School performance in pubertal adolescents with dysmenorrhea

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Syamsir Alam
Hakimi Hakimi
Tiangsa Sembiring
Melda Deliana
Siska Mayasari Lubis


Background Dysmenorrhea is a common gynecological symptom reported in adolescent girls. Prevalence of the condition has been reported to be 45 - 75%. Absenteeism from work and school as a result of dysmenorrhea is common (13 - 51% of women have been absent at least once, and 5 - 14% are often absent due to the severity of symptoms).

Objective To compare school performance in pubertal adolescent girls with and without dysmenorrhea.

Methods This cross-sectional study was conducted in June 2010 in adolescent females aged 12 - 18 years from the Musthafawiyah School, Mandailing Natal district, North Sumatera. Adolescent females with and without dysmenorrhea were recruited for this study. All participants completed questionnaires including age of menarche, length of menstrual cycle, length of bleeding, number of sanitary napkins used daily and school absences. School reports from two consecutive semesters in one year were used to evaluate subjects’ academic performance. An academic score of higher than 7.5 was considered good performance while scores of less than 7.5 were considered poor. We used the chi-square test to analyze differences in school performance between girls with and without dysmenorrhea.

Results One hundred and sixteen participants were divided into 2 groups, those with and without dysmenorrhea, of 58 subjects each. We found no significant difference in school performance between the two groups, P=0.176 (95% CI -0.009 to -0.048 and P=0.08 (95%CI -0.052 to 0.024).

Conclusion There was no significant difference in school performance of girls with and without dysmenorrhea.

Article Details

How to Cite
Alam S, Hakimi H, Sembiring T, Deliana M, Lubis S. School performance in pubertal adolescents with dysmenorrhea. PI [Internet]. 30Aug.2011 [cited 15May2021];51(4):213-. Available from:
Received 2016-10-12
Accepted 2016-10-12
Published 2011-08-30


1. B Braverman PK, Sondhelmer SJ. Menstrual disorders. Pediatr Rev. 1997;18:17-26.
2. Mayo JL. A healthy menstrual cycle. Clin Nutr Ins. 1997;5:1-8.
3. Jabbour HN, Kelly RW, Fraser HM, Critchley HOD. Endocrine regulation of menstruation. Endocrine Rev. 2006;27:17-46.
4. Fleischman A, Gordon C. Adolescent menstrual abnormalities. In: Lifshitz F, editor. Pediatric endocrinology. 5th ed. New York: Informa; 2007.p.349-63.
5. Speroff L, Fritz MA, editors. Clinical gynecologic endocrinology and fertility. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.p.531-46.
6. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. BMJ. 2006;332:1134-8.
7. El-Gilany AH, Badawi K, El-Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansoura, Egypt. Eastern Mediter Health J. 2005;11:155-63.
8. Reddish S. Dysmenorrhoea. Aust Fam Physic. 2006;36: 842-9.
9. Foster CM. Adolescent menstrual abnormalities. In: Lifshitz F, editor. Pediatric endocrinology. 3rd ed. New York: Marcel Dekker Inc; 1996.p.223-33.
10. Calis KA. Dysmenorrhea. [cited 2008 September]. Available from:
11. Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K, et al. Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can. 2005;27:1117-30.
12. Liliwaty I, Verna LKM, Khairani O. Dysmenorrhoea and its effects on school activities among adolescent girls in a rural school in Selangor, Malaysia. J Med Health Malay. 2007;2:42-7.
13. Weitzman M, Klerman LV, Lamb G, Menary J, Alpert JJ. School absence: a problem for the pediatrician. Pediatrics. 1982:69;739-46.
14. Titilayo A, Agunbiade OM , Banjo O, Lawani A. Menstrual discomfort and its influence on daily academic activities and psychosocial relationship among undergraduate female students in Nigeria. J Health Res Tanzania. 2009:11;181-8.
15. Karsidi. Model kurikulum tingkat satuan pendidikan (KSTP) SD dan MI. Solo: Tiga Serangkai Pustaka Mandiri; 2007.p.16-9.
16. Teperi J, Rimpela M. Menstrual pain, health and behavior in girls. Soc Sci Med. 1989;29:163-9.
17. Bernstein BE. Effect of menstruation on academic performance among college women. Arch Sex Behav. 1977;6:289-96.
18. Banikarim C, Chaccko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescent. Arch Pediatr Adolesc Med. 2000;154:1226-9.
19. Hillen TIJ, Grbavac SL, Johnston PJ, Straton JAY, Keogh JMF. Primary dysmenorrhea in young western Australia woman: prevalence, impact, and knowledge of treatment. J Adolesc Health. 1999;25:40-5.
20. Ofuya ZM. The age menarche in Nigerian adolescent from two different socioeconomic classes. J Health Allied Sci. 2007;6:1-4.
21. Chan SC, Yiu KW, Yuen PM, Sahota DS, Chung KH. Menstrual problems and health-seeking behavior in Hong Kong Chinese girls. Hong Kong Med J. 2009;15:18-23.
22. Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol. 2008;52:389-97.
23. Zegeye D, Megabiaw B, Mulu A. Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia. BMC Women’s Health. 2009;9:1-8.
24. Ortiz MI, Flores ER, Alarcon LCC, Godoy HAV. Prevalence and impact of primary dysmenorrhea among Mexican high school students. J Obstet Gynaecol. 2009;107:240-3.
25. Burnett MA, Antao V, Black A, Feldman K, Grenville A, Lea R, et al. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Can. 2005;27:765-70.
26. Poureslami M, Ashtiani FO. Assessing knowledge, and behavior of adolescent girls in suburban districts of Tehran about dysmenorrhea and menstrual hygiene. Sci J Kurdistan. 2000;4:10-4.
27. Eryilmaz G, Ozdemir F, Pasinlioglu T. Dysmenorrhea prevalence among adolescents in Eastern Turkey: its effects on school performance and relationships with family and friends. J Pediatr Adolesc Gynecol. 2010;23:267-72.