Evaluation of Menstrual Disorders Among School Going Adolescent Girls

Introduction: For the first few years after menarche, irregular and longer cycles are common. Early recognition and appropriate management of menstrual problems can significantly reduce the adverse impact on academic performance, self-esteem, and social participation. Present study was undertaken to study about various Gynecological problems especially menstrual complaints and to analyze various causes of the menstrual abnormalities

Objective: To study about various gynecological problems especially menstrual complaints among the school going adolescent girls in the age group of 11-18 years and to analyze various causes of the menstrual abnormalities in them.

Materials and Methods: It was a prospective observational study of adolescent girls attending the Gynecology OPD at a tertiary hospital, for the period of one year. Data were collected by using proforma after obtaining patients’ consent.

Results: Total 80 adolescent girls came in Gynecology OPD at our hospital. The maximum incidence of complaints was seen at the age group of 16 years. The mean age of menarche in this study was 13.3 years. Menstrual disorders were seen among 56.25%. Among various menstrual complaints, Oligomenorrhoea (45.0%) was the common menstrual problem, followed by Dysmenorrhoea (29.50%), Menorrhagia (13.11%), Poly menorrhea (8.19%), Hypomenorrhea (3.27%) and Primary amenorrhea (1.63%).

Conclusion: Adolescent girls experience a variety of gynecological complaints, with menstrual disorders being the most common. Menstrual irregularities are typically expected within the first 1–2 years following menarche; however, if they persist, evaluation for conditions such as polycystic ovary syndrome (PCOS) and hypothyroidism is recommended. Early diagnosis of PCOS is essential to prevent future reproductive and metabolic complications.