PATTERN OF MENSTRUAL DISORDERS IN ADOLESCENT GIRLS ATTENDING TERTIARY CARE HOSPITAL SETTING
Main Article Content
Keywords
Menstrual disorders; Adolescent health; Dysmenorrhea; Healthcare utilization; Tertiary care
Abstract
Background: Menstrual disorders significantly impact adolescent girls' physical, psychological, and social wellbeing, yet comprehensive data from tertiary care settings in developing countries remains limited. This study aimed to determine the pattern, prevalence, and clinical characteristics of menstrual disorders among adolescent girls and identify associated risk factors.
Methods: A cross-sectional descriptive study was conducted at LNCT Medical College and Sewakunj Hospital, Indore, from June 2023 to December 2023. Convenient sampling recruited 425 adolescent girls aged 10-19 years who had attained menarche at least 6 months prior. Data collection employed structured questionnaires covering demographic characteristics, menstrual patterns, associated symptoms, risk factors, and healthcare utilization. Statistical analysis included descriptive statistics, chi-square tests, and multivariate regression.
Results: Participants were predominantly aged 13-19 years (88.0%) with 60.0% from rural areas. Overall prevalence of menstrual disorders was 80.0%, with primary dysmenorrhea being most common (69.9%), followed by irregular menstruation (49.9%) and premenstrual syndrome (45.0%). Significant functional impact included school absenteeism (45.0%) and restricted physical activities (40.0%). Major risk factors identified were anemia (45.0%), inadequate physical activity (49.9%), poor dietary habits (40.0%), and excessive stress (35.1%). Healthcare utilization revealed that 24.9% had never consulted providers despite experiencing symptoms, while 45.0% presented specifically for menstrual problems.
Conclusion: High prevalence of menstrual disorders among adolescents attending tertiary care significantly impacts educational and social functioning. Preventable risk factors, particularly nutritional deficiencies and lifestyle factors, represent important intervention opportunities requiring comprehensive, culturally appropriate healthcare approaches and school-based health education programs.
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Dr. Mili Poonia
Associate Professor, LNCT Medical College and Sewakunj Hospital, Indore, Madhya Pradesh