Paper Information

Journal:   JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL   SUMMER 2007 , Volume 6 , Number 2 (53); Page(s) 181 To 186.
 
Paper: 

PREVALENCE OF MENSTRUAL DISORDERS IN EARLY PUBERTY

 
 
Author(s):  SHAHBAZIAN N.*, FALAHAT F.
 
* DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, AHWAZ JUNDISHAPUR UNIVERSITY OF MEDICAL SCIENCES, AHWAZ
 
Abstract: 

Objective: Menstrual disorders in adolescents, in particular in the first two years after commencement of menstruation, are common. During this period most of the cycles are unovulatory. The aim of this descriptive study was to report the prevalence of this disorder among school girls in mid school.
Subjects and Methods: The data were collected using randomized block sampling method by completing a questionnaire regarding personal and familial details, menstruation status, presence of concomitant conditions and important evidences in physical examination. Data were evaluated by variance and correlation tests.
Results: A total of 244 girls in their mid school level were enrolled in this study. Mean age and mean age of menarche were 13.6
± 0.72 and 12.3 ±1.22 years respectively. Prevalence of menstrual disorders was 45.9 %. Oligomenorhea was most common, while menometrorhagia was the rarest type of disorder. Most of the menstrual disorders were experienced at thirteen years of age and during the first year after menarche. There was a significant correlation between the age at menarche and menstrual disorders (younger age correlated favorable with fewer menstrual disorders) (p<0.05). Similarly there was a significant correlation between the age at menarche and BMI (younger age correlated favorable with higher BMI) (p <0.05). No significant correlations between menstrual disorders and BM, nor between economic status and menarche as well as with menstrual disorders. Only five cases suffering from menstrual disorders had concurrently other symptoms and signs including acne, hirsutism and history of chronic diseases.
Conclusion: The findings of this study suggest that menstrual disorders in adolescent are common and the majority of these symptoms are due to unovulatory nature of these cycles.
However, should these disorders continue beyond two years after menarche, other significant etiological factors need to be considered and diagnostic evaluation and appropriate treatment plans need to be carried out.

 
Keyword(s): MENSTRUATION, OLIGOMENORHEA, ADOLESCENCE, BMI
 
References: 
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