Menstrual hygiene patterns and practices among rural adolescent school girls

Kumar Chinta, Sasikala P., Chandrasekhar V., Jayanth C., Geethanjali A.


Background: Menstruation is described as the periodic vaginal bleeding that occurs with the shedding of the uterine mucosa. Issues associated with menstruation are never discussed openly and the silence surrounding menstruation burdens young girls by keeping them ignorant of this biological function. The taboo surrounding menstruation in society prevents girls from articulating their needs and problems of poor menstrual hygiene management have been ignored or misunderstood. Implications of ignoring this issue of menstruation are serious and at times life threatening.

Methods: This study is a cross-sectional observational study conducted among 217 adolescent girls studying in government high schools located in the field practice area of rural health training centre attached to the department of community medicine, Narayana Medical College, Nellore.

Results: Out of 169 girls who have attained menarche, 154 (91.12%) were having periods at regular intervals. Among 154 girls with regular menstrual cycle majority (55.2%) had 28-31 day cycle. Out of 169 girls who had attained menarche at the time of study 76.9% reported that they use sanitary napkins for absorption of blood during menstruation. The most common method of disposal of material used for absorption of blood during menstruation was burning (91.7%) and 65.7% were using soap for washing private parts.

Conclusions: The study concludes that majority of adolescent girls had regular menstrual cycles and majority of the respondents were using sanitary napkins.


Adolescent girls, Menstrual cycle, Menstrual patterns, Menstrual hygiene, Sanitary napkins

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Park, K. Park’s Textbook of Preventive and Social Medicine.24th edition. Jabalpur, India: M/s banarsidas bhanot; 2017: 630.

Baishakhi P, Agnihotri B, and Sukes Das.A Comparative Study on Menstrual Hygiene Among Urban and Rural Adolescent Girls of West Bengal. J Family Med Prim Care. 2014;3(4):413–7.

Balamurugan SS, Shilpa SS, Shaji S. A community based study on menstrual hygiene among reproductive age group women in a rural area, Tamil Nadu. J Basic Clin Reprod Sci. 2014;3:83-7.

Priya HS, Nandi P, Seetharaman N, Ramya MR, Nishanthini N, Lokeshmaran A. A study of menstrual hygiene and related personal hygiene practices among adolescent girls in rural Puducherry. Int J Community Med Public Health. 2017;4:2348-55.

Pandey M, Pradhan A. Age of attainment of menarche and factors affecting it amongst school girls of Gangtok, Sikkim, India. Int J Contemp Pediatr. 2017;4:2187-92.

Kim E. Barrett, Susan M. Barman, Scott Boitano, Heddwen L. Brooks. Ganong’s Review of Medical Physiology. 24th Edition. New Delhi: Tata McGraw Hill; 2012: 401.

Padubidri VG, Daftary SN. Howkins & Bourne Shaw’s Textbook of Gynaecology. 16th Edition. New Delhi: RELX India Private Limited; 2016: 47.

Guidance Booklet on Menstrual Hygiene Management. Available at 49/Guidance-Booklet-on-Menstrual-Hygiene-Management. Accessed 9 August 2018.

Mahajan A, Kaushal K. A descriptive study to assess the knowledge and practice regarding menstrual hygiene among adolescent girls of Government School of Shimla, Himachal Pradesh. CHRISMED J Health Res. 2017;4:99-103.

Jagruti P, Riddhi P.Menstrual hygiene among adolescent girls: A cross sectional study in urban community of Gandhinagar. J Med Res. 2015;1(4):122-5.

Sarkar I, Dobe M, Dasgupta A, Basu R,Shahbabu B. Determinants of menstrual hygiene among school going adolescent girls in a rural area of West Bengal. J Family Med Prim Care. 2017;6:583-8.

Dasgupta A, Sarkar M. Menstrual Hygiene: How Hygienic is the Adolescent Girl? Indian J Community Med. 2008;33(2):77–80.

Shamima Y, Nirmalya M, Sarmila M, Ashfaque A, Baisakhi P. Menstrual hygiene among adolescent school students: An in-depth cross-sectional study in an urban community of WestBengal, India. IOSR J Dental Med Sci. 2013;5(6):22-6.