Menstrual disorders in early puberty in girls 14–17 years

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


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.

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