The Prevalence, Management and Impact of Dysmenorrhea on Medical Students’ Lives—A Multicenter Study

Introduction: Dysmenorrhea is defined as the presence of painful menstruation, and it affects daily activities in different ways. The aims of this study were to assess the prevalence and management of dysmenorrhea and to determine the impact of dysmenorrhea on the quality of life of medical students. Material and methods: The study conducted was prospective, analytical and observational and was performed between 7 November 2019 and 30 January 2020 in five university centers from Romania. The data was collected using an original questionnaire regarding menstrual cycles and dysmenorrhea. The information about relationships with family or friends, couples’ relationships and university activity helped to assess the effects of dysmenorrhea on quality of life. The level of significance was set at p < 0.05. Results: The study comprised 1720 students in total. The prevalence of dysmenorrhea was 78.4%. During their menstrual period, most female students felt more agitated or nervous (72.7%), more tired (66.9%), as if they had less energy for daily activities (75.9%) and highly stressed (57.9%), with a normal diet being difficult to achieve (30.0%). University courses (49.4%), social life (34.5%), couples’ relationships (29.6%), as well as relationships with family (21.4%) and friends (15.4%) were also affected, depending on the duration and intensity of the pain. Conclusion: Dysmenorrhea has a high prevalence among medical students and could affect the quality of life of students in several ways. During their menstrual period, most female students feel as if they have less energy for daily activities and exhibit a higher level of stress. The intensity of the symptoms varies considerably and, with it, the degree of discomfort it creates. Most student use both pharmacological and non-pharmacological methods to reduce pain (75.7%). University courses, social life, couples’ relationships, as well as relationships with family and friends are affected, depending on the duration and intensity of the pain.

Literature review: The Effect of Using Non-Herbal Panty Liners on Abnormal Vaginal Discharge in Adolescent Girls

Teenagers are very vulnerable to experiencing problems such as vaginal discharge and because of that teenage girls often wear panty liners outside of their menstrual period. Improper use of panty liners will make vaginal discharge abnormal. Therefore, this literature review aims to find out how to use non-herbal panty liners so that they can cause abnormal vaginal discharge. This research usesliterature review with data sources from the PubMed, Research Gate, and Google Scholar databases with a range of 2018-2021. The results of this literature review contained 4 journals which stated that the effect of using panty liners could cause vaginal discharge but under normal conditions and 4 journals also stated that abnormal vaginal discharge was caused by panty liners. It can be concluded that abnormal vaginal discharge is caused by a different way of using panty liners and the lack of information about using panty liners properly.

Analisis Faktor Penyebab Kenyamanan dan Performance pada Siswi Ekstrakurikuler Lari Saat dalam Periode Menstruasi

This study is a survey research that aims to analyze the factors that cause comfort and performance in extracurricular running students of SMP Negeri 1 Kasembon. In this study using a quantitative approach. The sample consisted of running extracurricular students who were in their menstrual period totaling 15 students. Data collection in this study used a non-test instrument, namely a questionnaire. The data were tested using percentage calculations. Factors that affect the comfort and performance of students participating in extracurricular running at SMP Negeri 1 Kasembon during the menstrual period consist of physical and psychological factors.The results of the study based on the data obtained, factors that affect the comfort of female extracurricular participants running SMP Negeri 1 Kasembon during the menstrual period on average physical factors have a percentage of 75 percent and psychological factors 53.4 percent. While Factors that affect the performance of extracurricular running students at SMP Negeri 1 Kasembon the average score from all aspects is 62.9 with the performance category being in the medium category, namely 100 percent (15 people). Abstrak: Penelitian ini merupakan penelitian survei yang bertujuan untuk menganalisis adanya faktor penyebab kenyamanan dan performance pada siswi ekstrakurikuler lari SMP Negeri 1 Kasembon. Pada penelitian ini menggunakan pendekatan kuantitatif. Sampel terdiri dari siswi ekstrakurikuler lari yang sedang dalam masa periode menstruasi berjumlah 15 siswi. Pengambilan data pada penelitian ini menggunakan Instrumen non tes yaitu dengan angket. Data diuji menggunakan perhitungan persentase. Faktor yang memengaruhi kenyamanan dan performance siswi peserta ekstrakurikuler lari SMP Negeri 1 Kasembon pada saat periode menstruasi terdiri dari faktor fisik dan psikis. Hasil penelitian berdasarkan data yang didapatkan, faktor yang memengaruhi kenyamanan siswi peserta ekstrakurikuler lari SMP Negeri 1 Kasembon pada saat periode menstruasi pada rata-rata faktor fisik memiliki persentase 75 persen dan faktor psikis 53,4 persen. Sedangkan faktor yang memengaruhi performance siswi peserta ekstrakurikuler lari SMP Negeri 1 Kasembon rata-rata skor dari seluruh aspek adalah 62,9 dengan kategori performance berada dalam kategori sedang yaitu 100 persen(15 orang).

Effect of COVID-19 vaccination on menstrual periods: a retrospective cohort study

Objective. Clinicians and regulators are receiving reports of changes to menstrual periods following COVID-19 vaccination. However, it is unclear if the two are biologically linked. If they are, people using hormonal contraception are predicted to be less likely to report a change and spontaneously cycling people vaccinated prior to ovulation more likely. The objective was to test these hypotheses. Design. Retrospective cohort study. Setting. UK. Population. 1273 people who had received at least one dose of a COVID-19 vaccination, have periods or withdrawal bleeds and keep a record of the dates of these. Methods. Participants reported whether they use any hormonal contraception and, for each dose of the vaccine, on which day of their menstrual cycle they were vaccinated and details of how the timing and flow of their next period compared to their normal experience. Main outcome measures. Association between 1. the use of hormonal contraception and reported changes to timing or flow of the next menstrual period, and 2. the timing of vaccination within the menstrual cycle and reported changes to timing or flow of the next menstrual period. Results. The data from this cohort did not support the pre-specified hypotheses that people using hormonal contraception would be less likely to report a change, or that spontaneously cycling people vaccinated prior to ovulation would be more likely to report a change. Conclusions. This study did not detect strong signals supporting the idea that COVID-19 vaccination is linked to menstrual changes in most people. Funding. No specific funding.

Cyclic vomiting syndrome responding to amisulpride – A case report

Cyclic vomiting syndrome (CVS) is an uncommon functional condition defined by recurring episodic stereotyped vomiting with a sudden start and an unknown origin. CVS can be triggered by a variety of conditions, and the course and management are often determined by the triggering factors. We present the case of a 13-year-old female youngster who complained of frequent bouts of vomiting that coincided with the onset of menses. We started her on oral amisulpride 50 mg a few days before each menstrual period. As a result of the treatment, in the following menstrual cycle, she had a dramatic improvement in her symptoms.

PENGARUH OBESITAS TERHADAP SIKLUS MENSTRUASI PADA REMAJA DI DESA RAMBAH TENGAH HILIR KECAMATAN RAMBAH KABUPATEN ROKAN HULU

The menstrual cycle is the distance between the start date of the last menstrual period and the start of the next menstruation which occurs repeatedly every month. Regular cycles every month with a span of 21 to 35 days each menstrual period and the length of menstruation lasts 3-7 days. Menstrual cycle abnormalities are a sign of some abnormalities in the cervix, uterine cancer, breast cancer, and infertility. There are several factors that affect the menstrual cycle such as physical activity, stress, diet, hormonal factors, food consumed, enzymes in the body and BMI. Menstrual cycle can be influenced by body weight, physical activity, stress level, and ovarian disorders. This research uses a descriptive method, which is a research method that describes certain variables in research with a cross-sectional design. The population is 287 people. Samples obtained by accidental technique obtained 32 teenagers. The results of this study showed that the average data for adolescents with BMI 29.29 ± 3.3 had abnormal menstrual cycles. The statistical test results obtained a p value of 0.025, which means that there is an influence between obesity on the menstrual cycle in adolescents

Study of Menarche Experience on Students of FKM UMJ

According to the World Health Organization (WHO) about one-fifth of the world's population of adolescents aged 10-19 years. In Indonesia, 5.2% of women experience menarche under the age of 12 from 17 provinces. The purpose of this study was to find out in-depth the experience of menarche in adolescent girls, especially in the Muhammadiyah University of Jakarta. The type of research used is qualitative research. The statements of the four informants regarding their knowledge of menarche were good, with various attitudes, behaviors, and responses. Reproductive health education is needed at this menarche phase. FKM UMJ students have various experiences regarding menarche or their first menstrual period.

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

DRUG REVIEW OF KUSHAMOOLA CHURNA WITH TANDULODOK IN ASRUGDARA MANAGEMENT

In Ayurveda, menstruation has been described in 3 phases as rajahkala (menstrual period) rutukala (fertile period) and rutuvyatitkal (premenstrual period) & Do’s and Don’ts regarding this has also been explained in detail. Due to so much physical and emotional stress women are suffering from so many menstrual problems, Asrugdara (menorrhagia) is one of them and in Samhitas its causes, Etiopathogenesis, treatment and complications are ex- plained in detail. Menorrhagia is being treated with hormonal combination have so many side effects in acute as well as chronic therapy. Kushamool churna with tandulodak (Rice water) as explained by Bhaishajya Ratnawali treats Asrugdara in 3 days. Due to its pharmacological properties, it breaks down the pathology of Asrugdara in the acute stage. So, we can formulate this combination for the acute condition of menorrhagia. Keywords: Rajahkala, Rutukala, Rutuvyatitkal, Asrugdara, Menorrhagia, Etiopathogenesis.

ESTIMATE GESTATIONAL AGE ACCORDING TO FETAL CROWN RUMP LENGTH ON ECHOGRAPHY

Objectives: Development of descriptive table of gestational age (GA) based on fetal crown rump length (CRL) in Vietnam. Methods: This study was conducted at the Center for Prenatal Diagnosis, National Hospital Obstetrics and Gynecology. Gestational age based on the first day of last menstrual period (LMP) ranges from 10 weeks to 14 weeks and 6 days. Pregnant women who are healthy, have regular menstrual periods, have not used hormonal drugs or assisted reproductive methods before. Have ultrasound measured the length of the crown-rump of the embryo based on the mandatory criteria. Data were analysed using SPSS 20.0 software. Results: 1008 singleton fetuses that met criteria, were predicted GA according to LMP. There were 1008 fetal crown rump length recorded. The mean CRL was 59.95 ± 6.79 (mm), the mean gestational age according to KCC was: 12.13 ± 0.75 (weeks). Gestational age was linearly correlated with fetal crown rump length according to the equation: CRL = 6.602+ GAx 4.398 and GA= 8.889 + CRLx 0.54. Conclusion: Gestational age can be calculated based on fetal crown rump length index by linear equation: GA = 8.889 + CRLx 0.54. The equations can be applied to calculate gestational age in ultrasound practice in Vietnam.