Background: The onset of menstruation is part of the maturation process. However, variability in menstrual cycle characteristics and menstrual disorders are common. The purpose of this study was to determine the age at menarche and patterns of menstruation among school adolescent girls and explore its variation across socio-economic and demographic factors. Methodology: This is a cross-sectional descriptive study carried out on 1100 school adolescent girls in district Wardha, Central India. Data were collected using a self-administered structured questionnaire on menstruation. Data was entered and analyzed by using Epi Info 6.04 software package. Chi- square value was used for testing statistical significance. Results: Mean ages of menarche were 13.51 + 1.04 years and 13.67 + 0.8 years for urban and rural areas respectively. Abnormal cycle length was common and affected 30.48%. The majority 56.15 experienced dysmenorrhoea and 56.16 percent had premenstrual syndrome. Self medication was practiced by 7.13% of the adolescent girls. The most common premenstrual symptom was headache 26.74%. Absenteeism from the school 13.9% was the effect of menstruation related problems on their daily routine. Dysmenorrhea and premenstrual symptoms were perceived as most distressing symptoms leading to school absenteeism. Majority of the girls 75.58% had discussed menstrual problems with someone, most commonly with their mothers 38.15%. There was a general lack of information about menstrual issues especially with regards to cycle length, duration of menses and age at menarche. Girls from families of high socio-economic class have significantly lower mean menarcheal age in both urban and rural area. The mean age of menarche was significantly higher in girls involved in vigorous sporting activity in urban area compared to their non-sporting counterparts. Conclusion: Age at menarche was delayed. The menstrual disorders among female adolescents are common. A school health education on menstrual problems targeting adolescent girls and their parents and routine screening for menstrual problems by healthcare providers can help to prevent the absenteeism in the school.
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机译：背景：月经的发作是成熟过程的一部分。然而，月经周期特征和月经失调的变异是普遍的。这项研究的目的是确定青春期初中的年龄和月经的方式，并探讨其在社会经济和人口因素之间的差异。方法：这是对印度中部Wardha地区的1100名学校少女进行的横断面描述性研究。使用自我管理的月经结构问卷调查收集数据。使用Epi Info 6.04软件包输入并分析数据。卡方值用于检验统计学显着性。结果：城市和农村地区的初潮平均年龄分别为13.51 + 1.04岁和13.67 + 0.8岁。异常的周期长度很普遍，影响率为30.48％。大多数56.15经历了痛经，而56.16％患有经前期综合征。 7.13％的青春期女孩采用自我药物治疗。经前最常见的症状是头痛，占26.74％。月经相关问题对他们日常工作的影响是学校缺勤的13.9％。痛经和经前症状被认为是导致学校旷工的最令人痛苦的症状。大多数女孩中有75.58％与某人讨论过月经问题，最常见的是与母亲讨论过月经问题，占38.15％。人们普遍缺乏有关月经问题的信息，尤其是关于周期长度，月经持续时间和初潮年龄的信息。社会经济地位较高的家庭中的女孩在城市和农村地区的平均初潮年龄要低得多。与不参加运动的女童相比，从事剧烈体育活动的城市女孩的初潮平均年龄显着更高。结论：初潮年龄推迟。在女性青少年中，月经失调是常见的。对以少女和父母为对象的月经问题进行学校健康教育，并由医疗保健提供者定期检查月经问题，有助于防止学校旷工。
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