Lee L K, Chen P C Y, Lee K K, Kaur J
Department of Community Medicine, International Medical University, Plaza Komanwel, Bukit Jalil, Kuala Lumpur 57000, Malaysia.
Singapore Med J. 2006 Oct;47(10):869-74.
The onset of menstruation is part of the maturation process. However, variability in menstrual cycle characteristics and menstrual disorders are common. The purpose of this study was to determine the menstrual characteristics of adolescent females and factors associated with it.
This is a cross-sectional descriptive study carried out on 2,411 secondary school adolescent females in Negeri Sembilan, Malaysia. Data were collected using a self-administered structured questionnaire on menstruation in Bahasa Malaysia.
Abnormal cycle length (menstrual cycle longer than 35 days or cycle length between 14 to 20 days or irregular pattern) was common and affected 37.2 percent of subjects. The majority (74.6 percent) experienced premenstrual syndrome and 69.4 percent had dysmenorrhoea. About 18 percent reported excessive menstrual loss (use two pads at a time to prevent blood from soaking through or confirmed by doctor to be anaemic due to heavy menstrual flow). Only 11.1 percent of schoolgirls seeked medical consultation for their menstrual disorders. Mothers remained the most important source of information (80 percent). Menstrual disorders were significantly more common in female adolescents who smoke and have suicidal behaviours (p-value is less than 0.05).
Menstrual problems among adolescent female are common. They are influenced by certain modifiable factors.
月经初潮是成熟过程的一部分。然而，月经周期特征的变异性和月经紊乱很常见。本研究的目的是确定青春期女性的月经特征及其相关因素。
这是一项对马来西亚森美兰州2411名中学青春期女性进行的横断面描述性研究。数据通过一份用马来语自行填写的关于月经的结构化问卷收集。
月经周期异常（月经周期长于35天或周期长度在14至20天之间或周期不规律）很常见，影响了37.2%的研究对象。大多数人（74.6%）经历过经前综合征，69.4%有痛经。约18%的人报告月经量过多（一次使用两片卫生巾以防止血液渗透或经医生确诊因月经过多而贫血）。只有11.1%的女学生因月经紊乱寻求过医疗咨询。母亲仍然是最重要的信息来源（80%）。月经紊乱在吸烟和有自杀行为的女性青少年中明显更常见（p值小于0.05）。
青春期女性的月经问题很常见。它们受到某些可改变因素的影响。
