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Abstract
Introductiondysmenorrhea is a painful phenomenon at the pelvis region preceding or following menstruation. Dysmenorrhea accounts among the most frequent problem of women at child bearing age and affects 45% to 95% of them. According to the WHO, 16.8 to 81% of women are affected by dysmenorrhea. The present study was carried out at the Dschang Health District in order to determine the prevalence of dysmenorrhea and associated factors among women at child bearing age.Methodsa transversal community-based study was carried out from March to June 2018. Information regarding socio-demographic features, prevalence, factors associated with the dysmenorrhea and the effect of dysmenorrhea on daily activities were collected using structured questionnaire and data were analyzed using Epi Info version 7.1.3.3 Software.Resultsa total of 637 women aged 12 to 50 years were interviewed in the present study. The mean body mass index was 25.94 with an average weight of 66.41 kilogram. Fifty six point twenty percent (56.20%) of participants had dysmenorrhea. From all risks factors fund only the normal body mass index (OR = 3.08, P-value = 0.01) having a significant association with the occurrence of dysmenorrhea. Daily activities were affected in 73.25% of participants dysmenorrheic and those who had some episodes of dysmenorrhea.Conclusionthe present study showed that more than a half of respondents were dysmenorrheic and several factors were associated with this pathology. This study also suggests that dysmenorrhea have a negative impact on the daily activities of women at child bearing age.
Highlights
Dysmenorrhea can be defined as severe, painful and cramp-like sensation at the lower abdomen during menstruation [1]
Secondary dysmenorrhea can be caused by disorders such as endometriosis, pelvic inflammatory disease, intrauterine adhesions or cervical stenosis [5]
Dysmenorrhea affected all group of Women of Child Bearing Age (WCBA) from respondent, 63.02% adolescent were dysmenorrheic, prevalence lower than of 65.8% found by Houston [19] and higher than 62.8% found by Rodrigues [20]
Summary
Dysmenorrhea can be defined as severe, painful and cramp-like sensation at the lower abdomen during menstruation [1]. It may be categorized into primary and secondary dysmenorrhea. Primary dysmenorrhea is menstrual pain without pelvic pathology, with onset typically just after menarche. Secondary dysmenorrhea is menstrual pain associated with a causative pathology [2]. To explain the etiology of primary dysmenorrhea the most accepted theory is the over production of prostaglandins in endometrium during ovulatory cycles [3]. Secondary dysmenorrhea can be caused by disorders such as endometriosis, pelvic inflammatory disease, intrauterine adhesions or cervical stenosis [5]. There is a wide variation in the estimate of dysmenorrhea from studies around the world
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