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Menstrual pattern and problems among rural adolescent girls of bhilwara district, rajasthan

Jyoti Sachan and Deepa Swamy

Adolescence, the transitional phase of physical and mental development between childhood and adulthood, is characterized by immense hormonal changes. Owing to the immaturity of the hypo-thalamo-pituitary-ovarian axis, menstrual cycles tend to be rather irregular. This variability poses a dilemma for physicians treating these girls and may result in a delay in the diagnosis and treatment of underlying problems. Though the present study has been planned to study the menstrual pattern and menstrual problem among rural adolescent girls. A cross-sectional community based study was conducted in the rural area of Bhilwara district,Rajasthan. A sample of 420 rural adolescent girls were selected. Information on various aspect of menstruation was obtained from adolescent girls with the help of pretested and validated questionnaire. All the data were collected and analyzed in Microsoft Excel. Results of the study reveles that out of 420 adolescent girls 314 had attained menarche. The mean age of menarche was 13.4±1.2 years. Dysmenorrhea was the most common problem complained by the subjects (63.03%). Followed by dysmenorrheal, weakness, easy fatiguability or breathlessness were the second most common set of complaint. Premenstrual symptoms were present in36.30 % subjects. 80.89% girls had abdominal pain during menstruation followed by 28.34% cramp, 12.73% were uncomfortable, 19.74% backache, 6.05% headache and 11% had constipation. Menstrual problem among adolescent female are common and a significant source of morbidity in this population. However, adolescent girls are reluctant to seek medical treatment, leading to delay in diagnosis and treatment. Appropriate health education measures need to be put into place to prevent this trend.

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