A cross sectional study reflecting association between common menstrual disorders and college absenteeism
Keywords:Common menstrual disorders, College absenteeism, Medical advice
Background: Menstrual disorders affect half of all female adolescents and represent leading cause of periodic college absenteeism but awareness regarding health seeking behaviour is less. Objective was to study association between common menstrual disorders and college absenteeism in first and second year medical students in Mumbai.
Methods: 150 female students from first and second year MBBS were included in the study. Research tool comprised of questions about demographic characteristics, age at menarche, menstrual cycle pattern, complaints and its impact on daily activities including college absenteeism. Behaviour towards health and knowledge about menstrual cycle was observed. Percentage and chi square values were calculated using SPSS 16. The study was conducted in period between August to October 2012.
Results: 150 first and second year female medical students participated in the study. Their mean age was 19.5 yrs. Mean age of menarche was 13-14 years in 78%. Menstrual cycle was regular in 72.6%. Menstrual flow was average in 73.3% of respondents and 88% reported duration as 3-5 days. 92% respondents had painful menses especially reporting moderate pain in 78% while in 70% of those pain resolved on its own. 67.4% reported mother as source of menstrual cycle information. Although menstrual disorder was cause of college absenteeism of 1-2 days in 44% students, 88% students didn’t seek medical advice for menstrual disorders.
Conclusions: Improving health seeking behaviour towards common menstrual problems can reduce college absenteeism.
Campbell M, Mcgrath P. Use of medication by the adolescents for the management of menstrual discomfort. Arch Pediatr Adolesc Med. 1997;151(9):905–12.
Dutta DC. Textbook of Obstetrics. 20th Edition, CBS Publishers, New Delhi, India; 2010: 69.
Cronje WH, Studd JWW. Premenstrual syndrome and premenstrual dystrophic disorder. Primary Care Clinics In Office Practice. 2002;29:5.
Herbst AL. Comprehensive Gynecology, 2nd Ed. Chicago, Mosby Year Book Medical Publishers; 1996: 1063-1066
Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on hispanic female adolescents. Archives Ped Adoles Med. 2000;154(12):1226–9.
Andersch B, Milsom J. An epidemiologic study of young women with dysmenorrhea. American J Obstet Gynec. 1982;144(6):655–60.
Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynecol. 1996;97:588-94.
Anandha Lakshmi S, Priy M, Saraswathi I, Saravanan A, Ramamchandran C. Prevalence of premenstrual syndrome and dysmenorrhoea among female medical students and its association with college absenteeism. Int J Biol Med Res. 2011;2(4):1011-6.
Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrohea: A problem related to menstruation among first and second year female medical students. Indian J Physiol Pharmacol. 2008;52(4):389-97.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol. 2007;20(1):3-12.
O'Brien PMS. The premenstrual syndrome. A review. J Reprod Med. 1985;30:113-26
Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM. Primary dysmenorrhoea in young western australian women: prevalence, impact and knowledge of treatment. J Adolesc Health. 1999;25(1):40-5.
Umeora O, Egwuatu V. Age at menarche and the menstrual patterns of Igbo women of Nigeria. African J Reprod Health. 2008;12(1):90-5.
The ACOG American College Of Obstetrician And Gynaecologists; Dysmenorrhoea. technical bulletin, Washington, DC: ACOG; 1983: 63.
Dangal G. Menstrual disorders in adolescents. The Internet J Gynaec Obst. 2004;4(1).
Bhatia JC, Cleland J; Self-reported symptoms of gynaecological morbidity and their treatment in South India. Stud Family Plann. 1995;26(4):203-16.
Lakkawar NJ, Jayavani RL, Nivedhana Arthi P, Alaganandam P, Vanajakshi N. A study of menstrual disorders in medical students and its correlation with biological variables. Sch J App Med Sci. 2014;2(6E):3165-75.
Olowokere AE, Oginni MO, Olajubu AO, William AE, Irinoye OO. Menstrual disorders: The implications on health and academic activities of female undergraduates in a federal university in Nigeria. Journal of Nursing Education and Practice. 2014;4(5):126-35.