Published: 2022-01-28

Menstrual problems and mental health issues: exploring the propinquity among adolescent girls in private high schools of Mysuru

Renuka N., Praveen Kulkarni, Nayanabai Shabadi, Sunil B. C., Narayana Murthy M. R.


Background: Menstruation is a normal physiological process that begins during adolescence and may be associated with various symptoms with their onset, before, during or after the menstrual flow. Menstrual problems are generally perceived as an only minor health concern and thus given less importance. This study aimed to find the relationship between menstrual problems and mental health.

Methods: Cross sectional study was conducted to find out the relationship between the menstrual problems and mental health issues among school going students in the age group of 13 – 16 years. 320 adolescent girls of randomly selected high schools located in Mysuru were studied by self-administered pretested semi structured questionnaire.

Results: Among 320 adolescent girls included in the present study, 93% had one or other kind of menstrual problems. Prevalence of dysmenorrhea, menorrhagia, irregular cycles, premenstrual syndrome, and amenorrhea were 55%, 43%, 14.4%, 52.8% and 5% respectively. Prevalence of stress, depression and anxiety were 35%, 66.2% and 62.8% respectively. There was a statistically significant association between dysmenorrhea, anxiety, and stress.

Conclusion: Prevalence of menstrual problems as well as mental health problems was found to be high among adolescent girls. There was a significant association between dysmenorrhea, anxiety, and stress. Thus, there is a need to undertake regular screening activities for the adolescent girls on both menstrual and mental health problems in order to detect them early and provide essential support.


Adolescent girls, Menstrual problems, Depression, anxiety, Stress, Mental health

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Census 2011, India. Available at: http://www.census Accessed on 9 March 2020.

Dambhare D. Age at Menarche and Menstrual Cycle Pattern among School Adolescent Girls in Central India. Global J Health Sci. 2012;4(1):105-11.

Mohite RV, V Mohite, S Kumbarg, G Praveen. Common Menstrual Problems among Slum Adolescent Girls of Western Maharashtra. J Krishna Inst Med Sci Uni. 2013;2(7):2231-4261.

Quraishi SR, Waghachavare VB, Gore AD, Dhumale GB. Are menstrual problems associated with the mental health?. Int J Malaysia. 2016;14.

Nazeema P, Manju L, Bindhu A. A study of adolescent health problems in a rural school in Thiruvanthapuram district, Kerala, India. Int J Comm Med Public Health. 2016;4:100.

Depression, anxiety, stress scales dass pdf. Available at: Accessed on 9 March 2020.

Rama R, Ravi P. Prevalence of menstrual problems among adolescent girls in rural Tamil Nadu. J Pediatr Adolesc Gynecol. 2016;29(6):571-6.

Karthiga V, Boratne D, Datta SS, Sherin A, Jacob PA. Menstrual problems and pattern of consultation amongadolescent school girls in Pondicherry. Indian J Med Specialties. 2011;10:274.

Waghachavare VB, Chavan VM, Dhumale GB. A study of menstrual problems among the female junior college students from rural area of Sangli District. Natl J Community Med. 2013;4(2):236-40.

Buddhabunyakan N, Kaewrudee S, Chongsomchai C, Soontrapa S. Premenstrual syndrome (PMS) among high school students. Int J Womens Health. 2017;9: 501

Raval CM, Panchal BN, Tiwari DS, Vala AU, Bhatt RB. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder among college students of Bhavnagar, Gujarat. Indian J Psychiat. 2016;58:164-70.

Al-Gelban KS, Al-Amri HS, Mostafa OA. Prevalence of depression, anxiety and stress as measured by the depression, anxiety, and stress scale (DASS-42) among secondary school girls in Abha, Saudi Arabia. Sultan Qaboos Univ Med J. 2009;9(2):140-7.

Sandal RK, Goel NK, Sharma MK, Bakshi RK, Singh N, Kumar D. Prevalence of Depression, Anxiety and Stress among school going adolescent in Chandigarh. J Family Med Prim Care. 2017;6(2):405-10.

Mishra SK, Srivastava M, Tiwary NK, Kumar A. Prevalence of depression and anxiety among children in rural and suburban areas of Eastern Uttar Pradesh: A cross - sectional study. J Family Med Prim Care. 2018;7:216.

Kumar KS, Akoijam BS. Depression, Anxiety and Stress among Higher Secondary School Students of Imphal, Manipur. Indian J Community Med. 2017; 42(2):94-6.

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, Huang A, Fang Z, Zang T, Wang L, Xu X. Stress and dysmenorrhoea: a population based prospective study. Occup Environ Med. 2004;61(12): 1021-6.

Mohamadirizi S, Kordi M. Association between menstruation signs and anxiety, depression, and stress in school girls in Mashhad in 2011-2012. Iran J Nurs Midwifery Res. 2013;18(5):402-7.

Bajalan Z, Moafi F, MoradiBaglooei M, Alimoradi Z. Mental health and primary dysmenorrhea: a systematic review. J Psychosom Obstet Gynaecol. 2019;40(3): 185-94.