Problems related to menstruation amongst adolescent girls



To study the types and frequency of problems related to menstruation in adolescent girls and the effect of these problems on daily routine.


Girls in the age group 13–19 years who had had menarche for at least one year at the time of study. 198 adolescent girls have been studied. Data was collected by personal interviews on a pre-tested, semi-structured questionnaire. The questions covered menstrual problems, regularity of menses in last three cycles of menstruation and the effect of these problems on the daily routine. Analysis was done using SPSS version 12. Percentages were calculated for drawing inferences.


More than a third (35.9%) of the study subjects were in the age group 13–15 years followed by 17–19 years, 15–17 years respectively. Mean age of study participants was calculated to be 16.2 years. Dysmenorrhea (67.2%) was the commonest problem and (63.1%) had one or the other symptoms of Pre-menstrual syndrome (PMS). Other related problems were present in 55.1% of study subjects. Daily routine of 60% girls was affected due to prolonged bed rest, missed social activities/commitments, disturbed sleep and decreased appetite. 17.24% had to miss a class and 25% had to abstrain from work. Mothers and friends were the most common source of information on the issue.


Screen adolescent girls for menstruation related problems and provide them with counseling services and relevant information on possible treatment options. Besides, there is a need to emphasize on designing menstrual health programmes for adolescents.

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  1. 1.

    Hanson M, Gluckman P. Evolution, development and timing of Puberty. Trends in Endocrinology and Metabolism 2006; 17: 7–12.

    PubMed  Article  Google Scholar 

  2. 2.

    Ghirri P, Bernardini M, Vuerich M, Cuttano AM, Coccoli L et al. Adrenarche, pubertal development, age at menarche and final height of full-term, born small for gestational age (SGA) girls. Gynecol Endocrinol 2001; 15: 91–97.

    PubMed  Article  CAS  Google Scholar 

  3. 3.

    Khadilkar VV, Stanhope RG, Khadilkar V. Secular trends in puberty. Indian Pediatr 2006; 43: 475–478.

    PubMed  CAS  Google Scholar 

  4. 4.

    Chumlea WC, Schubert CM, Roche AF, Kulin HE, Lee PA, Himes JH, Sun SS. Age at Menarche and Racial Comparisons in US Girls. Pediatrics 2003; 111: 110–113

    PubMed  Article  Google Scholar 

  5. 5.

    Acharya A, Reddaiah VP, Baridalyne N. Nutritional status and menarche in adolescent girls in an Urban Resettlement colony of South Delhi. Indian J Community Medicine 2006; 31: 302–303.

    Google Scholar 

  6. 6.

    Drife JO, Magowan BA. Normal Menstrual Cycle. Clinical Obstetrics and Gynecology. Saunders publication 2004; 121.

  7. 7.

  8. 8.

    Mackay HT. Abnormal Menstrual Bleeding. Current Medical Diagnoses and Treatment. McGraw Hills 2005; 704.

  9. 9.

    Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on hispanic female adolescents. Arch Pediatr Adolesc Med Dec 2000; 154: 1226–1229.

    CAS  Google Scholar 

  10. 10.

    Klien J, Litt l. Epidemiology of adolescent dysmenorrhea. Pediatrics 1981; 68: 661–664.

    Google Scholar 

  11. 11.

    Chaturvedi SK, Chandra PS. Socio cultural aspects of menstrual attitudes and premenstrual experiences in India. Soc Sci Med 1991; 32: 349–351.

    PubMed  Article  CAS  Google Scholar 

  12. 12.

    Walsh TM, LeBlanc L, Mc Grath PJ. Menstrual pain intensity, coping and disability: the role of pain catastrophizing. Pain Med 2003; 4: 352–361.

    PubMed  Article  Google Scholar 

  13. 13.

    Hylan TR, Sundall K, Judge R. The impact of pre menstrual symptomatology on functioning and treatment seeking behavior: experience from united states, United Kingdom and France. J Womens Health Gender Based Med 1999; 8: 1043–1052.

    CAS  Google Scholar 

  14. 14.

    Juhasz AG, Vincze G, Kraszanai Z, Csorba R, JMajor T. Dysmenorrhea in adolescent Girls. Orv Hetil 2005; 146: 27–32.

    PubMed  Google Scholar 

  15. 15.

    Busch CM, Costa PT, Whitehead WE, Heller BR. Severe perimenstrual symptoms: prevalence and effects on absenteeism and health care seeking in a non clinical sample. Women Health 1988; 14: 59–74.

    PubMed  Article  CAS  Google Scholar 

  16. 16.

    Singh MM, Devi R, Gupta SS. Awareness and health seeking behavior of rural adolescent girls on menstrual and reproductive health problems. Indian J Med Sci 1999; 53: 439–443.

    PubMed  CAS  Google Scholar 

  17. 17.

    Joseph GA, Bhattacharji S, Joseph A, Rao PS. General and reproductive health of adolescent girls in rural south India. Indian Pediatr 1997; 34: 242–245.

    PubMed  CAS  Google Scholar 

  18. 18.

    Lee LK, Chen PC, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore Med J 2006; 47: 869–874.

    PubMed  CAS  Google Scholar 

  19. 19.

    Greydenus DE, Mc Anarney ER. Menstruation and its disorders in adolescence. Curr Probl Pediatr 1982; 12: 1–61.

    Google Scholar 

  20. 20.

    Jacks TH, Obed JY, Agida ET, Petrova GV. Dysmenorrhea and menstrual abnormalities among post menarcheal secondary girls school in Maiduguri Nigeria. Afr J Med Sci 2005; 34: 87–89.

    CAS  Google Scholar 

  21. 21.

    Limosin F, Ades J. Psychiatric and psychological aspects of premenstrual syndrome. Encephale 2001; 27: 501–508.

    PubMed  CAS  Google Scholar 

  22. 22.

    Dean BB, Borenstein JE. A prospective assessment investigating the relationship between work productivity and impairment with premenstrual syndrome. J Occup Environ Med 2004; 46: 649–656.

    PubMed  Article  Google Scholar 

  23. 23.

    Borenstein JE, Dean BB, Endicott J, Wong J, Brown C et al. Health and Economic impact of the premenstrual syndrome. J Reprod Med 2003; 48: 515–524.

    PubMed  Google Scholar 

  24. 24.

    Robinson RL, Swindle RW. Premenstrual symptom severity: impact on social functioning and treatment seeking behavior. J Womens Health Gend Based Med 2000; 9: 757–768.

    PubMed  Article  CAS  Google Scholar 

  25. 25.

    Drakshayani DK, Venkata Ramaiah P. Astudy on menstrual hygiene among rural adolescent girls. Indian J Med Sci 1994; 48: 139–143.

    Google Scholar 

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Correspondence to Pragya Sharma.

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Sharma, P., Malhotra, C., Taneja, D.K. et al. Problems related to menstruation amongst adolescent girls. Indian J Pediatr 75, 125–129 (2008).

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Key words

  • Adolescent girls
  • Menarche
  • Menstruation