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Menarche: prior knowledge and experience.

K P Skandhan¹, A K Pandya, S Skandhan

¹Department of Physiology, Government Medical College, Surat, India.

|January 1, 1988

Summary

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Understanding menstruation before menarche significantly impacts young women's perceptions and experiences. Prior knowledge correlates with a more positive outlook, regular cycles, and reduced menstrual pain.

Area of Science:

Reproductive Health
Adolescent Gynecology
Public Health Education

Background:

Menarche, the onset of menstruation, is a critical developmental milestone for adolescent females.
Lack of adequate pre-menarcheal education can lead to anxiety, fear, and misconceptions about menstruation.
Understanding the impact of prior knowledge is crucial for developing effective health education strategies.

Purpose of the Study:

To investigate the characteristics of first menstruation (menarche).
To compare experiences of menarche between young women with and without prior knowledge of menstruation.
To identify differences in menarcheal age, bleeding patterns, and menstrual disturbances.

Main Methods:

A cross-sectional study involving 305 young women in India.

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Data collection focused on menarcheal age, bleeding patterns, and menstrual disturbances.

Participants were categorized based on their knowledge of menstruation before menarche.

Main Results:

Young women with prior knowledge viewed menarche as a normal physiological process.
Those lacking prior knowledge reported significant fear and distress ('appalled,' 'horrified').
Prior knowledge was associated with a higher rate of menstrual regularity, lower incidence of dysmenorrhea, and earlier menarcheal age.

Conclusions:

Pre-menarcheal education is vital for normalizing menstruation and reducing associated anxiety.
Informed adolescents experience more regular cycles and less painful periods.
There is a strong, unanimous desire among young women for comprehensive pre-menarcheal information.