Menstrual disorders in early puberty in girls 14–17 years
L. Fathizadeh, N. Farajii, F. Khodakaramii, Nahidii
Nurse & Midwifery Faculty, Medical Sciences University, Isfahan, Iran
Introduction: One of the most important events in one’s life is the
period of adolescence and maturity. The factor for recognizing the real maturity
in young girls is the first menstruation (monthly period). Against that monthly
period is not a deniable happening, it has not been written about its effective
factors. The girls don’t know enough about adolescence, maturity and related
disorders. If they don’t have enough knowledge and can not adapt to the
situation, the bad effects with the mental problems will appear in their
conjugal life as well as the society. Hence, it is necessary to consider this
case.
Methods: The present study is an analytic and descriptive study. The
samples included 1536 girls, 14 to 17 years old who were students of grade 3 at
guidance schools and grade 1 to 3 at governmental high schools in 3 distinct
regions (18 , 5 and 9) of education ministry. The samples were chosen randomly.
Data collecting tool was a checklist including 2 parts and statistical
inferential methods were used for analyzing the data. The applied software is
S.P.S.S 10
Results: Results of the study show disorders of monthly period in the
girls as Amenorrhea 5.7% Menorrhagia 11.11%, Polymenorrhea 14.6%, Hypermenorrhea
22.9%, Olygomenorrhea 24.6%, Hypomenorrhea 12.9%, Metrorrhagia 11.7%,
Dysmenorrhea 75%, besides, the average menarcheal age of the girls is 12.8%
years and 48% of the girls experience disorder cycles in the first year after
menarche. The average of menarche is 2.09 days. In this study, significant
statistic relationship was found among menstruation and doing exercise
(P=0.047), BMI (P=0.003), Stress (P<0.001), and it was also shown that pregnancy during high or low ages or after a short period of pregnancy (less than or equal to 6 months) does not increase the monthly period disorders of the next generation
Discussion: Results of the mentioned study show that 75% of the
students suffer from dysmenorrhea, and factors such as stress, BMI and exercise
can affect the monthly period disorders. Therefore to satisfy and improve the
girls’ health, it seems necessary to consider reducing pain during
menstruation, nourishment, weight controlling and reducing stress factors as
well as planning to do exercises especially at schools.
