Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey

J Pediatr Adolesc Gynecol. 2000 Nov;13(4):171-5. doi: 10.1016/s1083-3188(00)00061-9.

Abstract

Study objective: We documented such menstrual disorders as dysfunctional uterine bleeding (DUB): dangerous health problem during adolescence.

Design, setting, participants: We gave a questionnaire containing 29 questions about menstruation to 3000 secondary school students in Adana, Turkey.

Results: The mean age of the students was 15.8 years; their menarche age was 12.9 years. Irregular periods were observed in 26.7% of the cases, 62.2% had at least one irregular bleeding in their lives, 11.3% visited a gynecologist for irregular bleeding, and 4.5% were treated for it. Dysmenorrhea occurred in 38.7% of the students. Forty-one percent used pain killers during their menstruation; half of them received the drugs from their family, and the other half received them over-the-counter without a prescription. Almost half (46.6%) of the girls experienced premenstrual problems. Most of the students (71.4%) discussed their menstrual problems with their mothers. Among the school girls, 15.8% claimed that there was a correlation between school examinations and irregular menses.

Conclusion: The questionnaire's results show that such menstrual disorders during adolescence as DUB are common but neglected. Medical staff who specialize in adolescent gynecology must address the problem.

MeSH terms

  • Adolescent
  • Age Factors
  • Dysmenorrhea / diagnosis
  • Dysmenorrhea / epidemiology
  • Dysmenorrhea / therapy
  • Female
  • Humans
  • Menarche
  • Menstrual Cycle / physiology
  • Menstruation Disturbances / diagnosis*
  • Menstruation Disturbances / epidemiology
  • Menstruation Disturbances / therapy
  • Stress, Physiological / complications
  • Surveys and Questionnaires
  • Turkey
  • Uterine Hemorrhage / diagnosis*
  • Uterine Hemorrhage / epidemiology
  • Uterine Hemorrhage / therapy