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Twenty-five per cent of the populations of India were an adolescent in 2011. 1 Menstruation is a normal physiological process but the onset of menstruation is a unique phenomenon for adolescent girls. In India it is considered unclean, and young girls are restricted from participating in household and religious activities during menstruation. These restrictions extend to eating certain foods like jaggery and papaya as well. 2,3 Menarche is a complex of growing up. From both medical and social perspectives, it is often considered as the central event of female puberty, as it suggests the possibility of fertility. The age of onset of the menstrual cycle varies from 9-18 years, with the average age in the United States being ABSTRACT Background: Onset of menstruation is considered as a landmark in the growth and development of an adolescent girl. The age of onset and the pattern of menstrual cycles vary on different factors. After menarche many adolescent girls faces problems of irregular menstruation, excessive bleeding and dysmenorrhea and many more. Present study was carried in this line to find out problems. Objectives: To study the menstrual pattern & problems among school going adolescent girls in rural area of Amravati district of Maharashtra. Methods: The Prospective observational study was carried out among selected 435 Secondary and higher secondary girls students (12-16 years of age) of Ner Pinglai by purposive sampling method. The study was done in the month August 2013 to February 2014. Statistical analyses were done using SPSS 16.0 version. Results: Total 435 adolescent girls had attained menarche. The mean age of menarche was 13.5 (1.0) years. 17.9% of adolescent girls reported premenstrual syndrome. 81.3% girls had abdominal pain during menstruation followed by 28.5% cramp, 11% were uncomfortable, 11% had backache, 6.6% had headache and 2.5% girls had depression. 3.4% of the adolescent girls were did not have any symptoms during menses. Dysmenorrhoea was the most common menstrual complaint reported by 62.3% girls. 33.5 % girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation. 21.8% had irregular menstrual cycle. Conclusion: Menstruation is an important milestone for adolescent girls and menstrual problems are common among adolescent girls. The mean age of menarche was 13.1 ± 1.0 of years. There were 1.5 menstrual symptom per adolescent girls commonest being abdominal pain. Dysmenorrhoea was seen in 62.3% of the adolescent girls. 33.5% girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation.

Objective: To study the prevalence of self-medication practices amongst elderly population in urban health center of Amravati, Maharashtra. Materials & Methods: A cross-sectional study was conducted in April 2015-July 2015 data were collected by personal interviews using pretested questionnaires. The sample size was calculated using the formula n= 4pq/d2 considering p as 56% and allowable error 10%. A total of 320 elderly people were included in the survey. The eldest member of the family, present at the time of the visit was interviewed. Data were collected from 320 persons and analyzed using SPSS version 16.0. Results: The overall prevalence of self-medication was 48%. Allopathic drugs were the commonest mode of self-medication (95%). The commonest reason for self-medication was easy availability of medicines in medical stores and other shops, time saving factor (69%). Local pharmacist (89%) was the main source of information. Joint and muscle pain was the commonest indication identified for self-medication (89%). Conclusion: The study revealed that 48% of elderly population is influenced by selfmedication practices without consulting doctors and the commonest causes for self medication were musculoskeletal pain, headache and fever.

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