Background: In developing countries, reproductive health in particular maternal health and reproductive tract infections are recognized as a health priority but still dysmenorrhea is by far the least understood and addressed complaint despite its ubiquity. Consequently, it incredibly influences the efficiency of ladies. This study was nested to determine the prevalence of dysmenorrhea and to perform the multivariate analysis of patterns of menstrual cycles with the age of menarche, days of interval, days of cycles and marital status. Methodology: A cross-sectional study was conducted over the sample of 500 menstruating women of age 15 and above. The structured questionnaire administered comprised of the verbal multidimensional scoring system (VMS) and Menstrual Symptom Questionnaire (MSQ) scales in addition to the questions about menstrual patterns. Chi-square test was used for the statistical analyses on SPSS version 21.0. Results: The mean age of the sample was 25.4 ± 6.92 years. The prevalence of 92.4% of dysmenorrheal was found to be inversely related to the average age of females with dysmenorrhea (24.93 ± 6.78 years). The significant direct relation of dysmenorrhea was observed in women with higher age at menarche (13.22 ± 1.75 years) and longer intervals of 26.95 ± 4.78 days. Moreover, the women complaining of heavy menstrual volumes were significantly more prevalent to dysmenorrhea (56.2%). The association of VMS pain scores with marital status showed that higher pain scores were significantly associated with unmarried females (44%). Conclusion:The occurrence of dysmenorrhea is highly common and associated with patterns of the menstrual cycle. Therefore, close observation of menstrual traits is important for the improvement of menstrual health.

Background: Dysmenorrhea is one of the common complaints in women. Globally, the reported prevalence rate is 90%. Sometimes the pain intensity is so severe that it may depict labour contractions. Hence, it greatly affects the productivity of women and causes socioeconomic lose. To subside such pain, over the counter medications are widely used, regardless of its systemic side effects. This study was conducted to estimate the extent to which women are affected with dysmenorrhea and to compare the effectiveness of Taping and Hydrotherapy for the treatment of primary dysmenorrhea. Methodology: A survey-based quasi experimental single blinded, two-stage study with pre-test and post-test design was conducted. Fifty menstruating women suffering from primary dysmenorrhea of grade 2 or 3 between the age group of 15 to 25 years were recruited and divided into two groups with 25 females in each group. Females with any severe co-morbidity, abdominal surgery within past 2 years, intrauterine contraceptive devices, any skin lesions (scar, cyst or erosions) or who have recently conceived were excluded from the study sample. Females in taping group received treatment 2 days prior to menstruation which then continued till the first day of cycle. The hydrotherapy group was treated with 30 minutes session for 2 days a week, during non-menstruating phase. Data was collected using a Menstrual Symptom Questionnaire (MSQ) and Verbal Multidimensional Scoring System (VMSS) to estimate the frequency of dysmenorrhea, specifically primary dysmenorrhea in our society. To assess the effectiveness of the intervention, Short-form McGill Pain Questionnaire (SF-MPQ) was completed before and after the intervention. The collected data was analyzed using SPSS ver. 22.0. Results: The survey revealed 92.4% of women were suffering from dysmenorrhea out of which 64% were primary dysmenorrheic. A significant decline was observed in Pain Rating Index (PRI) before and after intervention i.e. the mean PRI prior to the intervention was 29.53±2.53 for the taping group and 29.4±3.18 for the hydrotherapy group while after intervention it decreased up to 4.33±0.61 in taping and 4.26±0.7 in hydrotherapy group. Whereas, the Visual Analogue Scale (VAS) means before intervention were 8.53±1.06 and 8.73±1.03 for taping and hydrotherapy group respectively. Which then decreased to 3.93±1.03 and 5.2±1.52 for the two groups. The mean Present Pain Intensity (PPI) scores were 4.33±0.61 in taping and 4.26±0.7 in hydrotherapy group and reduced to 1.66±0.81 and 2.26±1.57. Conclusion:The study findings proclaimed that taping technique was found more effective in decreasing the painful cramps in women with primary dysmenorrhea as compared to the hydrotherapy.

The impact of marital instability and psychological distress on quality of life extends beyond the emotional realm. They can also affect other domains, such as physical health, social relationships, and overall life satisfaction. The motive of the study was to examine the effect of marital instability and psychological distress on quality of life among early and late married women in Pakistan. A cross-sectional research design was adopted. A purposive sampling design using a cross-sectional design was employed. A sample of 200 women, containing 100 early married women and 100 late married women, was taken from different divisions of Southern Punjab, Pakistan. A survey consisting of three key questionnaires, namely the Kessler Psychological Distress Scale (K10), the WHO-Quality of Life Scale (BREF), and the Marital Instability Index (MII), was used for data collection. The findings evinced that marital instability has a positive and significant relationship with psychological distress among women with early and late marriages. Moreover, a higher level of marital instability and psychological distress with a low quality of life was found among early or late married women. Comparatively, women with early marriages have a higher level of marital instability and psychological distress and a lower level of quality of life as compared to women with late marriages. Overall, the study's findings recommended proactive interventions and policies aimed at improving the psychological well-being and quality of life of women in the region.