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.

A CLINICAL STUDY ON THE PROPHYLACTIC EFFECT OF VIRECHANA IN PRIMARY DYSMENORRHOEA

Primary dysmenorrhoea is the most common gynaecological disease in menstruating women. It is a symptom complex with cramping lower abdominal pain radiating to the back and legs often accompanied by gastro intestinal and neurological symptoms as well as general malaise. In conventional system of medicine there is no permanent cure for primary dysmenorrhoea. In order to find out a permanent remedy for preventing the recurrence of primary dysmenorrhoea and to evaluate the effect of virechana in reducing the symptoms of primary dysmenorrhoea, this particular study has been under taken. In Ayurveda gynaecological pathologies are explained under the heading of yonirogas. Clinical features of primary dysmenorrhoea are having similiarities with that of udavartha yoni roga. Apanavatavaigunya is the main causative factor for udavartha yoni roga. In the treatment principle of apanavatavaigunyasnigdhavirechana is indicated. An Interventional type of Quasi Experimental study that is before and after study without control was conducted in Govt Ayurveda College Panchakarma Hospital, Poojapura and Govt Ayurveda College Hospital Thiruvanathapuram. One group of thirty patients fulfilling the inclusion criteria and diagnostic criteria were recruited for the study. Intervention administered were rookshana with takra, snehapana with sukumaraghritha, sarvangaabhyanga and avagahasweda with vataharapatra and virechana was done using sukumaraerandamThaila followed by samsarjanakrama based on suddhi obtained after virechana. Subjective parameters were assessed before and after treatment for three consecutive cycles. Pain the major parameter was recorded as per visual analogue scale and associated symptoms using verbal descriptive scale. Pain and associated symptoms were reduced immediately after the treatment which showed treatment was effective in pacifying the disease. Moreover, in the consecutive follow ups symptoms got reduced remarkably which showed treatment had sustained and progressive effectiveness in reducing the symptoms of disease and on statistical evaluation p value was found to be highly significant.

PENGARUH MINUMAN JAHE MERAH (ZINGIBER OFFCINALE ROSCOE VAR. RUBRUM) TERHADAP PENURUNAN SKALA NYERI DISMENOREA PRIMER PADA MAHASISWI DI PROGRAM STUDI S1 FARMASI UNIVERSITAS IMELDA MEDAN

Dysmenorrhoea is a gynecological complaint caused by an imbalance of the progesterone hormone in the blood, which causes pain and is most often characterized by menstrual cramps. A safe way to treat dysmenorrhoea is by boiling helbal, which is red ginger drink. The purpose of this study was to determine the effect of red ginger drink on reducing the scale of dysmenorrhoea pain on students at the University of Imelda Medan.This research method uses quantitative research with a descriptive design. The number of respondents in this study were 42 people using the sampling technique with the Slovin formula. The instrument used was a questionnaire with yes or no answer choices. The results of the study of 42 respondents, the majority who experienced pain or dysmenorrhoea, were 32 respondents with a percentage (92.9%). And the effect of red ginger drink on the dysmenorrhoea pain scale was 29 respondents with a percentage (69.0%). The effect of red ginger drink on the primary dysmenorrhoea pain scale is sufficient.

Kinesio Taping vs. Auricular Acupressure for the Personalised Treatment of Primary Dysmenorrhoea: A Pilot Randomized Controlled Trial

Background: Dysmenorrhoea is the medical term for menstrual pain. The World Health Organization estimates that up to 81% of women of childbearing age are affected by this condition, and it is one of the leading causes of absenteeism from work and school among women. Although there are pharmacological treatments available for menstrual-pain relief, they do not respond to all women’s needs. Therefore, there is a need to study and develop non-pharmacological alternatives to broaden the individualised treatment options for dysmenorrhea. There are scarce studies published on non-pharmacological treatments, such as kinesio tape and auricular acupressure for the relief of menstrual pain, but the scientific evidence available suggest that these techniques may be beneficial in addressing this problem. The objective of this pilot study was to assess and compare the effectiveness of kinesio tape and auricular acupressure to decrease pain and drug intake in women with primary dysmenorrhoea. Methods: This was a double-blind randomized clinical controlled trial. The period of study was from September 2017 to August 2018. Women enrolled in the University of Extremadura and who had primary dysmenorrhoea were randomized to five groups: control (n = 23), kinesio tape (n = 23), placebo kinesio tape (n = 23), auricular acupressure (n = 23) and placebo auricular acupressure (n = 22). Measures were taken during the pretreatment phase (at four menstrual cycles), during the post-intervention phase (at four menstrual cycles) and during the follow-up phase (at the first and third menstrual cycles after the treatment was completed). The primary outcome measures were mean pain intensity, maximum pain intensity, number of painful days and dose of drug intake during menstruation, measured with the Visual Analogue Scale. The secondary outcome measures were the length of the cycle, the length of menstruation, the drug intake and the type of drug. Results: In all, 108 participants completed the study. The statistical analysis (MANOVA, ANOVA, t-paired and McNemar tests) showed that kinesio tape and auricular acupressure have a beneficial effect on pain relief (mean pain intensity, p < 0.001; maximum pain intensity, p < 0.001; number of painful days, p = 0.021; dose of drug intake, p < 0.001). In addition, once the treatments were withdrawn, the auricular-acupressure group maintained lower scores during the first follow-up cycle (p < 0.001). Conclusions: Kinesio tape and auricular acupressure decrease pain and drug intake in women with primary dysmenorrhoea. The changes in the auricular-acupressure group seemed to last longer. The results suggest that these techniques could be used as complementary personalised therapies to the pharmacological treatment and not as a substitution.

Implementasi Senam Dysmenorrhoea Pada Remaja Premenstruasi Syndrome Di SMAN 15 Bandar Lampung

ABSTRAK Angka kejadian dismenorrhoea di Indonesia tahun 2011 sebanyak 64,25%, terdiri dari 54,89% mengalami dysmenorrhoea primer dan hanya 20% yang tidak mengalami dismenorrhoea. Remaja putri di SMAN 15 sejumlah 256 Siswa, remaja putri sejumlah 176 orang yang mengeluhkan nyeri haid dari sedang sampai dengan berat. Dismenorrhoea sangat mengganggu aktivitas belajar siswa dan emosi remaja. Permasalahan yang muncul pada remaja adalah ketidaknyamanan dalam melakukan pembelajaran, sehingga angka ketidakhadiran di kelas menjadi lebih banyak. Pengabdian kepada masyarakat yang dilakukan bertujuan untuk mengurangi nyeri melalui senam dismenorrhoea dan mengupayakan siswa dapat beradaptasi dengan nyeri haid yang dialami. Hasil pengabdian kepada masyarakat sejumlah 150 siswa dan guru telah diberikan informasi tentang fisiologi haid dan permasalahannya serta upaya mengatasinya, termasuk mendapatkan leaflet dan video senam dismenorrhoea. Siswa dan guru antusias mengikuti kegiatan penyuluhan, interaksi aktif berjalan baik narasumber maupun peserta. Hasil penyuluhan diharapkan guru dan siswa yang dilatih senam dapat mengatasi permasalahan dismenorrhoea dan memberikan informasi kepada teman sebaya jika mengalami dismenorrhoea.Kata kunci: Dysmenorrhoea, pre menstruasi, senam ABSTRACT The incidence of dysmenorrhoea in Indonesia in 2011 was 64.25%, consisting of 54.89% experiencing primary dysmenorrhoea and only 20% experiencing dysmenorrhoea. 256 students and 176 young women complained of moderate to severe menstrual pain. Dysmenorrhoea very disturbs student learning activities and adolescent emotions. The problem that arises in adolescents is the discomfort in learning so that the number of absenteeism in class is higher. The community service that is carried out aims to reduce pain through dysmenorrhoea exercise and strive for students to adapt to menstrual pain experienced. The results of community service, a number of 150 students and teachers, have been given information about the physiology of menstruation and its problems and efforts to overcome them, including obtaining leaflets and videos of dysmenorrhoea exercise. Students and teachers enthusiastically participate in counseling activities, active interaction runs both the resource person and the participants. The results of the counseling are expected that teachers and students who are trained in gymnastics can overcome dysmenorrhoea problems and provide information to peers if they experience dysmenorrhea. Keywords: Dysmenorrhoea, pre-menstruation, exercise

Unicornuate uterus with a functional non-communicating horn in adolescent

Common causes of pelvic pain are primary dysmenorrhoea, Müllerian duct anomalies, outflow obstruction, leiomyoma, endometriosis and adenomyosis. Unicornuate uterus with a rudimentary horn is a rare congenital malformation of the female genital tract, asymptomatic because of lack of functional endometrium. This study presents a rare case of a non-communicating functional rudimentary horn. A 16-year-old unmarried Yemeni female adolescent with a history of irregular painful menstrual period visited Obstetrics and Gynaecology outpatient clinic. Pelvic ultrasound was conducted showing an asymmetrical uterine configuration with the non-communicating rudimentary horn on the right side. Laparoscopic excision of the horn was planned for the patient. Non-communicating rudimentary horn with functional endometrium should be considered as a differential diagnosis in the female adolescent with obstructive uterine symptoms. Early diagnosis is crucial. Using the laparoscopic approach, an expert surgeon prefers definitive management to excise the rudimentary horn.

THE CORRELATION BETWEEN LEVEL OF ANXIETY DURING COVID-19 PANDEMIC AND THE INCIDENCE OF PRIMARY DYSMENORRHOEA IN FEMALE ADOLESCENTS AT SMAN 1 SINDANG INDRAMAYU IN 2020

Female adolescents who experience anxiety will have an increase in prostaglandin synthesis accompanied by decreased levels of estrogen or progesterone, causing uterine muscle contractions, uterine blood flow, uterine ischemia resulting in dysmenorrhea. The prevalence of dysmenorrhoea varies between 15.8% - 89.5%, with the highest prevalence in adolescents, this shows that adolescents are very vulnerable to anxiety which will lead to the incidence of dysmenorrhoea. This study aims to determine the correlation between the level of anxiety during the Covid-19 pandemic and the incidence of primary dysmenorrhoea in adolescents at SMAN 1 Sindang Indramayu in 2020. Non-experimental research with correlational analytic design with cross sectional approach using primary data of 50 female adolescents who were taken by quota sampling technique. Collecting data using an electronic questionnaire which is analyzed by the Spearman rank test. In the univariate analysis, 36% of 50 female adolescents had mild anxiety and 72% had mild primary dysmenorrhoea. Bivariate analysis with the Spearman rank statistical test obtained significance or P value = 0.003 <0.05 and a correlation coefficient value of 0.418 and is positive. There are correlation between the level of anxiety during Covid-19 pandemic and the incidence of primary dysmenorrhoea in female adolescents at SMAN 1 Sindang Indramayu with the strength of the correlation between two variables in the sufficient category and positive, which means that if the variable level of anxiety is high, the primary dysmenorrhoea variable is getting higher.