title: Menstrual pain and associated factors amongst undergraduates of Ambrose Alli University Ekpoma, Edo State, Nigeria.
abstract: BACKGROUND
  We determined the prevalence of dysmenorrhoea and associated factors amongst undergraduates in a Nigerian university. Information on dysmenorrhoea amongst Nigerian populace is limited as it is seen as a norm and hence unreported. This is in spite of its consequences on women's socio-economic lives.
  
  
  METHODS
  This was a prospective questionnaire-based study. Cluster sampling technique was used and tests of statistical significance were done using Yates corrected Chi square.
  
  
  RESULTS
  The prevalence of dysmenorrhoea in this study was 76.3%. The mean age at menarche was 13.8 years. Dysmenorrhoea occurred at menarche in 36.9% respondents. Primary and secondary dysmenorrhoea was reported by 40.6% and 16.3% respondents respectively. Fifty one point nine per cent (51.9%) had painful expectation of dysmenorrhoea. Having a sister with dysmenorrhoea did not have a statistically significant influence on expectation of dysmenorrhoea (CI 95%; P value: 0.76). Normal activity was affected by dysmenorrhoea in 35% of respondents while 68% of those with dysmenorrhoea did not seek help. Hospital admission solely for dysmenorrhoea was reported by 6.9% of respondents. Commonly associated symptoms with dysmenorrhoea were mood changes (59.4%) and pimples (53.1%).
  
  
  CONCLUSIONS
  The high proportion of women not seeking help for dysmenorrhoea in this study may reflect the attitude of the larger society to the condition. Education to improve women's knowledge of and attitude to dysmenorrhoea is recommended.
authors.affiliation: Department of Obstetrics and Gynaecology, Federal Medical Centre Katsina. babakusanya@yahoo.co.uk
authors.forename: B O
authors.initials: BO
authors.lastname: Okusanya
authors.forename: K K D
authors.initials: KK
authors.lastname: Garba
authors.forename: G B O
authors.initials: GB
authors.lastname: Okome
authors.forename: O
authors.initials: O
authors.lastname: Ohiosimuan
mesh_terms: D004412:Dysmenorrhea / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008572:Menarche; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D013334:Students; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult