ◽

Rural Women ◽

Sampling Technique ◽

Structured Interview ◽

Human Reproduction ◽

School Level ◽

Significant Shift ◽

Menstrual Disorders ◽

Cross Sectional ◽

Demographic Correlates

Background: In the last few years, there has been a significant shift on the subject of human reproduction from mainly a ‘demographic issue’ to a broader ‘women’s health and development issue.’ Malnutrition, infection, early and repeated child bearing play an important role in determining menstrual problems of females in India. The other risk factors among women are the existing socio-economic and cultural environmental conditions. The present study was undertaken to know the prevalence of menstrual disorders and its various determinants in rural women of Haryana (Block Beri).Methods: The study was of descriptive type, undertaken on 252 adolescent girls (14-18 years) in a rural block of Haryana (Block Beri), the field practice area attached to department of community medicine Pt. B.D. Sharma PGIMS, Rohtak. Design used was cross-sectional. The subjects were selected by systematic random sampling technique. Informed verbal consent was taken. A semi-structured interview schedule was used. The data was analyzed by using percentages, proportions.Results: 48.8% of adolescent girls in the study group were suffering from menstrual problems. No statistically significant association of menstrual disorders was observed with type of family, age group, caste and literacy status. Income and mother’s education were statistically significantly associated with menstrual problems.Conclusions: It can be concluded from the study that even though menstrual problems are widely prevalent in the adolescent girls they are not addressed properly. Moreover, there is a need to generate awareness about menstruation at school level.

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Menstrual pattern amongst adolescent girls: a cross sectional study from Raichur, Karnataka

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20214636 ◽

2021 ◽

Vol 10 (12) ◽

pp. 4429

Author(s):

Pavani M. ◽

Monisha Deepika R. ◽

Lavanya B. ◽

Anant A. Takalkar

Keyword(s):

Adolescent Girls ◽

Cycle Length ◽

Cross Sectional Study ◽

Adult Women ◽

Menstrual Disorders ◽

Cross Sectional ◽

Premenstrual Symptoms ◽

Normal Cycle ◽

Girls School ◽

Age Of Menarche

Background: Menstrual disorders in adolescent age are quite different than in adult women, both for diagnostic and therapeutic management. We need to take into account the problems in normal initiation of menarche, hematological problems, general endocrine problems, and fragile emotional status at this tender age. The objective of the study was to study the patterns of menstrual disorders in adolescent girls.Methods: Cross sectional observational study was carried out in 200 adolescent girls, aged 12 to 19 years, among the students of S.R.P.S PU college and the district government Girls’ school in Raichur during the period of January 2017 to December 2017. A pre-structured questionnaire was used and data was analysed using Statistical package for social sciences (SPSS) 23.0 version.Results: Majority of the girls in our study were from 17-18 years age group (55%). The mean age of menarche was 13.2±0.9 years. Cycle length of <21 days was found in 4 (2%) of cases, 143 (71.5%) had 21-35 days cycle and 10 (5%) had >35 days cycle length. Majority had normal cycle length. Dysmenorrhea was found in 84 (42%) students. Premenstrual symptoms like tiredness were noted in 14 (7%) of cases, pain in the legs in 10 (5%), irritability in 8 (4%), lack of interest in work and play in 7 (3.5%), low back pain in 6 (3%), low/depressed mood in 6 (3%), anger in 4 (2%), anxiety in 4 (2%), difficulty in concentrating in 2 (1%), nausea\vomiting were noted in 2 (1%).Conclusions: Prevalence of dysmenorrhea was 42%. Premenstrual symptoms like tiredness were noted in majority of the girls 7%, pain in the legs in 5%, irritability in 4%.

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