Primary dysmenorrhea in young western Australian women: Prevalence, impact, and knowledge of treatment

Purpose: To explore the prevalence of dysmenorrhea among senior high school girls in Perth, Western Australia, its impact on school, sporting, and soc ial activities, students' management strategies, and their knowledge of ava ilable treatment, Methods: A total of 388 female students in Grades II and 12 at three metrop olitan secondary schools completed an anonymous questionnaire administered during class time. The following definition of dysmenorrhoea was used: any type of pain or discomfort associated with menstrual periods including cram ps, nausea, and headaches, Results: The reported prevalence of dysmenorrhea among these girls was 80%; 53% of those girls with dysmenorrhea reported that it limited their activi ties, In particular, 37% said that dysmenorrhea affected their school activ ities. The most common medication used by those reporting dysmenorrhea was simple analgesics (53%), followed by nonsteroidal anti-inflammatory drugs ( NSAIDs), used by 42%. More than a quarter of respondents (27%) were unaware that NSAIDs were a possible treatment option for dysmenorrhea. Conclusion: The prevalence and impact of dysmenorrhea on Grade 11 and 12 gi rls is high, and they lack knowledge of and experience with effective treat ment, Health education measures are needed in this area to prevent unnecess ary suffering and interruption to school routine. (C) Society for Adolescen t Medicine, 1999.