Abstract
Background: Menstrual disorders are common sources of morbidity among adolescent girls and often cause anxiety for these girls and their families.
Objective: This paper aims to determine the patterns of menstruation as well as the prevalence of menstrual disorders and their consequences among adolescent girls in Osogbo, South Western Nigeria.
Subjects: Adolescent school girls aged 10–19 years comprised the sample.
Methods: The study employed a descriptive cross-sectional design. A pre-tested, self administered, semi-structured questionnaire was used to elicit information from 402 adolescents selected from private secondary schools in the Osogbo Local Government Area (LGA) of Osun State, using a multistage sampling technique. Data were analyzed using SPSS version 15.
Results: A total of 391 (97.8%) respondents had heard about menstruation before, with the three most important sources of information being their mothers (81.8%), teachers (7.4%), and peer groups (6.1%). The mean age at menarche was 12.5±1.0 years. Menstrual bleeding lasted between 2–7 days in 81.1% and cycle length lasted for 21–35 days in 81.6% of the respondents. The three most important menstrual disorders they experienced were dysmenorrhea (77.8%), menorrhagia (57.4%) and metrorrhagia (18.6%), among others. Menstrual disorders, especially dysmenorrhea, interfered with the daily activities of the respondents.
Conclusion: The prevalence of menstrual disorders among adolescents in the Osogbo LGA is high. Measures should be undertaken to educate the adolescents and their mothers about menstrual disorders and to mitigate their effects on the social and academic lives of these adolescents.
The authors would like to acknowledge the research assistants, the school girls who were interviewed, and the principals who allowed the survey to be conducted in their respective schools.
Conflict of interest statement
We, the authors, declare that there is no conflict of interest that might lead to bias in our work or that may inappropriately influence our judgment.
References
1. Demir SC, Kadayyfcy TO, Vardar MA, Atay Y. Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey. J Pediatr Adolesc Gynecol 2000;13:171–5.10.1016/S1083-3188(00)00061-9Search in Google Scholar
2. Kaplowitz P. Pubertal development in girls, secular trends. Curr Opin Obstet Gynecol 2006;18:487–91.10.1097/01.gco.0000242949.02373.09Search in Google Scholar
3. Bates GW. Normal and abnormal puberty. In: Carr BR, Blackwell RE, editors. Textbook of reproductive medicine. Norwalk, CT, Appleton and Lange, 1997;49–65Search in Google Scholar
4. Sperroff L, Glass RH, Kase NG. Abnormal puberty and growth problem. In: Clinical gynaecologic endocrinology and infertility. Philadelphia: Lippincott Williams and Wilkins, 1999;381–420.Search in Google Scholar
5. Sperroff L, Glass RH, Kase NG. Dysfunctional uterine bleeding. In: Clinical gynaecologic endocrinology and infertility. Philadelphia, PA, Lippincott Williams and Wilkins, 1999;576–93.Search in Google Scholar
6. Mishell DR. Abnormal uterine bleeding. In: Stenchever MA, Droegenmueller W, Herbst AL, Mishell DR, editors. Comprehensive gynecology. St. Louis, MO, Mosby, 2001: 1079–99.Search in Google Scholar
7. Adams HPJ. Menstruation in young girls: a clinical perspective. Obstet Gynecol 2002;99:655–62.10.1016/S0029-7844(02)01660-5Search in Google Scholar
8. Adams Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics 2006;118:2245–250.10.1542/peds.2006-2481Search in Google Scholar PubMed
9. Titilayo A, Agunbiade OM, Banjo O, Lawani A. Menstrual discomfort and its influence on daily academic activities and psychosocial relationship among undergraduate female students in Nigeria. Tanzania J Health Res 2009; 11:181–88.Search in Google Scholar
10. Iliyasu ZA, Galadanci HSA, Abubakar ISA, Ismail AOA, Aliyu MHA, Menstrual patterns and gynecologic morbidity among university students in Kano, Nigeria. J Pediatr Adolesc Gynecol 2012;25:401–06.10.1016/j.jpag.2012.08.006Search in Google Scholar PubMed
11. Karout N, Hawai SM, Altuwaijri S. Prevalence and pattern of menstrual disorders among Lebanese nursing students. East Mediterr Health J 2012;18:446–52.10.26719/2012.18.4.346Search in Google Scholar PubMed
12. National Population Commission. Provisional results of 2006 population census. Federal Government’s Extraordinary Gazette, Vol. 94, No. 24. Lagos, Nigeria: The Federal Government Printer, 2007.Search in Google Scholar
13. Araoye MO. Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publishers, 2003; 115–21.Search in Google Scholar
14. Nwankwo TO, Aniebue UU, Aniebue PN. Menstrual disorders in adolescent school girls in Enugu, Nigeria. J Pediatr Adolesc Gynecol 2010;23:358–63.10.1016/j.jpag.2010.04.001Search in Google Scholar PubMed
15. Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is the adolescent girl? Indian J Community Med. 2008;33:77–80.10.4103/0970-0218.40872Search in Google Scholar PubMed PubMed Central
16. Zegeye DT, Megabiaw B, Mulu A. Age at menarche and the menstrual pattern of secondary school adolescents in Northwest Ethiopia. BMC Women’s Health 2009;9:29 doi:10.1186/1472-6874-9-29.10.1186/1472-6874-9-29Search in Google Scholar PubMed PubMed Central
17. Dhingra R, Kumar A, Kour M. Knowledge and practices related to menstruation among tribal (Gujjar) adolescent girls. Ethno-Med 2009;3:43–8.10.1080/09735070.2009.11886336Search in Google Scholar
18. Adinma ED, Adinma JI. Perceptions and practices on menstruation amongst Nigerian secondary school girls. Afr J Repr Health 2008;12.Search in Google Scholar
19. Amaza DS et al. Menstrual pattern among female medical students in University of Maiduguri, Nigeria. BJMMR 2010;2:327–37.10.9734/BJMMR/2012/1018Search in Google Scholar
20. Fawole AO, Babarinsa IA, Fawole OI, Obisesan KA, Ojengbede OA. Menstrual characteristics of secondary school girls in Ibadan, Nigeria. West Afr J Med 2009;28:92–6.Search in Google Scholar
21. Gumanga SK, Kwame-aryee RA. Menstrual characteristics in some adolescent girls in Accra, Ghana. Ghana Med J 2012;46:3–7.Search in Google Scholar
22. Agarwal A, Venkat A.AFFILIATIONS Questionnaire study on menstrual disorders in adolescent girls in Singapore. J Pediatr Adolesc Gynecol 2009;22:365–71.10.1016/j.jpag.2009.02.005Search in Google Scholar PubMed
23. Friberg B, Ornö AK, Lindgren A, Lethagen S. Bleeding disorders among young women: a population-based prevalence study. Acta Obstet Gynecol Scand 2006;85:200–6.10.1080/00016340500342912Search in Google Scholar PubMed
24. Kulkarni MV, Durge PM. Reproductive health morbidities among adolescent girls: breaking the silence! Ethno Med 2011;5:165–68.10.1080/09735070.2011.11886405Search in Google Scholar
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