A pictorial chart for managing common menstruel disorders in Turkish population

A pictorial chart for managing common menstruel disorders in

Turkish population

Aydan Biri, Nuray Bozkurt, Ercan Yilmaz, Umit Korucuoglu,

Bulent Tiras, Haldun Güner

Gazi University, Obstetrics and Gynecology

Department, Ankara, Turkey

Objective This study is designed to detect the

personal changes during menstrual periods in Turkish population.

Design and method Six hundred women were included in this study. Along with a questionnaire,

pictorial chart was applied to investigate the women’s bleeding pattern during

the menstrual period. SPSS Inc., Chicago, IL ( Statistical Package for Social

Scinces, version 13.0 for Windows) was used for statistical analysis. 


Mean age of the 600 women was 20.4. 63.8% of women were between 16-20 years.

Among all participating women, 39 women (6.5%) had easy bruising, 86 had (14.3%)

epistaxis, 248 had (41.3%) gingival bleeding, 193 had (32.2%) bleeding after

surgical removal of a tooth and 52 had (8.7%) bleeding after previous surgery.

Of all women responding the questionnaire, 3.3% had menstruation every 15-20

days, 55.5% had menses every 25-28 days, 15.3% had every 29-31 days, 15% had

every 21-24 days, 8% had menses every 32-40 days. The menstruation lasted 3-8

days in 97% of patients, 9-11 days in 2.3% of patients. During menstruation, 160

women (26.7%) used 5 or more pads, 254 women used (42.3%) big size pads and 233

women (38.8%) defined menstrual blood on their underwear. When the pictorial

scores of the participants were evaluated, 218 patients (36.3%) had a score

lower than 50, 100 patients (16.7%) had between 50-70, 129 patients (21.5%) had

between 70-100 and 153 patients had a pictorial score greater than 100. 79% of

women using 5 or more pads during menstruation had a pictorial score greater

than 50, 67% of women having blood on their underwear had a pictorial score

greater than 50 and 76% of women using big sized pads had a pictorial score

greater than 50.


  1. Menstrual irregularities cause considerable

    problems affecting life quality in most of developed countries. Among the

    most commonly observed menstrual irregularities are dysmenorrhea and irregular

    and excessive bleeding.

  2. Prolonged duration of menstruation along with a

    total amount greater than 80 ml, defined as menorrhagia, is the most common

    menstrual problem.

  3. This study examines the menstrual pattern in Turkish

    population by using the pictorial scoring system. Fifty was defined as the cut-off

    value in this scoring system evaluating the duration of menstruation, number and

    size of pads and quantity of bleeding.

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