Kala, A (2015) A Study of Prevalence of Menstrual Irregularities in Late Adolescent Girls and Usefulness of Non Pharmacological Adjuncts. Masters thesis, Tirunelveli Medical College, Tirunelveli.
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Abstract
OBJECTIVE: To study the prevalence of menstrual irregularities in late adolescent girls and to study the effect of Non Pharmacological Adjuncts like relaxation exercises among them. METHODS: The prevalence of menstrual irregularities noted by conducting a study on 800 college girls at Rani Anna College for Women, Tirunelveli. The girls with menstrual irregularities were given an intervention with brisk walking exercise, Deep breathing exercise and Shavasana exercise for a period of 6 months. The effect of these exercises on menstrual pattern studied after intervention. RESULTS: The prevalence ofmenstrual irregularities were 12% among college girls. Among those with menstrual irregularities, the relaxation exercises and physical exercise produced significant reduction in menstrual cycle irregularities (P value <0.05) but no significant change in menstrual volume. Conclusion: Physical activity and mental relaxation exercises are effective in correction of menstrual irregularities. SUMMARY AND CONCLUSION: 1. The present study has been undertaken to find out the prevalence of menstrual irregularities in late adolescent girls and to know the effect of non pharmacological strategies like physical exercise and stress relaxation techniques like deep breathing exercise and shavasana in adolescent girls with menstrual irregularities. 2. For this study, 800 college girls studying in various departments in the age group 17-20 years were selected. A questionnaire given regarding their menstrual pattern and the prevalence of various menstrual irregularities detected. 3. Among the students with irregular periods, the association of anaemia and hypothyroidism noted. 4. Prevalence of PCOD among the study group detected. 5. 88 adolescent girls having menstrual irregularities were subjected to non pharmacological strategies like walking exercise, and stress relaxation techniques like deep breathing exercise and shavasana daily for 30 minutes morning and evening. No medications were given during this period of intervention for their menstrual problems. 6. During the study period of 6 months the selected subjects were assessed every 4 weeks for menstrual flow and cycle duration. BMI, Blood pressure estimation, Stress scoring, serum cortisol measurement, USG detection of PCOD, disease scoring for cycle duration and amount of flow done both at the starting and end of the study. 7. The study showed the prevalence of 12 % for menstrual irregularities among college students. 8. The study has shown statistically significant reduction in the stress level scores in the study group. Thus it is concluded that the stress relaxation techniques are effective measures in treating stress induced menstrual irregularities. 9. This study also shows a statistically significant reduction in serum cortisol at the end of the study. This fact adds to the beneficial effect of stress reduction in the treatment of menstrual disorders. 10. Also there is statistically significant reduction in the mean systolic and diastolic blood pressure. This shows the role of stress reduction measures not only has actions on reproductive system but also has actions on cardio vascular system. 11. There is significant reduction in the severity of dysmenorrhoea in the study group. This shows that there is a psychological component also which is associated with dysmenorrhoea and by reducing stress, menstrual pain can be reduced. 12. The improvement in the menstrual cycle duration was statistically significant. This indicates that stress produces alterations in the hypothalamo pituitary ovarian axis thereby altering normal menstrual cycle which can be corrected by stress reduction techniques and also physical exercise has a positive influence on HPO axis. 13. There was no significant change in the menstrual flow among the study group. This shows that nutritional factors and other factors also influences menstrual flow in addition to stress factor. 14. Hence the non pharmacological strategies like physical exercise, relaxation techniques have been useful as evidenced by reduction in stress level parameters and improvement in the menstrual cycle abnormalities. 15. To conclude, adolescent girls with menstrual irregularities can be advised physical activity and stress reducing relaxation techniques as an initial measure for improvement of menstrual disorders without any medications. 16. Continuance of the simple relaxation techniques if advised for the adolescent girls will help either in complete cure or at least improvement of menstrual irregularities which otherwise could be a cause for future infertility.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Late Adolescent Girls ; Menstrual Irregularities ; Non Pharmacological Adjuncts. |
| Subjects: | MEDICAL > Physiology |
| Depositing User: | Punitha K |
| Date Deposited: | 24 May 2018 17:48 |
| Last Modified: | 27 May 2018 12:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8073 |
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