Prevalence of Menstrual Disorders in Woman of Reproductive Age Group

Background: Menstrual cycle occur monthly in every woman due to hormonal changes at hypothalamic, pituitary and ovarian levels. Abnormal uterine bleeding occurs due to any defect in structure or function of hypothalamic, ovarian, pituitary axis, coagulopathies, endometrial dysfunctions, iatrogenic causes; now also summarized in PALM-COIN system for better diagnosis and management of the patient. Aim: To see the prevalence of menstrual disorders in woman of reproductive age group. Methods: This Cross sectional study was conducted in the department of Obstetrics &Gynecology at Pak Red Crescent Medical and Dental College from 1stNovember 2018 to 30thApril 2019 by filling a pretested questionnaire related to menstrual cycle for all woman coming to gynecology OPD. The data of 790 women was analyzed using the Statistical Package for Social Sciences version 20. Result: Total 790 females participated in the study. The mean age of the females was 28.56 (+/- 8.65) years. Majority of females were illiterate and belonged to lower class families. The mean age of menarche in our population was 12.90 +/- 1.23 years. In this study 206(26.07%) females had some abnormality of menstrual cycle. Dysmenorrhea was most common menstrual disorder present in 308(38.9%) females followed by infrequent menstruation present in 69(8.71%) females and heavy menstrual bleeding found in 53(6.7%) of women. Conclusion: Menstrual problems are common in Pakistani woman. These disorders are significant source of morbidity. Awareness should be given for early treatment and management within the available reproductive health resources and programs including educational packages and easy therapies, like hormonal contraceptives.