The Menstrual Disorder of Teenagers (MDOT) Study: Determining Typical Menstrual Patterns and Menstrual Disturbance in a Large Population-Based Study of Australian Teenagers

M Parker, A Sneddon, Paul Arbon

    Research output: Contribution to journalArticle

    113 Citations (Scopus)

    Abstract

    Objective The aim of this study was to: (1) establish the typical experience of menstruation for senior high school girls and (2) determine how many experience considerable menstrual disturbance that could require further investigation and management of underlying pathology. Design Cross-sectional study. Setting Senior High Schools in the Australian Capital Territory (ACT), Australia. Population A total of 1051 girls aged between 15 and 19 years. Methods Data based on a quantitative survey. Main outcome measures Self-reports of menstrual bleeding patterns, typical and atypical symptoms and morbidities. Results Typical menstruation in adolescence includes pain (93%), cramping (71%), premenstrual symptoms (96%) and mood disturbance (73%). Highly significant associations were found between increasing severity of menstrual pain, number of menstrual-related symptoms, interference with life activities and school absence. These associations indicate that approximately 25% of the sample had marked menstrual disturbance: 21% experienced severe pain; 26% school absence; 26% suffering five or more symptoms; ≥24% reporting moderate to high interference with four out of nine life activities. Approximately 10% reported atypical symptoms associated with menstruation. Diagnosis of menstrual pathology in the sample was low, even though 33% had seen a GP and 9% had been referred to a specialist. Conclusions Menstrual pain and symptoms are common in teenagers. Girls indicating moderate to severe pain in association with a high number of menstrual symptoms, school absence and interference with life activities should be effectively managed to minimise menstrual morbidity. Those girls who do not respond to medical management should be considered for further investigation for possible underlying pathology, such as endometriosis.

    Original languageEnglish
    Article numberPublications Data Collection
    Pages (from-to)185-192
    Number of pages8
    JournalBJOG - An International Journal of Obstetrics and Gynaecology
    Volume117
    Issue number2
    DOIs
    Publication statusPublished - Jan 2010

    Keywords

    • Adolescence
    • Dysmenorrhoea
    • Endometriosis
    • Menstrual disturbance
    • Menstrual pain
    • Menstruation
    • Teenage

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