Dysmenorrhea in students: Characteristics and predictors

  • Fatima Abid Student, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Musa Aamer Student, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Samira Faiz Senior Lecturer, Department of Community Medicine, Karachi Institute of Medical Sciences, Malir Cantonment, Karachi, Pakistan
  • Fahad Azam Associate Professor, Department of Pharmacology and Therapeutics, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Abida Shaheen Professor, Department of Pharmacology and Therapeutics, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Nismat Javed Student, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
Keywords: dysmenorrhea, undergraduate students, stress, BMI, physical activity

Abstract

Introduction: Dysmenorrhea is a very common reproductive issue present in young females that severely impacts their life.

Objectives: To determine the prevalence of primary dysmenorrhea amongst undergraduate students of Pakistan, the association of dysmenorrhea with various factors, and the impact on academic performance.

Methodology: An observational study was carried out at different Pakistani universities. The data was collected using a self-designed, pre-tested questionnaire. which was distributed online. The data was analyzed using IBM Statistical Package for Social Sciences (SPSS) version (Armonk, NY) 26.0. Descriptive statistics were applied for qualitative variables. Mean and standard deviation were calculated for quantitative variables. Chi-square was applied to determine if the differences in cycle length were significantly related to dysmenorrhea. T-tests were applied to determine if there were significant differences in age and body mass index in participants with dysmenorrhea.

Result: There were 226 students who had participated in the study. There were 193 (85.40%) participants who reported experiencing dysmenorrhea out of which 97 students (50.26%) took a drug or a combination of drugs to alleviate the pain. There was a high prevalence of stress symptoms associated with dysmenorrhea with fatigue after sleep (p<0.05). Physical activity did not have any effect on dysmenorrhea. Physical activity, the average grade of pain, and the presence of pain in each cycle were significant predictors of dysmenorrhea (p<0.05).

Conclusion Physical activity and characteristics of pain, such as cyclical nature and intensity, are predictors of dysmenorrhea. 

Downloads

Download data is not yet available.

References

Armour M, Parry K, Manohar N, Holmes K, Ferfolja T, Curry C, et al. The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. J Womens Health (Larchmt) 2019; 28(8):1161-71.

DOI: https://doi.org/10.1089/jwh.2018.7615

Gulzar S, Khan S, Abbas K, Arif S, Husain SS, Imran H, et al. Prevalence, Perceptions and Effects of Dysmenorrhea in School Going Female Adolescents of Karachi, Pakistan. Int. J. Innov. Res. Dev 2015; 4(2):236-40.

Lacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update 2015; 21(6):762-78.

DOI: https://doi.org/10.1093/humupd/dmv039

Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, 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; 2017:3208276.

DOI: https://doi.org/10.1155/2017/3208276

Hailemeskel S, Demissie A, Assefa N. Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. Int J Womens Health 2016; 8:489-96.

DOI: https://doi.org/10.2147/ijwh.s112768

Parveen N, Majeed R, Zehra N, Rajar U, Munir AA. Attitude and knowledge of medical students of Isra University about dysmenorrhoea and its treatment. J Ayub Med Coll Abbottabad 2009; 21(3):159-62.

Balbi C, Musone R, Menditto A, Di Prisco L, Cassese E, D'Ajello M, et al. Influence of menstrual factors and dietary habits on menstrual pain in adolescence age. Eur J Obstet Gynecol Reprod Biol 2000; 91(2):143-8.

DOI: https://doi.org/10.1016/S0301-2115(99)00277-8

Chauhan M, Kala J. Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation. J Obstet Gynaecol India 2012; 62(4):442-5.

DOI: https://doi.org/10.1007/s13224-012-0171-7

Gordley LB, Lemasters G, Simpson SR, Yiin JH. Menstrual disorders and occupational, stress, and racial factors among military personnel. J Occup Environ Med 2000; 42(9):871-81.

DOI: https://doi.org/10.1097/00043764-200009000-00005

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, et al. Stress and dysmenorrhoea: a population based prospective study. Occup Environ Med 2004; 61(12):1021-6.

DOI: https://doi.org/10.1136/oem.2003.012302

Zahradnik HP, Hanjalic-Beck A, Groth K. Nonsteroidal anti-inflammatory drugs and hormonal contraceptives for pain relief from dysmenorrhea: a review. Contraception 2010; 81(3):185-96.

DOI: https://doi.org/10.1016/j.contraception.2009.09.014

Bernardi M, Lazzeri L, Perelli F, Reis FM, Petraglia F. Dysmenorrhea and related disorders. F1000Res 2017; 6:1645.

DOI: https://doi.org/10.12688/f1000research.11682.1

Home Remedies to Relieve Menstrual Pain. Healthline Editorial Team (Internet). San Francisco, CA: Healthline; 2020 (updated 2020 May 5, cited 2020 Jun 26).

Alsaleem MA. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study. J Family Med Prim Care 2018; 7(4):769-74.

DOI: https://doi.org/10.4103/jfmpc.jfmpc_113_18.

Akbarzadeh M, Tayebi N, Abootalebi M. The Relationship between Age at Menarche and Primary Dysmenorrhea in Female Students of Shiraz Schools. Shiraz E Me J 2017; 18(9): e14520.

DOI: https://doi.org/10.5812/semj.14520.

Jan FH, Huma Z, Tariq N, Sajjad N. Menstrual syndrome: severity, frequency and symptomatology in adolescent girls of Quetta, Pakistan. J Exp Biol Agric Sci. 2016; 4(2):128-32.

DOI: https://doi.org/10.18006/2016.4(2).128.132

French L. Dysmenorrhea in adolescents: diagnosis and treatment. Paediatr Drugs 2008; 10(1):1-7.

DOI: https://doi.org/10.2165/00148581-200810010-00001

El-Gilany AH, Badawi K, El-Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansoura, Egypt. East Mediterr Health J 2005; 11(1-2):155-63. https://apps.who.int/iris/handle/10665/116932

Matthewman G, Lee A, Kaur JG, Daley AJ. Physical activity for primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Am J Obstet Gynecol 2018; 219(3): 255.e1-255.e20.

DOI: https://doi.org/10.1016/j.ajog.2018.04.001

Ezbarami SM, Mirzaei B, Esfarjani F. Comparison the prevalence and severity of dysmenorrhea among athletes and non-athletes and its relation with body composition. Arak Med Uni J. 2014; 16(11): 80-8.

Mohapatra D, Mishra T, Behera M, Panda P. A study of relation between body mass index and dysmenorrhea and its impact on daily activities of medical students. Asian J Pharm Clin Res. 2016; 9(3):297-9.

DOI: https://doi.org/10.22159/ajpcr.2016.v9s3.14753

Khodakarami B, Masoomi S, Faradmal J, Nazari M, Saadati M, Sharifi F, et al. The Severity of Dysmenorrhea and its Relationship with Body Mass Index among Female Adolescents in Hamadan, Iran. J Midwifery Womens Health 2015; 3(4): 444-50.

DOI: https://doi.org/10.22038/JMRH.2015.4618

Moffitt PF, Kalucy EC, Kalucy RS, Baum FE, Cooke RD. Sleep difficulties, pain and other correlates. J Intern Med 1991; 230(3):245-9.

DOI: https://doi.org/10.1111/j.1365-2796.1991.tb00438.x

Jayanthi B, Anuradha HV. Comparison of self-medication practice for dysmenorrhoea in medical, nursing and dental students. Int J Basic Clin Pharmaco 2017; 5: 269-73.

DOI: https://doi.org/10.5455/njppp.2017.7.1233424122016

Marjoribanks J, Proctor M, Farquhar C, Derks RS. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev 2015; 2015(7):CD001751.

DOI: https://doi.org/10.1002/14651858.CD001751.pub3

Published
2020-12-23
How to Cite
1.
Abid F, Aamer M, Faiz S, Azam F, Shaheen A, Javed N. Dysmenorrhea in students: Characteristics and predictors. JSTMU [Internet]. 23Dec.2020 [cited 21Nov.2024];3(2):75-0. Available from: https://j.stmu.edu.pk/ojs/index.php/jstmu/article/view/96