Determination of Menarche Age of Students in Adolescence and Affecting Factors

The study was conducted as descriptive-sectional to investigate the age of menarche and the influencing factors of female students studying in the preparatory class of a state university. The universe of this research was the female students between February 2014-May 2015 in school of foreign languages at a state university. The study was held with all universe instead of sampling selection. 738 female students were voluntary participated into the study. Data were collected by the survey form. The menarche age of the participants is 13,3±1,12 (10-17) years old, and there is statistically significance between menarche age and body mass index (p<.001). The other statistically significance was available between menstrual period and weight change (p<.05). It has been found that the menarche age decreases as the students’ weight and BMI increases and the duration of the menstruation cycle increases. Factors affecting students’ menstruation order were investigated and it was determined that only weight change affects menstruation order. In the study, significant results were found between body mass index and age of menarche.

Prevalensi dan Gambaran Karakteristik Dismenorea pada Remaja

Background: Dysmenorrhea is a gynecological condition that most commonly occurs in women of childbearing age. Dysmenorrhea is defined as a paiful sensation, cramping in the lower abdoment, and is often accompanied by other symptoms, such as sweating, headache, nausea, vomiting, diarrhea, and shaking. All of this happens right before or during menstruation. Primary dysmenorrhea complaints are often experienced by young women under 25 years old. Dysmenorrhea often results in disruption of activities and social relationships. Pondok Pesantren Putri Ar-Rohmah is a special Islamic boarding school for female students aged 13-18 years. At this age, primary dysmenorrhea complaints often occur. The activities of the students are also very far from the words of heavy activity, they only recite the recitation, memorization and formal schooling which is very lacking in physical activity. Objective: The purpose of this study was to determine the prevalence and description of the characteristics of primary dysmenorrhoea in adolescents at Islamic Boarding School Putri Ar-Rohmah Ngawi. Method: This research was quantitative research with descriptive observational methods. Result: From the study, the prevalence of primary dysmenorrhoea in adolescents in Islamic boarding schools was 83.1%. The highest characteristic of dysmenorrhoea is caused by lack of physical activity, namely 54.2% of respondents are less active and 5.8% of respondents have sedentary behavior. Conclusion: The characteristic description that most influences the occurrence of dysmenorrhoea in students is inadequate physical activity. Meanwhile, the description of the characteristics of body mass index, age of menarche, menstrual cycle, and menstrual duration are not the main characteristics that cause dysmenorrhea in respondents.

Estimation of the polymorphism of matrix metal proteinase genes in patients with endometrioid ovarian cysts

Aim. To determine the association of the MMP-9 genetic polymorphism with the risk of developing endometrioid ovarian cysts (ECC). Materials and methods. 55 women aged 19 to 47 were examined. 27 women underwent surgery for ECC (group 1). The control (group 2) consisted of 28 patients without endometriosis and operated because of tubal infertility. Single nucleotide polymorphism was investigated. Genotyping was performed by restriction fragment length polymorphism analysis. Results. We did not find statistically significant differences between the group of patients with ECF and the control group in terms of age 29.0 (25.95; 33.1), 34.5 (29.3; 37.0); p0.05, body mass index 21.2 (19.8; 22.6), 21.95 (20.4; 23.9), p0.05, age of menarche onset 13.0 (12.95; 14.0), 13.0 (12.0; 14.0), p0.05, duration of menstrual bleeding 5.0 (5.0; 5.0), 5.0 (5.0; 6.0), p0.05 for the 1st and 2nd groups, respectively, also dysmenorrhea (2 0.019; p=0.8918), the number of births (2 3.441; p=0.3285) and abortions (2 2.822; p=0.0930) in anamnesis. The frequencies of all studied genotypes of metalloproteinase MMP-9 C (1562) T of the MMP9 gene in the group of patients with ECF and the control group are in HardyWeinberg equilibrium (p=0.99, p=0.43 for 1 and 2 group) which excludes differences in the distribution of genotype frequencies of polymorphic loci of MMP9 genes in the group of patients with ECF and the control group. However, the result could be influenced by the severity of the disease and the size of the study groups. Conclusion. Given the undoubted role of matrix metalloproteinases in the pathogenesis of genital endometriosis, further studies with large samples in various populations are needed.

Association of age at menarche, parity, and hormonal contraceptive use with the histologic type of ovarian cancer

HIGHLIGHT1. Relationship between age at menarche, parity, and contraceptive use with histologic type of ovarian cancer was analyzed. 2. A number of patients with ovarian cancer were analytically observed with retrospective cross-sectional approach and the histologic types of the cancer were determined.3. Age of menarche, parity, and hormonal contraceptive use was found not to have significant correlation with histologic type of ovarian cancer. ABSTRACTObjectives: This study analyze the relationship between age at menarche, parity, and contraceptive use with histologic type of ovarian cancer.Materials and Methods: This study used an observational analytic with a retrospective cross-sectional approach. The research samples were 128 patients with ovarian cancer at RSUD Dr. Saiful Anwar Malang in 2017-2019, all patients underwent primary staging laparotomy. The histologic type of ovarian cancer consist of: serous 45, mucinous 45, endometrioid 10, clear cell 20, and others 4. Data analysis using chi square.Results: The p value for the relationship between the age of menarche and histologic type of ovarian cancer was p = 0.500 (p> 0.05), parity p = 0.313, and contraceptive use p = 0.824. The distribution of clear cell was more common in multiparous, 40% of endometrioid found in nulliparous, serous were more common in women with hormonal contraceptive use >5 years, whereas mucinous were more common in history of use <5 years.Conclusion: There was no significant relationship between the age of menarche, parity, and hormonal contraceptive use on histologic type of ovarian cancer.

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

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%.

Fluoride Exposure and Age of Menarche: Potential Differences Among Adolescent Girls and Women in the United States

Fluoride exposure is associated with later pubertal development and decreased testosterone production in adolescent and adult males. However, its effects on female reproductive health and pubertal development are unclear. Therefore, we examined associations of fluoride exposure with reproductive health outcomes among adolescent girls and women in the United States. Participants were from The National Health and Nutrition Examination Surveys (2013 to 2016), aged 16–19 and identified as female. There were 524 and 460 participants with measures of plasma fluoride and household tap water fluoride respectively, who had at least one reproductive health outcome examined, and complete covariate data. We applied covariate adjusted survey-weighted linear or logistic regression to examine associations of fluoride exposure with age of menarche, menstrual cycle regularity, or serum sex steroid hormone levels. Median interquartile range (IQR) water and plasma fluoride concentrations were 0.48 (0.53) mg/L and 0.34 (0.30) µmol/L respectively. An IQR increase in water fluoride was associated with a 3.3 month earlier first menstrual period (B = − 0.28, 95%CI − 0.54, − 0.02, p = 0.05). Additionally, we observed a significant interaction between plasma fluoride and race/ethnicity in association with age of menarche (p = 0.01). Among Non-Hispanic Black adolescents, each IQR increase in plasma fluoride was associated with a 5-month earlier age of menarche (B = − 0.42, 95%CI − 0.61, − 0.23, p < 0.001). Potential impacts of chronic low-level fluoride exposure on reproductive health outcomes are an important area of study. Current study findings, as well as potential health disparities due to disproportionate fluoride exposure should be examined in prospective studies.

A Study on Knowledge Regarding Menstruation and Menstrual Hygiene among School Girls of Karad

Background: Menarche is an important milestone in women’s life usually occurring between 12-14 years of age. It reflects the health status of the population as it marks as the beginning of sexual maturation. The adolescent girls usually undergo menarche unprepared and they lack the knowledge of menstruation and also practice poor hygiene. Poor hygiene and inadequate self-care practices have major determinants of morbidities and other complications. Therefore, it is important to spread awareness of menstruation and its proper hygiene practices. Materials and Methods: A community-based survey was conducted among 84 school girls of Karad. Data was collected using a questionnaire including the demographic information of each participant. The duration of study was 6 months. Results: The study revealed that the mean age of menarche was 11.05 years. Out of total participants, 44.05% girls had poor knowledge of menstruation and 35.71% girls had poor hygienic practices during menstruation. Conclusion: The study concluded that there is a prevalence of early menarche and it is associated with various factors. The adolescent girls should be made aware about menstruation and its hygiene at an early age. The girls who attained menarche early had a poor knowledge than that of the girls who attained menarche at a normal age.

GAMBARAN KEJADIAN DISMENORE PADA REMAJA PUTRI DI FAKULTAS ILMU KESEHATAN UNIVERSITAS PASIR PENGARAIAN

Dysmenorrhea is a painful condition that occurs during menstruation that can interfere with activities, causing pain in the lower abdomen, which spreads to the lower back and legs. The incidence of dysmenorrhea is experienced by young women around the world on average. The cause of pain is due to an imbalance of the hormone progesterone in the blood. Several factors triggering the occurrence of dysmenorrhea include the first menstruation at an early age, endocrine factors, psychological disorders, allergic, long menstrual periods, heavy menstrual blood flow, smoking, a history of obesity and alcohol consumption. Efforts to overcome dysmenorrhea can be done by non-pharmacological and pharmacological methods. This study aims to describe the incidence of dysmenorrhea in adolescent girls. This study used a descriptive survey method with a questionnaire that was distributed via google form to 73 students of the Faculty of Health Sciences, Pasir Pengaraian University. The results showed that the average menarche at the age of 13-16 years was 39 people (53.43%), the most experienced dysmenorrhea was 52 people (71.23%), the efforts made to reduce dysmenorrhea with rest were 35 people. (47.95 %) and 38 people (52.05%) who tried to reduce the feeling of dysmenorrhea, respondents used drugs to reduce dysmenorrhea, namely 26 respondents (35.62%). The conclusion of this study is that the average age of menarche for adolescent girl is 13-16 years, the majority experience dysmenorrhea, most of the adolescent girl make efforts to reduce dysmenorrhea pain with non-pharmacological and pharmacological methods.

Investigation of Primary Dysmenorrhea in Competitive Archers

Purpose: The aim of this study is to investigate primary dysmenorrhea in competitive archer women. Participants: The study included a total of 142 women participated in the 2019 archery archers competed in the Turkey championship. Participation was on a voluntary basis. The average age of the participants is 25.21 years. Results: The archers stated that there was pain during the menstrual period with 66.2%, and this pain was moderate in 46.5%. According to the body mass index, pain during menstruastion status and level of pain felt varies significiantly (p <0.05 and p <0.001). All those with a body mass index of 25 kg / m2 and above have constant or sometimes pain during the menstrual period. Again, the pain level of this group is in the medium and severe category. While 44.4% of archers' menstrual period has pain, weakness and nervousness, 16.9% of them lack coordination and loss of strength, 38.7% have all the symptoms. No statistically significant difference was found between the states of feeling yourself just before the menstrual period according to age categories (p> 0.05). A statistically significant difference was found between the state of feeling oneself during menstruation and 3 days after the onset of bleeding compared to the normal state (p <0.05). There is no statistically significant difference in the use of pain relieving drugs during the menstrual period according to age category (p> 0.05). However, a statistically significant difference was found in the use of nutritional supplements during menstruation according to age category (p <0.05). A significant correlation was found between body weight and pain and pain level in menstruation (p <0.01). Likewise, a relationship was found between body mass index and pain and pain level during menstruation. (p <0.05). According to the age of menarche, a meaningful relationship was determined regarding pain in the menstrual period (p <0.05). As the age of menarche is delayed, the pain exposed decreases with age. Conclusion: As a result, it was determined that the competitor archers who participated in our study suffered pain during the menstrual period and their pain levels were moderate. Patients with late menarche experience less pain than those with early menarche. However, it is thought that delaying the age of menarche with regular physical activity, which will be planned for at least 2 hours a day, will contribute positively to the height growth and will be less exposed to dysmenorrhea, which decreases as the age increases with late menarche. Keywords: Menstruation, dismenorhhea, archers

Review Jurnal "Hubungan Status Gizi dengan Usia Menarche pada Remaja Putri"

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.