Padhye S, Karki C, Padhye S B
Dept. of Obstetric and Gynaecology, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2003 Jan-Mar;1(1):20-6.
Menstruation and its disorders are still considered unholy and impure and are not yet recognised as significant reproductive health morbidity. Therefore a prospective study was carried out at a private clinic for a period of three months where total number of patients coming with current or past menstrual problems are 525. This number did not include pregnant women or those on any hormonal medications or having dysfunctional uterine bleeding. This study aimed to find out the incidence of Menstrual Morbidity and their mode of presentation. It has also tried to find out these women's age, parity, age of menarche and number, following discriminating traditional rituals during their 1st and regular menses, their family planning status and the districts from where they came to Kathmandu for their treatment. In this study, menstrual morbidity was found to be 43.75%. Approximately 60% of women having menstrual complaints had absolutely normal menstrual cycle; whereas 13% of them had irregular, 17% of them had prolonged and 6% had short menstrual cycle. A significant number (46%) of women although suffering from menstrual problems presented with other symptoms like vaginal discharge, pain lower abdomen, subfertility, urinary problems, abdominal lumps and for cuT check-ups. 3% of the women who presented with vague, non-specific complaints asking for a general check up had one or the other menstrual problem. Although approximately 69% of these women were from the age group of 20-39 years, 4% of them were adolescents and 27% above 40 years. It was observed that although approximately 78% of these women were primi- and multiparous ladies, 22% were unmarried and nulliparous suffering from various menstrual morbidities. More than 55% of these women had their menarche at the age of 12-14 years. It was not surprising to note that more than 90% of women had to follow the traditional unhealthy and unsociable rituals during their first menstruation. More than 75% of them had to follow the discriminating traditional rituals which consider a menstruating woman untouchable for 5 days of every month throughout their active reproductive lives. 20% of these women were using non-hormonal contraceptive methods, out of which more than 50% had undergone permanent sterilisation. It was a matter of pride to note that this clinic was providing the health care services to the adolescents and women of 13 zones and more than 52 districts of the country.
月经及其紊乱仍被视为不圣洁和不纯净的，尚未被视为严重的生殖健康疾病。因此，在一家私人诊所进行了为期三个月的前瞻性研究，在此期间，前来就诊的有当前或过去月经问题的患者总数为525人。这个数字不包括孕妇、正在服用任何激素药物的人或患有功能性子宫出血的人。本研究旨在找出月经疾病的发病率及其表现方式。研究还试图了解这些女性的年龄、产次、初潮年龄、在首次月经和正常月经期间遵循的歧视性传统仪式、她们的计划生育状况以及她们从哪些地区来到加德满都接受治疗。在这项研究中，发现月经疾病的发病率为43.75%。约60%有月经问题的女性月经周期完全正常；而其中13%的月经周期不规律，17%的月经周期延长，6%的月经周期缩短。相当数量（46%）的女性虽然患有月经问题，但还伴有其他症状，如白带、下腹痛、不孕、泌尿系统问题、腹部肿块，并前来进行全面检查。3%提出模糊、非特异性主诉要求进行全面检查的女性存在一种或另一种月经问题。尽管这些女性中约69%年龄在20至39岁之间，但其中4%为青少年，27%年龄在40岁以上。据观察，尽管这些女性中约78%为初产妇和经产妇，但22%为未婚未育女性，患有各种月经疾病。这些女性中超过55%在12至14岁时初潮。不足为奇的是，超过90%的女性在首次月经期间不得不遵循传统的不健康且不合群的仪式。超过75%的女性不得不遵循歧视性传统仪式，即认为月经期间的女性在整个生育期每月有5天不可触碰。这些女性中有20%在使用非激素避孕方法，其中超过50%已接受永久性绝育。值得骄傲的是，这家诊所为该国13个地区和52个以上地区的青少年和女性提供医疗服务。
