Study of menstrual patterns in adolescent girls with disabilities in a residential institution
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Ganesh Arun Joshi
Abstract
Background: The gynecological health needs of girls with disabilities is an issue related to their rights as individuals.
Objective: The objective of this study is to describe the menstrual pattern of girls with disabilities. Materials and methods: A descriptive study was undertaken on thirty girls with different types of disabilities in a residential institution. The diagnosis, type of disability, secondary sexual characters, age at menarche, menstrual pattern and practice of menstrual hygiene was noted.
Results: The girls with intellectual disabilities had later age of menarche, irregular cycles and more behaviour problems. The girls with hearing impairment and locomotor disabilities had normal menstrual pattern. The girl with low vision had earlier menarche and regularized cycles. Girls with normal intelligence and mild intellectual disabilities were independent in maintaining menstrual hygiene. The menstrual disorders are managed conservatively in accordance with latest guidelines.
Conclusion: Onset of menarche is towards the extremes of normal age range in girls with intellectual disabilities or visual impairment but not in girls with hearing impairments or locomotor disabilities. Girls with disabilities have potential for independent menstrual care. Menstrual disorders were managed conservatively.
Conflict of interest statement
There are no financial or other conflicts of interests involved with this study.
References
1. United Nations Convention on Rights of persons with disabilities. Available from: URL: http://www.un.org/disabilities.Suche in Google Scholar
2. Rebar RW. Puberty. In: Berek JS, editor. Novak’s gynecology. 13th ed. Philadelphia: Lippincott Williams Wilkins, 2002:843.Suche in Google Scholar
3. Zacharin M, Savasi I, Grover S. The impact of menstruation in adolescents with disabilities related to cerebral palsy. Arch Dis Child 2010;95:526–30.Suche in Google Scholar
4. Hickey M, Balen A. Menstrual disorders in adolescence: investigation and management. Human Reprod Update 2003;9:493–504.Suche in Google Scholar
5. Quint EH. Menstrual issues in adolescents with physical and developmental disabilities. Ann NY Acad Sci 2008;1135:230–6.Suche in Google Scholar
6. Murialdo G, Galimberti CA, Magri F, Sampaolo P, Copello F, et al. Menstrual cycle and ovary alteration in women with epilepsy on antiepileptic therapy. J Endocrinol Invest 1997;20:519–26.Suche in Google Scholar
7. Salerno LJ, Park JK, Giannini MJ. Reproductive capacity of the mentally retarded. J Reprod Med 1975;14:123–9.Suche in Google Scholar
8. Ranganath P, Rajangam S. Menstrual history in women with Down syndrome – a review. Indian J Hum Genet 2004;10:18–21.Suche in Google Scholar
9. Kaur H, Butler J, Trumble S. Options for menstrual management – resources and information for staff and carers of women with intellectual disability. Monash University. Revised in 2003 by Burbidge M, Butler J, Tracy J. Available at: http://www.cddh.monash.org/assets/menstrual-management-guide-staff.pdf.Suche in Google Scholar
10. Grover SR. Menstrual and contraceptive management in women with an intellectual disability. Med J Aust 2002;176:108–10.Suche in Google Scholar
11. Taylor M, Carlson G, Griffin J, Wilson J. Managing menstruation, 4th ed. University of Queensland. 1994. Revised by Amanda Loo-Gee in 2010. Available from: URL: http://www.som.ug.edu.au/research/qcidd/.Suche in Google Scholar
12. Furman LM. Institutionalized disabled adolescents: gynecologic care – the pediatrician’s role. Clin Pediatr (Phila) 1989;28:163–70.Suche in Google Scholar
13. ACOG committee opinion. Menstrual manipulation of adolescents with disabilities. 2009 Dec (reaffirmed 2012);448:1–4.Suche in Google Scholar
©2015 by De Gruyter
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Artikel in diesem Heft
- 10.1515/ijamh-2015-frontmatter1
- Editorial
- Pregnant, even when you did not want to be pregnant
- Original articles
- How adolescents learn about risk perception and behavior in regards to alcohol use in light of social learning theory: a qualitative study in Bogotá, Colombia
- An assessment of basic nutrition knowledge of adolescents with eating disorders and their parents
- More than a break: the impact of a social-pedagogical intervention during young persons’ long-term hospital admission – a qualitative study
- Effect of external classroom noise on schoolchildren’s reading and mathematics performance: correlation of noise levels and gender
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- Street hawking among in-school adolescents in a south-western town in Nigeria: pattern, determinants and effects on school performance
- Outcome of adolescents with eating disorders from an adolescent medicine service at a large children’s hospital
- Female adolescents’ perspective about reproductive health education needs: a mixed methods study with explanatory sequential design
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- Characteristics of hand sanitizer ingestions by adolescents reported to poison centers
- Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach
- Determinants of abortion decisions among Ghanaian university students
- Predictors of peer victimization among Peruvian adolescents in the young lives cohort
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