Age Of Menarche Determinants And Menstrual Problems In Adolescent Girls : A Cross-Sectional Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Introduction : The onset of Menstruation is an important part of female maturation process and reproductive cycle. However, variability in age of menarche and menstrual cycles characteristics and menstrual disorders are common in adolescent girls. Aims and objectives: The purpose of this study was to determine the age at menarche, menstrual problems of adolescent Girls and factors associated with it. Methods: this is a cross-sectional descriptive study conducted on 300 school going adolescent girls, age 10-18 year, during Jan2016 to Dec2017. Who attained menarche and came in gynae OPD of Rajkiya Mahila Chikitsalaya, Ajmer(Rajasthan) were included. Data was collected by using self administered questionnaire on menstruation. Results: Mean age of menarche was 13.09 0.97 yrs. Girls from upper socio-economic class had significantly lower mean menarcheal age. Age of menarche was significantly higher in girls involved in physical/sports activity. Mean age of menarche in girls with excessive blood loss was higher. junk food consumption had significant relation with age of menarche and menstrual problems. Menstrual pattern was abnormal at the time of menarche in most of the girls. The most common menstrual problem was menorrhagia (74.7%), followed by Hypomenorrhoea (13.3%), and Oligomenorrhoea(3.7%). Dysmenorrhoea and premenstrual symptoms were perceived as most distressing symptoms leading to school absenteeism (10.66%.Most of the girls belonged to lower(53%) and middle socio-economic status(46%).mother remained the most important source of information(60.15%). 88.66%girls used sanitary pads during periods. Conclusion: Study revealed that majority of adolescent girls had attained menarche at appropriate age. Most common menstrual problem were menorrhagia, dysmenorrhoea. They were influenced by certain modifiable factors.BMI, socio-economic status, sports activity. In rural India, where a female child and its problems are neglected, there is an urgent and unmet need to understand menstrual pattern and problems of adolescents and include it into the primary health care program.
Authors and Affiliations
Dr. Sarita Meena
Keywords
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