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Abnormal Uterine Bleeding Among Rural Adolescent Schoolgirls: A Cross-Sectional Study
Yasir Salih1, Ghaday S Almutairi2, Norah H Alhumaidi2
1Faculty of Medicine, University of Khartoum, P.O. Box 102, Khartoum 11111, Sudan.
Medicina (Kaunas, Lithuania)
|January 25, 2025
Summary
Abnormal uterine bleeding (AUB) affects over 60% of adolescent Sudanese schoolgirls, with irregular and frequent cycles being most common. No specific factors were found to be associated with AUB in this population.
Area of Science:
- Reproductive Health
- Adolescent Gynecology
- Public Health
Background:
- Abnormal uterine bleeding (AUB) significantly impacts adolescent girls' well-being.
- FIGO and ACOG define AUB based on menstrual cycle regularity, volume, frequency, and duration.
Purpose of the Study:
- To investigate menstrual cycle characteristics in adolescent Sudanese schoolgirls.
- To determine the prevalence of AUB and associated factors in this population.
Main Methods:
- A school-based cross-sectional study was conducted in Almatamah, Sudan.
- Data collected via questionnaires, physical measurements (height, weight, BMI), and hemoglobin levels.
- Logistic regression analysis was performed to identify associated factors.
Main Results:
- The overall prevalence of AUB was 64.8% among 162 participants.
- Common AUB types included irregular cycles (44.4%), frequent cycles (27.2%), and heavy menstrual bleeding (21.0%).
- No significant associations were found between AUB and chronological age, maternal education/occupation, gynecological age, BMI, or hemoglobin level.
Conclusions:
- A high prevalence of AUB was observed in adolescent Sudanese schoolgirls.
- Irregular cycles, frequent cycles, and heavy menstrual bleeding were the predominant forms of AUB.
- Further research is needed to understand the underlying causes and effective management strategies for AUB in this demographic.
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