A Cross-Sectional Study on Menstrual Pattern among Adolescent Girls in Aligarh

Farha  Tarannum; Najam  Khalique; Uzma  Eram

doi:10.5455/njcm.20200207073310

Authors

Farha Tarannum Mamta Academy Of Medical Sciences, Bachupally, Hyderabad
Najam Khalique Jawaharlal Nehru Medical College, Amu, Aligarh
Uzma Eram Jawaharlal Nehru Medical College, Amu, Aligarh

DOI:

https://doi.org/10.5455/njcm.20200207073310

Keywords:

menstrual cycle, menstruation, obese, irregular cycle, adolescent, girl

Abstract

Background: Adolescents (10-19 years) constitute 21.3% of total population of India. Major biological milestone in this period is the beginning of menstruation The menstrual cycle are characterized by variability in volume, pattern and regularity. There are few research on menstrual pattern of adolescent girls. Hence this study will highlight the menstrual pattern and factors affecting it.

Methods: A descriptive cross-sectional study in schools under Aligarh Muslim University, Aligarh was undertaken. A total of 422 girls were taken by systematic random sampling with probability proportionate to size. Data was analysed statistically by bivariate analysis and multivariate (binary) logistic model by backward LR method using SPSS Version 20.

Results: 39.1% of girls experienced irregular cycle. Heavy bleeding was reported by 25.6% girls and 18.7% had scanty bleeding. Irregular cycle was 4.25 times in underweight and 2.19 times in overweight/obese compared to normal body mass index. There was 46% reduction in irregular cycle for those who attained menarche for more than 2 years.

Conclusion: There are many host factors which influence menstrual pattern in girls. These factors increases the girls risk for various reproductive disorders in future.

References

Govt. of India; National Health Profile, Percent distribution of population by age and sex, Ministry of Health and Fami-ly Welfare, New Delhi, 2010.

Stedman’s medical dictionary. Menstruation. 27th ed. Bal-timore: Williams &Wilkins; 2000.p. 1092.

Berek SJ. Novak’s gynecology. 14th ed. London: Williams and Wilkinspublication; 2006. p. 1696.

Chiou MH, Wang HH, Yang YH. Effect of systematic men-strual healtheducation ondysmenorrheic female adoles-cents’ knowledge, attitudes, andself-care behavior. Kaohsiung J Med Sci. 2007;23(4):183–90.

Lawanga SK. Lameshaw S, Sample size determination in health studies a practical manual, WHO, 1991.

World Health Organization WHO. (2004): Body Mass Index Classification: WHO Bulletin, 2004.

Berek SJ. Novak’s Gynaecology. 13th edition. Lippincott Williams & Wilkins; 2002.

Higham J, O’Brien PM, Shaw RW. Assessment of menstrual blood loss using a pictorial chart. Br J ObstetGynaecol 1990; 97:734-9.

Holambe VM, Thakur NA, Wadagale AV. Pattern of Men-struation and HealthSeekingBehavior of College Going Girls in Latur City, Maharashtra. Int JRecent Trends Sci Technol 2013;8(3):224–7.

Jogdand K, Yerpude P. A community based study on men-strual hygieneamong adolescent girls. Indian J Maternal child Health 2011;13(3):1–6.

Zegeye DT, Megabiaw B, Mulu A. Age at menarche and the menstrual patternof secondary school adolescents in north-west Ethiopia. BMC Womens Health.2009;9(29).

Mohite RV, Mohite VR, Kumbhar SM GP. Common Men-strual Problems among Slum Adolescent Girls of Western Maharastra, India. J Krishna Inst Med Sci Univ 2013;2(1):89–97.

Sharma P, Malhotra C, Taneja DK, Saha R. Problems related to menstruation amongst adolescent girls, Indian J Pediatr 2008; 75(2): 125-129.

Dhingra R, Kumar A, Kour M. Knowledge and Practices Related to Menstruation among Tribal (Gujjar) Adolescent Girls. Ethno-Med 2009; 3(1): 43-8

Omidvar S, Begum K. Menstrual pattern among unmarried women from south india, Journal of Natural Science, Biolo-gy and Medicine 2011; 2(2): 174-179.

De Sanctis V, Bernasconi S, Bianchin L, Bona G, Bozzola M, Buzi F, et al. Onset of menstrual cycle and menses features among secondary school girls in Italy: A questionnaire study on 3,783 students. Indian J Endocrinol Metab. 2014;18:S84–92

Lee LK, Chen PCY, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia:A cross-sectional school sur-vey. Singapore Med J 2006;47(10):869–74.

William CE, Creighton S. Menstrual disorders in adoles-cents: Review of current practice. Horm Res Pediatr 2012; 78: 135-43.

Mohite RV, Mohite VR. Correlates of Menstrual Problems among Rural College Students of Satara District. Al Ameen J Med Sci 2013;6(3):213-218.

Harlow SD, Matanowski GM. The association between weight, physical activity, and stress and variation in the length of the menstrual cycle. Am J Epidemiol 1991;133:38–49.

Harlow SD. Menstruation and menstrual disorders: the epi-demiology of menstruation and menstrual dysfunction. In: Goldman MB, Hatch MC, eds. Women and Health. San Die-go: Academic Press, 2000;99–113.

Bullen BA, Skrinar GS, Beitins IZ, von Mering G, Turnbull BA, McArthur JW. Induction of menstrual disorders by strenuous exercise in untrained women. N Engl J Med 1985;312:1349–1353.

Schweiger U, Laessle R, Pfister H, et al. Diet-induced men-strual irregularities: effects of age and weight loss. Fertil Steril 1987;48:746–751.

Rowland AS, Baird DD, Long SS et al. Influence of medical condition and lifestyle factors on menstrual cycle. Epidemi-ology 2002;13:668-674.

Vasudevan J, Mishra AK, Singh Z. An update on BG Prasad socioeconomic scale may, 2016. International Journal of re-search in medical sciences 2016;4(9):4183-6