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- DOI 10.18231/j.ijogr.2019.036
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CrossMark
- Citation
Menstrual characteristics and association of body mass index with dysmenorrhoea among the medical students in South India
- Author Details:
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Anju Arpana
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Lokeshwari K *
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Rashmi BM
Introduction: Menstrual cycle is a physiological phenomenon consisting of cyclical shedding of endometrium, occurring on an average of 28±7 days in every woman’s life in response to hormones during their reproductive years. The production of hormones from hypothalamus (gonadotropin-releasing hormone), pituitary (FSH and LH) and ovaries (progesterone and androstenedione, etc.) are regulated by positive and negative feedback mechanisms. The interaction of these hormones result in the menstrual cycles. Dysmenorrhea, is a cyclical painful cramping sensation in the lower abdomen, which might radiate to the back, occurring before and/or during menstruation. Its prevalence ranges between 25-90%. Medical students endure relatively greater amount of stress due to the vast subject which is to be studied in their MBBS course coupled with the lack of outdoor physical activity. Also, a high prevalence of irregularity of periods if undetected early can lead to polycystic ovarian diseases which are one of the causes of infertility. The menstrual characteristics (the menstrual cycle bleeding patterns, length, etc.) are important indicators of endocrine and uterine dysfunctions/abnormalities like Polycystic Ovarian Disorders. Therefore, this study was conducted to assess the menstrual pattern in young adult females.
Material and Methods: A cross sectional study was conducted among female MBBS students and interns of a medical college in South India. Data was collected in a semi-structured questionnaire consisting of details regarding the menstrual history followed by clinical examination and relevant investigations as necessary.
Results: Total 204 female MBBS students with an average age of 21.1±2 years participated in the study. Polymenorrhea and oligomenorrhea was seen in 3% and 13% of the students respectively. Dysmenorrhea was reported by 53.9% of the students. Study found that a high percentage (83.3%) of students who were over weight/obese suffered from dysmenorrhea. Whereas a lesser percentage underweight (40.5%) and normal weight (59.3%) students suffered from dysmenorrhea. This association was found to be statistically significant.
Conclusion: Early diagnosis and management of dysmenorrhea should be done and appropriate necessary life style modification should be encouraged among young females to reduce the incidence of PCOD and metabolic syndrome later in life.
Keywords: Dysmenorrhea, PCOD, Medical students, South India.
References
- Beek, Jonathan S. Puberty and dysmenorrhea treatment. In: Novak’s Gynecology. 14th Ed. London: Williams and Wilkins publication Inc; 2006. p. 1696.
- Omidvar S, Begum K. Menstrual pattern among unmarried women from south India. J Nat Sci Biol Med [Internet]. 2011;2(2):174–9. Available from: http://www.jnsbm.org/text.asp?2011/2/2/174/92329
- Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation [Internet]. Feingold KR, Anawalt B, Anju Arpana et al. Menstrual characteristics and association of body mass index with … Indian Journal of Obstetrics and Gynecology Research, April-June, 2019;6(2):155-158 158 Boyce A, editors. Endotext [Internet]. 2018 [cited 2019 Mar 1]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279054/
- Godbole G, Phadake A, Joshi AR. Pattern of menstrual cycle in young adults. Indian J Basic Appl Med Res 2013;2(8):1017–
- Sood M, Devi A, Daher A, Razali S, Nawawi H, Hashim S, et al. Poor Correlation of Stress Levels and Menstrual Patterns among Medical Students. J ASIAN Behav Stud 2017;2(5):73–8. Available from: http://dx.doi.org/10.21834/jabs.v2i5.221
[Google Scholar] - Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Fam Med Prim Care 2015;4(3):426–31.
- Raine-Fenning N. Dysmenorrhoea. Current Obstetrics & Gynaecology. Curr Obstet Gynaecol. 2005;15(6):394–401.
- Omidvar S, Bakouei F, Amiri FN, Begum K. Primary Dysmenorrhea and Menstrual Symptoms in Indian Female Students: Prevalence, Impact and Management. Glob J Health Sci 2016;8(8):135–42. Available from: http://www.ccsenet.org/journal/index.php/gjhs/article/view/536 32
- ACOG. Premenstrual syndrome (PMS) [Internet]. ACOG. 2015 [cited 2019 Feb 1]. Available from: https://www.acog.org/Patients/FAQs/Premenstrual-Syndrome- PMS?IsMobileSet=false#what
- Gebeyehu M, Mekuria A, Tefera Y, Andarge D, Debay Y, Bejiga G et al. Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. Int J Reprod Med 2017;1–8.
- Doty E, Attaran M. Managing primary dysmenorrhea. J Pediatr Adolesc Gynecol 2006;19(5):341–4.
- Okusanya B. Menstrual pain and associated factors amongst undergraduates of Ambrose Alli University Ekpoma, Edo State, Niger 2014;2009.
- Nair P, Grovel V, Kannan A. Awareness and Practices of Menstruation and Pubertal Changes Amongst Unmarried Female Adolescents in a Rural Area of East Delhi. IJCM 2007;32(2):156–7.
- Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P et al. Prevalence and severity of dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol 2008;52(4):389–97.
- Beevi N, Manju L, Bindhu A, Haran JC, Jose R. Menstrual problems among adolescent girls in Thiruvananthapuram district. Int J Community Med Public Heal 2017;4(8):2995–8.
- Dars S, Sayed K, Yousufzai Z. Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls. Pak J Med Sci 2014;30(1):140–4.
- Lee L, Chen P, Lee K, Kaur J. Menstruation adolescent Malaysia Lee Chen. Singapore Med J 2006;47(10):869–74.
- Howard W. Novak’s text book of gynecology. 12th ed. Williams and Wilkins, editor. Philadelphia; 1996.
- Dambhare D, Wagh S, Dudhe J. No Title. Glob J Health Sci 2012;4(1):105.
- Agarwal A, Venkat A. No Title. J Ped Adolesc Gyn 2009;22(6):365–71.
- Nisar N, Zehra N, Haider G, Munir A, Sohoo NA. Frequency, Intensity and Impact of Premenstrual Syndrome in Medical Students. J Coll Physicians Surg Pakistan 2008;18(8):481–4.
- Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. J Pediatr Adolesc Gynecol 2011;24(4):223–7.
- Gill H, Tiwari P, Dabadghao P. Prevalence of polycystic ovary syndrome in young women from North India: A Community- based study. Indian J Endocrinol Metab 2012;16(2):389–92.
- Chakrabarti M, Rahaman A, Basu SP. Ultrasonographic Prevalence of Polycystic Ovarian Disease – A Cross-Sectional Study in a Rural Medical College of West Bengal. IOSR J Dent Med Sci 2016;15(1):115–20.
- Yildiz BO, Knochenhauer ES, Azziz R. Impact of Obesity on the Risk for Polycystic Ovary Syndrome. J Clin Endocrinol Metab 2008;93(1):162–8.
- Choudhary A, Jain S, Chaudhari P. Prevalence and symptomatology of polycystic ovarian syndrome in Indian women : is there a rising incidence ? Int J Reprod Contracept Obs Gynecol 2017;6(11):4971–5.
How to Cite This Article
Vancouver
Arpana A, K L, BM R. Menstrual characteristics and association of body mass index with dysmenorrhoea among the medical students in South India [Internet]. Indian J Obstet Gynecol Res. 2019 [cited 2025 Oct 13];6(2):155-158. Available from: https://doi.org/10.18231/j.ijogr.2019.036
APA
Arpana, A., K, L., BM, R. (2019). Menstrual characteristics and association of body mass index with dysmenorrhoea among the medical students in South India. Indian J Obstet Gynecol Res, 6(2), 155-158. https://doi.org/10.18231/j.ijogr.2019.036
MLA
Arpana, Anju, K, Lokeshwari, BM, Rashmi. "Menstrual characteristics and association of body mass index with dysmenorrhoea among the medical students in South India." Indian J Obstet Gynecol Res, vol. 6, no. 2, 2019, pp. 155-158. https://doi.org/10.18231/j.ijogr.2019.036
Chicago
Arpana, A., K, L., BM, R.. "Menstrual characteristics and association of body mass index with dysmenorrhoea among the medical students in South India." Indian J Obstet Gynecol Res 6, no. 2 (2019): 155-158. https://doi.org/10.18231/j.ijogr.2019.036