Age at menarche and prevalence of menstrual abnormalities among adolescents in Zaria, northern Nigeria

Sulayman, Hajaratu Umar; Ameh, Nkeiruka; Adesiyun, Adebiyi Gbadebo; Ozed-Williams, Ijeoma C; Ojabo, A. O.; Solomon, Anthony W.; Enobun, Nosa E; Yusuf, Afolabi I; Muazu, Abdulsalam

doi:10.4103/0331-3131.133099

Cited by 5 publications

(8 citation statements)

References 11 publications

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“…The outcome is in agreement with the Eastern Sudan and Ethiopian studies which showed 68.5% and 70.3% respondents respectively had regular period with cycle length ranging between 21 to 35 days [7,10]. This can be considered a regular event especially as ovulation is said to occur in the first two years after menarche [14]. Pre-menstrual symptoms are found to be very common among these adolescents with mood changes, breast tenderness, generalized fatigue, among others, which is in agreement with other studies; 59.8% premenstrual symptoms in Sudan [7], 56.16% pre-menstrual syndrome in India [8] and 25.6% pre-menstrual symptoms in Northern Nigeria [11].…”

Section: Discussionsupporting

confidence: 88%

Pre-Menstrual Training, Menstrual Hygiene Practices, Attitudes and Disorders among Nigerian Adolescents

Adesina¹

2016

TIJPH

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Objectives: Menstruation is a normal physiological process that begins during adolescence and may be associated with various symptoms occurring before or during the menstrual flow. Normal menstruation depends on a highly coordinated interaction between the hypothalamus, pituitary glands, ovaries and endometrium, with all events usually occurring in a cycle time frame often between 21 to 35 days. This study is therefore carried out to determine the influence of pre-menarcheal training on menstrual hygiene practices, the various menstrual disorders among the girls, as well as, the influence of educational status on menstrual hygiene practices, with a view to making necessary recommendations that would help improve such practices. Methods: This cross sectional study was carried out in Lagos Nigeria. The target population was adolescent girls in this city. A multi-stage sampling technique was used to select the respondent. All data were statistically analysed, using statistical package for the social sciences (SPSS) and statistical test of significance was performed with Chi-Square test. Results: A total of 526 consenting respondents participated in the study with a mean age ± SD of 14.09 ± 2.21 years. Most of the respondents had their menarche (first menstruation) around 12 to 13 years of age, with the mean age ± SD being 12.51 ± 1.44 years. 184 (35.0%) experienced dysmenorrhoea (painful menstruation) during their last menstrual period and menorrhagia by 34 (6.5%) of the respondent. Also, 142 (27.0%) of the respondents have had a cycle < 21 days or >35 days within their last three menstrual cycles. Conclusion: Pre-menstrual training is common among these adolescent girls as it is evident in their menstrual hygiene practices. However, dysmenorrhoea and menorrhagia are common problems among adolescent girls thus health education & health promotion are the best ways to deal with menstrual hygiene & disorder issues effectively.

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Section: Discussionsupporting

confidence: 88%

Pre-Menstrual Training, Menstrual Hygiene Practices, Attitudes and Disorders among Nigerian Adolescents

Adesina¹

2016

TIJPH

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“…The mean age at menarche varies from population to population and reflects various characteristics of the population such as nutritional status, geographic location, environmental condition, and socioeconomic status of the society [1,3,4]. For most females, menarche usually occurs between the ages of eight and fourteen years [1,5,6,7,8,9,10,11]. In Nigeria, various studies have reported a decreasing trend of the menarcheal age which is attributed to an increase in the social, health, nutritional, and economic wellbeing of the Nigerian society.…”

Section: Introductionmentioning

confidence: 99%

“…The rate of decline in the age of menarche is about 2-3 months per decade in developed countries and 6 months per decade in developing countries [6,14]. This finding has been attributed to an increase in a population standard of living [2,3,4,5,7,8]. Improvement in the standard of living is associated with good nutrition with increasing fat stores, improvement in health status, and psychological factors that are implicated in the activation of the hypothalamic-pituitary-ovarian axis for initiation of menarche.…”

Section: Introductionmentioning

confidence: 99%

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Age at menarche, menstrual characteristics, and its associated morbidities among secondary school students in Abakaliki, southeast Nigeria

Mamah

Okorochukwu

Nnadozie

et al. 2020

Heliyon

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Background: Menstruation has a variable pattern. Knowledge of age at menarche and providing accurate information to adolescent girls is necessary to allay anxiety, treat menstrual morbidities, and improve their quality of life. Objective: To determine the age at menarche and menstrual characteristics of adolescent secondary school girls in Abakaliki. Materials and methods: A cross-sectional descriptive study was conducted in seven secondary schools in Abakaliki among 960 female students. A total of 450 girls were randomly selected for the study. A pretested selfadministered questionnaire was used in data collection. Four hundred questionnaires were properly filled and used for the final analysis. Results: The age range of the students was between 10 -21years. The mean age of the respondents was 16.2 AE 1.7years. The average age at menarche was 13 AE 1.0 years. Urban dwellers had menarche 0.2years earlier than rural dwellers. There is an association between menarche and social class (X [2] 372.9 (2), p ¼ 0.001). About 87.75% of the respondents had an average cycle length. Most (88.3%) of the respondents had a menstrual flow duration of 3-5 days. Dysmenorrhoea was present in 82% of respondents and was severe enough to cause absence from school in 56.5% of students. Oligomenorrhea and menorrhagia occurred in 8.5 % and 6.25 % of the student studied. Mothers (80.0%), friends (75.0%) and teachers (74.5%) accounted for the bulk of the information on menstrual health. Conclusion:The average age at menarche was 13 AE 1.0 years. Dysmenorrhea is a major cause of morbidity amongst this age group and should be empathically addressed. It is therefore important that the students, their parents, and school managers in the study area be educated on the issues of menstrual problems that can occur in an adolescent.

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“…Menarche is considered the most important sign of puberty, which can predict the adolescent's puberty process and fertility onset (3). The mean age at menarche is affected by different characteristics of the community, such as nutritional patterns, weather conditions, environmental status, and socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Age at Menarche and Primary Dysmenorrhea in Female Students of Shiraz Schools

2017

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Background: Dysmenorrhea is one of the most common gynecological problems. This study aimed to determine the relationship between age at menarche and painful menstruation among female students of Shiraz schools. Methods: This cross sectional study was conducted on 2000 female students. For data collection, a researcher-made questionnaire was applied. Data were analyzed using statistical tests in SPSS version 21. Results: About 69.3% of the participants had experienced at least 1 episode of menstrual bleeding. Among postmenarcheal subjects, 77.7% had dysmenorrhea, while 22.3% did not. There was no significant relationship between age at menarche and dysmenorrhea (P = 0.15). However, there was a significant relationship between the onset of dysmenorrhea and postmenarche years (P < 0.001). Conclusions: Although two-thirds of students suffered from primary dysmenorrhea, no significant relationship was found with age at menarche. Therefore, the high prevalence of dysmenorrhea among students calls for proper counseling and management.

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Age at menarche and prevalence of menstrual abnormalities among adolescents in Zaria, northern Nigeria

Cited by 5 publications

References 11 publications

Pre-Menstrual Training, Menstrual Hygiene Practices, Attitudes and Disorders among Nigerian Adolescents

Pre-Menstrual Training, Menstrual Hygiene Practices, Attitudes and Disorders among Nigerian Adolescents

Age at menarche, menstrual characteristics, and its associated morbidities among secondary school students in Abakaliki, southeast Nigeria

The Relationship between Age at Menarche and Primary Dysmenorrhea in Female Students of Shiraz Schools

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