PREVALENCE, MANAGEMENT AND EFFECTS OF MENSTRUAL CYCLE DISODERS IN TEENAGERS OF SELECTED SCHOOLS IN BOMET COUNTY

Author

Milka.Chepkorir, Joseph Aswani, Wagaki Gicheru


Abstract

 Menstrual cycle Disorders (MCDs) among teenage girls has been identified by many medical and education professionals as a major cause of significant anxiety for the adolescent and  their families. The World Health Organization reports that up to 70% of Women experience Menstrual Disorders. Globally and also in Kenya, dysmenorrhea as one of the abnormalities has been cited as responsible for the greatest number of school absenteeism among girls leading to subsequent effects on educational outcomes. This study sought to find out the prevalence, management and the effects of menstrual Cycle disorders on health and educational outcomes of the adolescents between 14 and 19 years drawn from 12 schools in Bomet County. Cross-sectional Research Design was used in this study. The study population constituted all girls attending secondary schools in Bomet County and met the inclusion criteria. Cluster sampling technique was used to obtain the schools to participate in the study and simple random sampling was used to obtain participating students. A sample size of 277 drawn for the study was calculated using Fisher's et al formula. Authority to carry out the research was sought from National Commission for Science, Technology and Innovation and thereafter Bomet County education office. Data was collected using a self-administered questionnaire containing closed and open ended questions and the data collected was analyzed using Statistical Package for Social Sciences (SPSS) Software program. The study found out that the prevalence of menstrual cycle disorders was high at 15.69% compared to WHO's 8.75%. Dysmenorrhea accounted for 81% of the cases compared to 60% (dysmenorrhea) globally reported by W.H.O. 76% of the respondents preferred self-management for their menstrual disorders though they were aware of other options for management of menstrual disorders. Menstrual Disorders frequently interfered with class concentration in up to 3.3% of the respondents. Two thirds of the schools did not have a trained health professional to manage Menstrual Disorders. The study concluded that the prevalence of MCDs in Bomet County was high at 15.69% though dysmenorrhea accounted for the highest (81%) number of cases and only one school had a trained health professional. In view of this, employing trained health personnel within the school and offering a compensatory tutorial assistance where the effects of Menstrual Cycle Disorders have a debilitating impact on educational outcomes were some of the recommendations provided. 



Keywords

Menstrual Cycle Disorders, World Health Organization, Statistical Package for social Sciences, Dysmenorrhea, Oligomenorrhea, Amenorrhea, Pre-menstrual Tension Syndrome



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References


  • DanielsJ, Gray Hills , Latthe P, Buckley L, Gupta J, et al. Laparoscopic uterosacral ablation for alleviating chronic pelvic pain: a randomized controlled trial. JAMA. 2009 Sep 2;302(9):955-61.
  • FreemanEW, Halberstadt SM, Rickels K, Legler JM, Lin H, Sammet MD: Core symptoms that discriminate premenstrual 
  • Glueck J et al.(201I). Sex hormone-binding globulin, oligomcnorrhca, polycysti ovary syndrome, and childhood insulin at age 14 years predict metabolic syndrome and class Ill obesity at age 24 years. Journal of Pediatrics.
  • Goldrath H. (I 995). Hysteroscopic endometrial ablation. Ob tetrics and Gynecology Clinics of North America.
  • Gordon M. Clinical practice. Functional hypothalamic amenorrhea. N Engl J Med. 2010 Jul 22;363(4):365-71.
  • Kadir , Edlund M. Yon Mackensen S. (20 I0). The impact of menstrual disorders on quality of life in     Omen with inherited bleeding disorders. Haemophilia.
  • Levonorgestrel-releasing intrauterinesystem and endometrial ablation in heavy menstrual bleeding: a systematic review and meta-analysis. Obstet  2009 May; 113(5):1104-16.
  • Lethaby, Hickey M, Garry R, Penninx J. Endometrial resection I ablation techniques for heavy menstrual bleeding. Cochrane Database Sys/ Rev. 2009 Oct 7;(4):CD001501.
  • Lethaby, Irvine G, Cameron I. Cyclical progestogens for heavy menstrual bleeding.
  • CochraneDatabase Syst  2008 Jan 23;(1):CD00IOI6.
  • Lobo R. Primary and secondary amenorrhea and precocious puberty. Etiology, diagnostic evaluation, management. In: Katz VL, Lobo RA, Lentz G, Gershenson D, eds. Comprehensive Gynecology. 5th ed. St. Louis, MO: Mosby; 2007: chap 38.
  • MahkamT et (20 I I). The prevalence of menstrual pain and associated risk factors among Iranian women. Journal of Obstetrics and Gynaecology Research.
  • Middleton J, Champaneria R, Daniels J.P, Bhattacharya S, Cooper K.G, Hilken N. H, et al. (20 I 0). Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and meta-analysis of data from individual patients. BMJ 2010 Aug 16;341:c3929. doi: I 0.1 I36/bmj.c3929.
  • Ornstein M, Copperman N. M, Jacobson M. S. (2011). Effect of weight loss on menstrual function in adolescents with polycystic ovary syndrome. Journal of Pediatric and Adolescent Gynecology.
  • Paediatric Gynecol 2007, 20:3-12. PubMed
  • Palep Singh, Prentice A. (2007). Epidemiology of abnormal uterine bleeding. Best Practice & Research. Clinical Obstetrics & Gynaecology. Pediatr Endocrino/ Rev 2006, 3(Suppl 1):132-137. PubMed Abstract
  • Singh B, Berman B. M, (2008) Practice Comminee of American Society for Reproductive Medicine. Indications and options for endometrial ablation. Fertile Sterility\
  • RichardsoJ. T. E. ( I994). Mature students in higher education: Academic performance and intellectual ability. Higher Education, 28(3), 373 - 386

 

 

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