Prevalence, impact and self-care practice of dysmenorrhea among female university students in Saudi Arabia
Main Article Content
Keywords
Prevalence, Dysmenorrhea, student, classroom performance
Abstract
Objective: To estimate the prevalence of dysmenorrhea among female University students at Jazan University, impact and self-care in Saudi Arabia.
Methods: A cross-sectional exploratory study was conducted among 335 students in Jazan University, selected through a multistage stratified random sampling technique. Data was collected using an online survey adopted from a previous study (AL Ghamdi, 2019) after taking permission from the author. It consists of socio-demographic information, menstrual history, lifestyle, and self-care practice. The intensity of menstrual pain scored the severity of pain was assessed by the Multidimensional Scoring System of Andersch and Milsom developed by (Moghadam & Khosravi, 2012).
Results: The prevalence of dysmenorrhea was 69.69%. The prevalence of severe dysmenorrhea was 29.73 %. 63.4% used painkiller, and it interferes with the daily activity of 165 students (49%). Decreased social activities were the most common psychological impact (56.7%). The pain intensity positively correlated with classroom performance, exam performance, assignment performance, and extracurricular activity performance.
Conclusions: Dysmenorrhea, as a condition, is a universal problem among teenage girls; the current studies revealed a relatively high prevalence of this condition among female university students. The symptom and the severity have direct impacts on students' daily life. However, socio-demographic factors, lifestyle, and personal habits showed no relation with the severity of dysmenorrhea. Simultaneously, the menstrual characteristics and history had a connection to the severity of the symptoms. Early intervention for pain management can minimize the impact of the symptoms on the population.
References
1. Abdel-Salam, D. M., Alnuman, R. W., Alrwuaili, R. M., Alrwuaili, G. A., & Alrwuaili, E. M. (2018). Epidemiological aspects of dysmenorrhea among female students at Jouf University, Saudi Arabia. Middle East Fertility Society Journal, 23(4), 435–439. https://doi.org/10.1016/j.mefs.2018.08.001
2. Aksu, H., & Sevgi, Ö. (2016). Primary Dysmenorrhea and Herbals. Journal of Healthcare Communications, 1(3), Article 3. https://doi.org/10.4172/2472-1654.100023
3. Alghamdi, F., Al-Zahrani, A., & Alabdulaziz, H. (2019). Dysmenorrhea Characteristics and Self-Care Method used among Female Nursing Students at King Abdulaziz University. Journal of Gynecology and Obstetrics, 7(1), 17. https://doi.org/10.11648/j.jgo.20190701.13
4. Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F., Al-Basri, D., Al-Enzi, M., & Al-Taiar, A. (2019). Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics, 19(1), 80. https://doi.org/10.1186/s12887-019-1442-6
5. Alsaleem, M. (2018). Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study. Journal of Family Medicine & Primary Care, 7(4), 769–774. https://doi.org/10.4103/jfmpc.jfmpc_113_18
6. Ameade, E. P. K., Amalba, A., & Mohammed, B. S. (2018). Prevalence of dysmenorrhea among University students in Northern Ghana; its impact and management strategies. BMC Women’s Health, 18. https://doi.org/10.1186/s12905-018-0532-1
7. Amiri Farahani, Ë. L., Hasanpoor-Azghdy, S. B., Kasraei, H., & Heidari, T. (2017). Comparison of the effect of honey and mefenamic acid on the severity of pain in women with primary dysmenorrhea. Archives of Gynecology and Obstetrics, 296(2), 277–283. https://doi.org/10.1007/s00404-017-4409-6
8. Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., MacMillan, F., & Smith, C. A. (2019). The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. Journal of Women’s Health, 28(8), 1161–1171. https://doi.org/10.1089/jwh.2018.7615
9. Armour, M., Smith, C. A., Steel, K. A., & Macmillan, F. (2019). The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: A systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 19(1), 22. https://doi.org/10.1186/s12906-019-2433-8
10. Bajalan, Z., Alimoradi, Z., & Moafi, F. (2019). Nutrition as a Potential Factor of Primary Dysmenorrhea: A Systematic Review of Observational Studies. GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 84(3), 209–224. https://doi.org/10.1159/000495408
11. Banikarim, C., Chacko, M. R., & Kelder, S. H. (2000). Prevalence and Impact of Dysmenorrhea on Hispanic Female Adolescents. Archives of Pediatrics & Adolescent Medicine, 154(12), 1226–1229. https://doi.org/10.1001/archpedi.154.12.1226
12. Barnard, N. D., Scialli, A. R., Hurlock, D., & Bertron, P. (2000). Diet and sex-hormone binding globulin, dysmenorrhea, and premenstrual symptoms. Obstetrics and Gynecology, 95(2), 245–250. https://doi.org/10.1016/s0029-7844(99)00525-6
13. Bavil, D. A., Dolatian, M., Mahmoodi, Z., & Baghban, A. A. (2016). Comparison of lifestyles of young women with and without primary dysmenorrhea. Electronic Physician, 8(3), 2107–2114. https://doi.org/10.19082/2107
14. Burnett, M. A., Antao, V., Black, A., Feldman, K., Grenville, A., Lea, R., Lefebvre, G., Pinsonneault, O., & Robert, M. (2005). Prevalence of Primary Dysmenorrhea in Canada. Journal of Obstetrics and Gynaecology Canada, 27(8), 765–770. https://doi.org/10.1016/S1701-2163(16)30728-9
15. Camlibel, M., Erdur, B., Yilmaz, A., Ozen, M., & Uyanik, A. (2019). Comparison of the Effects of Piroxicam and Diclofenac Sodium as Treatments for Primary Dysmenorrhea. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, 157–164. https://doi.org/10.12659/MSM.911711
16. Campbell, M. A., & McGrath, P. J. (1999). Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort. The Clinical Journal of Pain, 15(4), 313–320. https://doi.org/10.1097/00002508-199912000-00008
17. Chen, C. X., Barrett, B., & Kwekkeboom, K. L. (2016). Efficacy of Oral Ginger (Zingiber officinale) for Dysmenorrhea: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine : ECAM, 2016. https://doi.org/10.1155/2016/6295737
18. Davis, A. R., Westhoff, C., O’Connell, K., & Gallagher, N. (2005). Oral Contraceptives for Dysmenorrhea in Adolescent Girls: A Randomized Trial. Obstetrics & Gynecology, 106(1), 97–104. https://doi.org/10.1097/01.AOG.0000165826.03915.65
19. Dawood, M. Y., & Khan-Dawood, F. S. (2007). Clinical efficacy and differential inhibition of menstrual fluid prostaglandin F2alpha in a randomized, double-blind, crossover treatment with placebo, acetaminophen, and ibuprofen in primary dysmenorrhea. American Journal of Obstetrics and Gynecology, 196(1), 35.e1-5. https://doi.org/10.1016/j.ajog.2006.06.091
20. De Sanctis, V., Soliman, A. T., Elsedfy, H., Soliman, N. A., Soliman, R., & El Kholy, M. (2016). Dysmenorrhea in adolescents and young adults: A review in different country. Acta Bio-Medica: Atenei Parmensis, 87(3), 233–246.
21. Dmitrovic, R., Kunselman, A. R., & Legro, R. S. (2012). Continuous Compared With Cyclic Oral Contraceptives for the Treatment of Primary Dysmenorrhea: A Randomized Controlled Trial. Obstetrics and Gynecology, 119(6), 1143–1150. https://doi.org/10.1097/AOG.0b013e318257217a
22. Dorn, L. D., Negriff, S., Huang, B., Pabst, S., Hillman, J., Braverman, P., & Susman, E. J. (2009). Menstrual Symptoms in Adolescent Girls: Association with Smoking, Depressive Symptoms and Anxiety. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 44(3), 237–243. https://doi.org/10.1016/j.jadohealth.2008.07.018
23. Doubova, S. V., Morales, H. R., Hernández, S. F., del Carmen Martínez-García, M., de Cossío Ortiz, M. G., Soto, M. A. C., Arce, E. R., & Lozoya, X. (2007). Effect of a Psidii guajavae folium extract in the treatment of primary dysmenorrhea: A randomized clinical trial. Journal of Ethnopharmacology, 110(2), 305–310. https://doi.org/10.1016/j.jep.2006.09.033
24. Elboim-Gabyzon, M., & Kalichman, L. (2020, January 8). Transcutaneous Electrical Nerve Stimulation (TENS) for Primary Dysmenorrhea: An Overview. International Journal of Women’s Health; Dove Press. https://doi.org/10.2147/IJWH.S220523
25. Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The Impact ofDysmenorrhea on Quality of Life among Spanish Female University Students. International Journal of Environmental Research and Public Health, 16(5), Article 5. https://doi.org/10.3390/ijerph16050713
26. Gagua, T., Tkeshelashvili, B., & Gagua, D. (2012). Primary dysmenorrhea: Prevalence in adolescent population of Tbilisi, Georgia and risk factors. Journal of the Turkish German Gynecological Association, 13(3), 162–168. https://doi.org/10.5152/jtgga.2012.21
27. Gebeyehu, M. B., Mekuria, A. B., Tefera, Y. G., Andarge, D. A., Debay, Y. B., Bejiga, G. S., & Gebresillassie, B. M. (2017). Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine, 2017, e3208276. https://doi.org/10.1155/2017/3208276
28. Gharloghi, S., Torkzahrani, S., Akbarzadeh, A. R., & Heshmat, R. (2012). The effects of acupressure on severity of primary dysmenorrhea. Patient Preference and Adherence, 6, 137–142. https://doi.org/10.2147/PPA.S27127
29. Grandi, G., Ferrari, S., Xholli, A., Cannoletta, M., Palma, F., Romani, C., Volpe, A., & Cagnacci, A. (2012). Prevalence of menstrual pain in young women: What is dysmenorrhea? Journal of Pain Research, 5, 169–174. https://doi.org/10.2147/JPR.S30602
30. Habibi, N., Huang, M. S. L., Gan, W. Y., Zulida, R., & Safavi, S. M. (2015). Prevalence of Primary Dysmenorrhea and Factors Associated with Its Intensity Among Undergraduate Students: A Cross-Sectional Study. Pain Management Nursing, 16(6), 855–861. https://doi.org/10.1016/j.pmn.2015.07.001
31. Harada, T. (2013). Dysmenorrhea and Endometriosis in Young Women. Yonago Acta Medica, 56(4), 81–84.
32. Harlow, S. D., & Park, M. (1996). A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. BJOG: An International Journal of Obstetrics & Gynaecology, 103(11), 1134–1142. https://doi.org/10.1111/j.1471-0528.1996.tb09597.x
33. Hirata, M., Kumabe, K., & Inoue, Y. (2002). [Relationship between the frequency of menstrual pain and bodyweight in female adolescents]. [Nihon Koshu Eisei Zasshi] Japanese Journal of Public Health, 49(6), 516–524.
34. Iacovides, S., Avidon, I., & Baker, F. C. (2015). What we know about primary dysmenorrhea today: A critical review. Human Reproduction Update, 21(6), 762–778. https://doi.org/10.1093/humupd/dmv039
35. Ibrahim, N. K., AlGhamdi, M. S., Al-Shaibani, A. N., AlAmri, F. A., Alharbi, H. A., Al-Jadani, A. K., & Alfaidi, R. A. (2015). Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, Predictors and outcome. Pakistan Journal of Medical Sciences, 31(6), 1312–1317. https://doi.org/10.12669/pjms.316.8752
36. Jaafarpour, M., Hatefi, M., Najafi, F., Khajavikhan, J., & Khani, A. (2015). The Effect of Cinnamon on Menstrual Bleeding and Systemic Symptoms With Primary Dysmenorrhea. Iranian Red Crescent Medical Journal, 17(4), Article 4. https://doi.org/10.5812/ircmj.17(4)2015.27032
37. Ju, H., Jones, M., & Mishra, G. D. (2015). A U-Shaped Relationship between Body Mass Index and Dysmenorrhea: A Longitudinal Study. PLoS ONE, 10(7). https://doi.org/10.1371/journal.pone.0134187
38. Kasthuri, A. (2018). Challenges to Healthcare in India—The Five A’s. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 43(3), 141–143. https://doi.org/10.4103/ijcm.IJCM_194_18
39. Kenneth J, R. (2012). Epidemiology: An Introduction. Oxford University Press.
40. Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006). Caution regarding the use of pilot studies to guide power calculations for study proposals. Archives of General Psychiatry, 63(5), 484–489. https://doi.org/10.1001/archpsyc.63.5.484
41. Kural, M., Noor, N. N., Pandit, D., Joshi, T., & Patil, A. (2015). Menstrual characteristics and prevalence of dysmenorrhea in college going girls. Journal of Family Medicine and Primary Care, 4(3), 426–431. https://doi.org/10.4103/2249-4863.161345
42. Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10(2), 307–312. https://doi.org/10.1111/j..2002.384.doc.x
43. Lefebvre, G., Pinsonneault, O., Antao, V., Black, A., Burnett, M., Feldman, K., Lea, R., Robert, M., & SOGC. (2005). Primary dysmenorrhea consensus guideline. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’obstetrique et Gynecologie Du Canada: JOGC, 27(12), 1117–1146. https://doi.org/10.1016/s1701-2163(16)30395-4
44. Mahvash, N., Eidy, A., Mehdi, K., Zahra, M. T., Mani, M., & Shahla, H. (2012). The Effect of Physical Activity on Primary Dysmenorrhea of Female U. 8.
45. Marjoribanks, J., Ayeleke, R. O., Farquhar, C., & Proctor, M. (2015). Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. The Cochrane Database of Systematic Reviews, 7, CD001751. https://doi.org/10.1002/14651858.CD001751.pub3
46. Mohapatra, D., Mishra, T., Behera, M., & Panda, P. (2016). A Study Of Relation Between Body Mass Index And Dysmenorrhea And Its Impact On Daily Activities Of Medical Students. Asian Journal of Pharmaceutical and Clinical Research, 297–299. https://doi.org/10.22159/ajpcr.2016.v9s3.14753
47. Osayande, A. S., & Mehulic, S. (2014). Diagnosis and initial management of dysmenorrhea. American Family Physician, 89(5), 341–346.
48. Parker, M. A., Sneddon, A. E., & Arbon, P. (2010). The menstrual disorder of teenagers (MDOT) study: Determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG: An International Journal of Obstetrics and Gynaecology, 117(2), 185–192. https://doi.org/10.1111/j.1471-0528.2009.02407.x
49. Patel, V., Tanksale, V., Sahasrabhojanee, M., Gupte, S., & Nevrekar, P. (2006). The burden and determinants of dysmenorrhoea: A population-based survey of 2262 women in Goa, India. BJOG: An International Journal of Obstetrics & Gynaecology, 113(4), 453–463. https://doi.org/10.1111/j.1471-0528.2006.00874.x
50. Pawłowski, B. (2004). Prevalence of menstrual pain in relation to the reproductive life history of women from the Mayan rural community. Annals of Human Biology, 31(1), 1–8. https://doi.org/10.1080/03014460310001602072
51. Proctor, M., & Farquhar, C. (2006). Diagnosis and management of dysmenorrhoea. BMJ : British Medical Journal, 332(7550), 1134–1138.
52. Qin, L.-L., Hu, Z., Kaminga, A. C., Luo, B.-A., Xu, H.-L., Feng, X.-L., & Liu, J.-H. (2020). Association between cigarette smoking and the risk of dysmenorrhea: A meta-analysis of observational studies. PLoS ONE, 15(4). https://doi.org/10.1371/journal.pone.0231201
53. Rahnama, P., Montazeri, A., Huseini, H. F., Kianbakht, S., & Naseri, M. (2012). Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primary dysmenorrhea: A placebo randomized trial. BMC Complementary and Alternative Medicine, 12, 92. https://doi.org/10.1186/1472-6882-12-92
54. Rawat, N., Thakur, A., Sharma, S., Prashad, J., Kaur, S., Ghai, N., & Krishnan, N. (2016). Prevalence of Dysmenorrhoea, and Its Impact on Activities of Daily Living (adls) Among Nursing Personnel. Baba Farid University Nursing Journal, 10(1), 30–38.
55. Riegel, B., Dunbar, S. B., Fitzsimons, D., Freedland, K. E., Lee, C. S., Middleton, S., Stromberg, A., Vellone, E., Webber, D. E., & Jaarsma, T. (2019). Self-care research: Where are we now? Where are we going? International Journal of Nursing Studies, 103402. https://doi.org/10.1016/j.ijnurstu.2019.103402
56. Sadeghi, N., Paknezhad, F., Rashidi Nooshabadi, M., Kavianpour, M., Jafari Rad, S., & Khadem Haghighian, H. (2018). Vitamin E and fish oil, separately or in combination, on treatment of primary dysmenorrhea: A double-blind, randomized clinical trial. Gynecological Endocrinology : The Official Journal of the International Society of Gynecological Endocrinology, 34(9), 804–808. https://doi.org/10.1080/09513590.2018.1450377
57. Sahin, N., Kasap, B., Kirli, U., Yeniceri, N., & Topal, Y. (2018). Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea. Reproductive Health, 15. https://doi.org/10.1186/s12978-018-0453-3
58. Shahr-jerdy, S., Hosseini, R. S., & Gh, M. E. (2012). Effects of stretching exercises on primary dysmenorrhea in adolescent girls. Biomedical Human Kinetics, 4(1), 127–132. https://doi.org/10.2478/v10101-012-0024-y
59. Singh, A., Kiran, D., Singh, H., Nel, B., Singh, P., & Tiwari, P. (2008). Prevalence and severity of dysmenorrhea: A problem related to menstruation, among first and second year female medical students. Indian Journal of Physiology and Pharmacology, 52(4), 389–397.
60. Sundell, G., Milsom, I., & Andersch, B. (1990). Factors influencing the prevalence and severity of dysmenorrhoea in young women. British Journal of Obstetrics and Gynaecology, 97(7), 588–594. https://doi.org/10.1111/j.1471-0528.1990.tb02545.x
61. Unsal, A., Tozun, M., Ayranci, U., & Orsal, O. (2012). Connection between dysmenorrhea and depression among a group of Turkish high school female students. 2012, 28(2012), 5.
62. Vilšinskaitė, D. S., Vaidokaitė, G., Mačys, Ž., & Bumbulienė, Ž. (2019a). The risk factors of dysmenorrhea in young women. Wiadomosci Lekarskie (Warsaw, Poland : 1960), 72(6), 1170–1174.
63. Vilšinskaitė, D. S., Vaidokaitė, G., Mačys, Ž., & Bumbulienė, Ž. (2019b). The risk factors of dysmenorrhea in young women. Wiadomosci Lekarskie (Warsaw, Poland: 1960), 72(6), 1170–1174.
64. Vlachou, E., Owens, D. A., Lavdaniti, M., Kalemikerakis, J., Evagelou, E., Margari, N., Fasoi, G., Evangelidou, E., Govina, O., & Tsartsalis, A. N. (2019). Prevalence, Wellbeing, and Symptoms of Dysmenorrhea amongUniversity Nursing Students in Greece. Diseases (Basel, Switzerland), 7(1), Article 1. https://doi.org/10.3390/diseases7010005
65. Woo, H. L., Ji, H. R., Pak, Y. K., Lee, H., Heo, S. J., Lee, J. M., & Park, K. S. (2018). The efficacy and safety of acupuncture in women with primary dysmenorrhea. Medicine, 97(23), Article 23. https://doi.org/10.1097/MD.0000000000011007
66. Yesuf, T. A., Eshete, N. A., & Sisay, E. A. (2018). Dysmenorrhea among University Health Science Students, Northern Ethiopia: Impact and Associated Factors. International Journal of Reproductive Medicine, 2018, e9730328. https://doi.org/10.1155/2018/9730328
2. Aksu, H., & Sevgi, Ö. (2016). Primary Dysmenorrhea and Herbals. Journal of Healthcare Communications, 1(3), Article 3. https://doi.org/10.4172/2472-1654.100023
3. Alghamdi, F., Al-Zahrani, A., & Alabdulaziz, H. (2019). Dysmenorrhea Characteristics and Self-Care Method used among Female Nursing Students at King Abdulaziz University. Journal of Gynecology and Obstetrics, 7(1), 17. https://doi.org/10.11648/j.jgo.20190701.13
4. Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F., Al-Basri, D., Al-Enzi, M., & Al-Taiar, A. (2019). Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics, 19(1), 80. https://doi.org/10.1186/s12887-019-1442-6
5. Alsaleem, M. (2018). Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study. Journal of Family Medicine & Primary Care, 7(4), 769–774. https://doi.org/10.4103/jfmpc.jfmpc_113_18
6. Ameade, E. P. K., Amalba, A., & Mohammed, B. S. (2018). Prevalence of dysmenorrhea among University students in Northern Ghana; its impact and management strategies. BMC Women’s Health, 18. https://doi.org/10.1186/s12905-018-0532-1
7. Amiri Farahani, Ë. L., Hasanpoor-Azghdy, S. B., Kasraei, H., & Heidari, T. (2017). Comparison of the effect of honey and mefenamic acid on the severity of pain in women with primary dysmenorrhea. Archives of Gynecology and Obstetrics, 296(2), 277–283. https://doi.org/10.1007/s00404-017-4409-6
8. Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., MacMillan, F., & Smith, C. A. (2019). The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. Journal of Women’s Health, 28(8), 1161–1171. https://doi.org/10.1089/jwh.2018.7615
9. Armour, M., Smith, C. A., Steel, K. A., & Macmillan, F. (2019). The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: A systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 19(1), 22. https://doi.org/10.1186/s12906-019-2433-8
10. Bajalan, Z., Alimoradi, Z., & Moafi, F. (2019). Nutrition as a Potential Factor of Primary Dysmenorrhea: A Systematic Review of Observational Studies. GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 84(3), 209–224. https://doi.org/10.1159/000495408
11. Banikarim, C., Chacko, M. R., & Kelder, S. H. (2000). Prevalence and Impact of Dysmenorrhea on Hispanic Female Adolescents. Archives of Pediatrics & Adolescent Medicine, 154(12), 1226–1229. https://doi.org/10.1001/archpedi.154.12.1226
12. Barnard, N. D., Scialli, A. R., Hurlock, D., & Bertron, P. (2000). Diet and sex-hormone binding globulin, dysmenorrhea, and premenstrual symptoms. Obstetrics and Gynecology, 95(2), 245–250. https://doi.org/10.1016/s0029-7844(99)00525-6
13. Bavil, D. A., Dolatian, M., Mahmoodi, Z., & Baghban, A. A. (2016). Comparison of lifestyles of young women with and without primary dysmenorrhea. Electronic Physician, 8(3), 2107–2114. https://doi.org/10.19082/2107
14. Burnett, M. A., Antao, V., Black, A., Feldman, K., Grenville, A., Lea, R., Lefebvre, G., Pinsonneault, O., & Robert, M. (2005). Prevalence of Primary Dysmenorrhea in Canada. Journal of Obstetrics and Gynaecology Canada, 27(8), 765–770. https://doi.org/10.1016/S1701-2163(16)30728-9
15. Camlibel, M., Erdur, B., Yilmaz, A., Ozen, M., & Uyanik, A. (2019). Comparison of the Effects of Piroxicam and Diclofenac Sodium as Treatments for Primary Dysmenorrhea. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, 157–164. https://doi.org/10.12659/MSM.911711
16. Campbell, M. A., & McGrath, P. J. (1999). Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort. The Clinical Journal of Pain, 15(4), 313–320. https://doi.org/10.1097/00002508-199912000-00008
17. Chen, C. X., Barrett, B., & Kwekkeboom, K. L. (2016). Efficacy of Oral Ginger (Zingiber officinale) for Dysmenorrhea: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine : ECAM, 2016. https://doi.org/10.1155/2016/6295737
18. Davis, A. R., Westhoff, C., O’Connell, K., & Gallagher, N. (2005). Oral Contraceptives for Dysmenorrhea in Adolescent Girls: A Randomized Trial. Obstetrics & Gynecology, 106(1), 97–104. https://doi.org/10.1097/01.AOG.0000165826.03915.65
19. Dawood, M. Y., & Khan-Dawood, F. S. (2007). Clinical efficacy and differential inhibition of menstrual fluid prostaglandin F2alpha in a randomized, double-blind, crossover treatment with placebo, acetaminophen, and ibuprofen in primary dysmenorrhea. American Journal of Obstetrics and Gynecology, 196(1), 35.e1-5. https://doi.org/10.1016/j.ajog.2006.06.091
20. De Sanctis, V., Soliman, A. T., Elsedfy, H., Soliman, N. A., Soliman, R., & El Kholy, M. (2016). Dysmenorrhea in adolescents and young adults: A review in different country. Acta Bio-Medica: Atenei Parmensis, 87(3), 233–246.
21. Dmitrovic, R., Kunselman, A. R., & Legro, R. S. (2012). Continuous Compared With Cyclic Oral Contraceptives for the Treatment of Primary Dysmenorrhea: A Randomized Controlled Trial. Obstetrics and Gynecology, 119(6), 1143–1150. https://doi.org/10.1097/AOG.0b013e318257217a
22. Dorn, L. D., Negriff, S., Huang, B., Pabst, S., Hillman, J., Braverman, P., & Susman, E. J. (2009). Menstrual Symptoms in Adolescent Girls: Association with Smoking, Depressive Symptoms and Anxiety. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 44(3), 237–243. https://doi.org/10.1016/j.jadohealth.2008.07.018
23. Doubova, S. V., Morales, H. R., Hernández, S. F., del Carmen Martínez-García, M., de Cossío Ortiz, M. G., Soto, M. A. C., Arce, E. R., & Lozoya, X. (2007). Effect of a Psidii guajavae folium extract in the treatment of primary dysmenorrhea: A randomized clinical trial. Journal of Ethnopharmacology, 110(2), 305–310. https://doi.org/10.1016/j.jep.2006.09.033
24. Elboim-Gabyzon, M., & Kalichman, L. (2020, January 8). Transcutaneous Electrical Nerve Stimulation (TENS) for Primary Dysmenorrhea: An Overview. International Journal of Women’s Health; Dove Press. https://doi.org/10.2147/IJWH.S220523
25. Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The Impact ofDysmenorrhea on Quality of Life among Spanish Female University Students. International Journal of Environmental Research and Public Health, 16(5), Article 5. https://doi.org/10.3390/ijerph16050713
26. Gagua, T., Tkeshelashvili, B., & Gagua, D. (2012). Primary dysmenorrhea: Prevalence in adolescent population of Tbilisi, Georgia and risk factors. Journal of the Turkish German Gynecological Association, 13(3), 162–168. https://doi.org/10.5152/jtgga.2012.21
27. Gebeyehu, M. B., Mekuria, A. B., Tefera, Y. G., Andarge, D. A., Debay, Y. B., Bejiga, G. S., & Gebresillassie, B. M. (2017). Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine, 2017, e3208276. https://doi.org/10.1155/2017/3208276
28. Gharloghi, S., Torkzahrani, S., Akbarzadeh, A. R., & Heshmat, R. (2012). The effects of acupressure on severity of primary dysmenorrhea. Patient Preference and Adherence, 6, 137–142. https://doi.org/10.2147/PPA.S27127
29. Grandi, G., Ferrari, S., Xholli, A., Cannoletta, M., Palma, F., Romani, C., Volpe, A., & Cagnacci, A. (2012). Prevalence of menstrual pain in young women: What is dysmenorrhea? Journal of Pain Research, 5, 169–174. https://doi.org/10.2147/JPR.S30602
30. Habibi, N., Huang, M. S. L., Gan, W. Y., Zulida, R., & Safavi, S. M. (2015). Prevalence of Primary Dysmenorrhea and Factors Associated with Its Intensity Among Undergraduate Students: A Cross-Sectional Study. Pain Management Nursing, 16(6), 855–861. https://doi.org/10.1016/j.pmn.2015.07.001
31. Harada, T. (2013). Dysmenorrhea and Endometriosis in Young Women. Yonago Acta Medica, 56(4), 81–84.
32. Harlow, S. D., & Park, M. (1996). A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. BJOG: An International Journal of Obstetrics & Gynaecology, 103(11), 1134–1142. https://doi.org/10.1111/j.1471-0528.1996.tb09597.x
33. Hirata, M., Kumabe, K., & Inoue, Y. (2002). [Relationship between the frequency of menstrual pain and bodyweight in female adolescents]. [Nihon Koshu Eisei Zasshi] Japanese Journal of Public Health, 49(6), 516–524.
34. Iacovides, S., Avidon, I., & Baker, F. C. (2015). What we know about primary dysmenorrhea today: A critical review. Human Reproduction Update, 21(6), 762–778. https://doi.org/10.1093/humupd/dmv039
35. Ibrahim, N. K., AlGhamdi, M. S., Al-Shaibani, A. N., AlAmri, F. A., Alharbi, H. A., Al-Jadani, A. K., & Alfaidi, R. A. (2015). Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, Predictors and outcome. Pakistan Journal of Medical Sciences, 31(6), 1312–1317. https://doi.org/10.12669/pjms.316.8752
36. Jaafarpour, M., Hatefi, M., Najafi, F., Khajavikhan, J., & Khani, A. (2015). The Effect of Cinnamon on Menstrual Bleeding and Systemic Symptoms With Primary Dysmenorrhea. Iranian Red Crescent Medical Journal, 17(4), Article 4. https://doi.org/10.5812/ircmj.17(4)2015.27032
37. Ju, H., Jones, M., & Mishra, G. D. (2015). A U-Shaped Relationship between Body Mass Index and Dysmenorrhea: A Longitudinal Study. PLoS ONE, 10(7). https://doi.org/10.1371/journal.pone.0134187
38. Kasthuri, A. (2018). Challenges to Healthcare in India—The Five A’s. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 43(3), 141–143. https://doi.org/10.4103/ijcm.IJCM_194_18
39. Kenneth J, R. (2012). Epidemiology: An Introduction. Oxford University Press.
40. Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006). Caution regarding the use of pilot studies to guide power calculations for study proposals. Archives of General Psychiatry, 63(5), 484–489. https://doi.org/10.1001/archpsyc.63.5.484
41. Kural, M., Noor, N. N., Pandit, D., Joshi, T., & Patil, A. (2015). Menstrual characteristics and prevalence of dysmenorrhea in college going girls. Journal of Family Medicine and Primary Care, 4(3), 426–431. https://doi.org/10.4103/2249-4863.161345
42. Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10(2), 307–312. https://doi.org/10.1111/j..2002.384.doc.x
43. Lefebvre, G., Pinsonneault, O., Antao, V., Black, A., Burnett, M., Feldman, K., Lea, R., Robert, M., & SOGC. (2005). Primary dysmenorrhea consensus guideline. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’obstetrique et Gynecologie Du Canada: JOGC, 27(12), 1117–1146. https://doi.org/10.1016/s1701-2163(16)30395-4
44. Mahvash, N., Eidy, A., Mehdi, K., Zahra, M. T., Mani, M., & Shahla, H. (2012). The Effect of Physical Activity on Primary Dysmenorrhea of Female U. 8.
45. Marjoribanks, J., Ayeleke, R. O., Farquhar, C., & Proctor, M. (2015). Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. The Cochrane Database of Systematic Reviews, 7, CD001751. https://doi.org/10.1002/14651858.CD001751.pub3
46. Mohapatra, D., Mishra, T., Behera, M., & Panda, P. (2016). A Study Of Relation Between Body Mass Index And Dysmenorrhea And Its Impact On Daily Activities Of Medical Students. Asian Journal of Pharmaceutical and Clinical Research, 297–299. https://doi.org/10.22159/ajpcr.2016.v9s3.14753
47. Osayande, A. S., & Mehulic, S. (2014). Diagnosis and initial management of dysmenorrhea. American Family Physician, 89(5), 341–346.
48. Parker, M. A., Sneddon, A. E., & Arbon, P. (2010). The menstrual disorder of teenagers (MDOT) study: Determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG: An International Journal of Obstetrics and Gynaecology, 117(2), 185–192. https://doi.org/10.1111/j.1471-0528.2009.02407.x
49. Patel, V., Tanksale, V., Sahasrabhojanee, M., Gupte, S., & Nevrekar, P. (2006). The burden and determinants of dysmenorrhoea: A population-based survey of 2262 women in Goa, India. BJOG: An International Journal of Obstetrics & Gynaecology, 113(4), 453–463. https://doi.org/10.1111/j.1471-0528.2006.00874.x
50. Pawłowski, B. (2004). Prevalence of menstrual pain in relation to the reproductive life history of women from the Mayan rural community. Annals of Human Biology, 31(1), 1–8. https://doi.org/10.1080/03014460310001602072
51. Proctor, M., & Farquhar, C. (2006). Diagnosis and management of dysmenorrhoea. BMJ : British Medical Journal, 332(7550), 1134–1138.
52. Qin, L.-L., Hu, Z., Kaminga, A. C., Luo, B.-A., Xu, H.-L., Feng, X.-L., & Liu, J.-H. (2020). Association between cigarette smoking and the risk of dysmenorrhea: A meta-analysis of observational studies. PLoS ONE, 15(4). https://doi.org/10.1371/journal.pone.0231201
53. Rahnama, P., Montazeri, A., Huseini, H. F., Kianbakht, S., & Naseri, M. (2012). Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primary dysmenorrhea: A placebo randomized trial. BMC Complementary and Alternative Medicine, 12, 92. https://doi.org/10.1186/1472-6882-12-92
54. Rawat, N., Thakur, A., Sharma, S., Prashad, J., Kaur, S., Ghai, N., & Krishnan, N. (2016). Prevalence of Dysmenorrhoea, and Its Impact on Activities of Daily Living (adls) Among Nursing Personnel. Baba Farid University Nursing Journal, 10(1), 30–38.
55. Riegel, B., Dunbar, S. B., Fitzsimons, D., Freedland, K. E., Lee, C. S., Middleton, S., Stromberg, A., Vellone, E., Webber, D. E., & Jaarsma, T. (2019). Self-care research: Where are we now? Where are we going? International Journal of Nursing Studies, 103402. https://doi.org/10.1016/j.ijnurstu.2019.103402
56. Sadeghi, N., Paknezhad, F., Rashidi Nooshabadi, M., Kavianpour, M., Jafari Rad, S., & Khadem Haghighian, H. (2018). Vitamin E and fish oil, separately or in combination, on treatment of primary dysmenorrhea: A double-blind, randomized clinical trial. Gynecological Endocrinology : The Official Journal of the International Society of Gynecological Endocrinology, 34(9), 804–808. https://doi.org/10.1080/09513590.2018.1450377
57. Sahin, N., Kasap, B., Kirli, U., Yeniceri, N., & Topal, Y. (2018). Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea. Reproductive Health, 15. https://doi.org/10.1186/s12978-018-0453-3
58. Shahr-jerdy, S., Hosseini, R. S., & Gh, M. E. (2012). Effects of stretching exercises on primary dysmenorrhea in adolescent girls. Biomedical Human Kinetics, 4(1), 127–132. https://doi.org/10.2478/v10101-012-0024-y
59. Singh, A., Kiran, D., Singh, H., Nel, B., Singh, P., & Tiwari, P. (2008). Prevalence and severity of dysmenorrhea: A problem related to menstruation, among first and second year female medical students. Indian Journal of Physiology and Pharmacology, 52(4), 389–397.
60. Sundell, G., Milsom, I., & Andersch, B. (1990). Factors influencing the prevalence and severity of dysmenorrhoea in young women. British Journal of Obstetrics and Gynaecology, 97(7), 588–594. https://doi.org/10.1111/j.1471-0528.1990.tb02545.x
61. Unsal, A., Tozun, M., Ayranci, U., & Orsal, O. (2012). Connection between dysmenorrhea and depression among a group of Turkish high school female students. 2012, 28(2012), 5.
62. Vilšinskaitė, D. S., Vaidokaitė, G., Mačys, Ž., & Bumbulienė, Ž. (2019a). The risk factors of dysmenorrhea in young women. Wiadomosci Lekarskie (Warsaw, Poland : 1960), 72(6), 1170–1174.
63. Vilšinskaitė, D. S., Vaidokaitė, G., Mačys, Ž., & Bumbulienė, Ž. (2019b). The risk factors of dysmenorrhea in young women. Wiadomosci Lekarskie (Warsaw, Poland: 1960), 72(6), 1170–1174.
64. Vlachou, E., Owens, D. A., Lavdaniti, M., Kalemikerakis, J., Evagelou, E., Margari, N., Fasoi, G., Evangelidou, E., Govina, O., & Tsartsalis, A. N. (2019). Prevalence, Wellbeing, and Symptoms of Dysmenorrhea amongUniversity Nursing Students in Greece. Diseases (Basel, Switzerland), 7(1), Article 1. https://doi.org/10.3390/diseases7010005
65. Woo, H. L., Ji, H. R., Pak, Y. K., Lee, H., Heo, S. J., Lee, J. M., & Park, K. S. (2018). The efficacy and safety of acupuncture in women with primary dysmenorrhea. Medicine, 97(23), Article 23. https://doi.org/10.1097/MD.0000000000011007
66. Yesuf, T. A., Eshete, N. A., & Sisay, E. A. (2018). Dysmenorrhea among University Health Science Students, Northern Ethiopia: Impact and Associated Factors. International Journal of Reproductive Medicine, 2018, e9730328. https://doi.org/10.1155/2018/9730328
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Ghadeer Sharawi, Sahar M. Yakout, & Manal F. Alharbi. (2023). Prevalence, impact and self-care practice of dysmenorrhea among female university students in Saudi Arabia. Journal of Population Therapeutics and Clinical Pharmacology, 30(4), 573-592. https://doi.org/10.47750/jptcp.2023.30.04.059
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How to Cite
Ghadeer Sharawi, Sahar M. Yakout, & Manal F. Alharbi. (2023). Prevalence, impact and self-care practice of dysmenorrhea among female university students in Saudi Arabia. Journal of Population Therapeutics and Clinical Pharmacology, 30(4), 573-592. https://doi.org/10.47750/jptcp.2023.30.04.059