Menstrual disorders and medical counseling among schoolgirls in South Egypt: a cross-sectional study

Ahmed Arafa; Shaimaa Senosy

doi:10.1515/ijamh-2018-0261

Artikel

Menstrual disorders and medical counseling among schoolgirls in South Egypt: a cross-sectional study

Ahmed Arafa und Shaimaa Senosy

Veröffentlicht/Copyright: 14. August 2019

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Aus der Zeitschrift International Journal of Adolescent Medicine and Health Band 33 Heft 5

Abstract

Background

Menstrual disorders are common gynecological problems among adolescents, however, medical counseling for these disorders is not well documented in developing countries.

Objectives

This study aimed to assess medical counseling for menstrual disorders among schoolgirls in Beni-Suef city in South Egypt.

Methods

Using a multi-stage random sampling, a total of 970 preparatory schoolgirls were included in this study. We used a self-administered questionnaire to detect the premenstrual and menstrual disorders as reported by the schoolgirls during the previous 6 months. Medical counseling for the menstrual disorders and other demographic characteristics were also surveyed.

Results

The mean age of the schoolgirls was 15.4 ± 0.8 years, age of menarche 13.2 ± 1.1 years and menstrual flow days 5.0 ± 1.3. During the past 6 months, 19.4% of the schoolgirls reported medical counseling for at least one menstrual symptom. Dysmenorrhea (89.2%), premenstrual fatigue (32.4%) and headache (31.1%) were the most often reported symptoms. After adjustment for personal and gynecological characters, abdominal bloating [odds ratio (OR) 3.66; 95% confidence interval (CI) 2.18–6.17], flow days >4 (OR 1.73; 95% CI 1.21–2.47), acne flare (OR 1.42; 95% CI 1.01–1.99), dysuria (OR 2.09; 95% CI 1.35–3.22) and facial hair (OR 6.89; 95% CI 3.47–13.69) were associated significantly with a higher likelihood of medical counseling.

Conclusion

Menstrual disorders are highly prevalent among preparatory schoolgirls in Beni-Suef, however, there is a noticeable lack of the medical counseling for these disorders. Future research should focus on the barriers to medical counseling for menstrual disorders among adolescents.

Keywords: dysmenorrhea; medical counseling; menstrual disorders; schoolgirls

Funding sources: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Conflict of interest: The authors declare that they have no conflict of interest.
Author’s Contribution: Both authors have materially participated in the research and article preparation. and both authors have approved the final article.

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Received: 2018-11-18

Accepted: 2018-12-11

Published Online: 2019-08-14

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Artikel in diesem Heft

https://doi.org/10.1515/ijamh-2018-0261

Schlagwörter für diesen Artikel

dysmenorrhea; medical counseling; menstrual disorders; schoolgirls