title: Menstrual Characteristics of Pubertal Girls: A Questionnaire-Based Study in Turkey.
abstract: OBJECTIVE
  Clinicians should show an awareness on the menstrual characteristics of adolescent girls which may differ from adults in some aspects. To define menstrual cycle features among high school girls residing in a city center in southeastern Turkey.
  
  
  METHODS
  A cross-sectional survey was conducted on 1256 girls attending a high school located in the city center of Elazığ, Turkey. Data from 879 girls (median age, 16.2 years; range, 13.6-19.2 years) who agreed to participate in the study and had started to menstruate were evaluated.
  
  
  RESULTS
  Mean age at menarche was 12.7±1.3 years (range, 8.2-17.3 years). The mean cycle duration was 28.7±4.4 days, and the mean menstrual flow lasted 5.9±1.3 days. Severe, moderate, and mild dysmenorrhea was reported in 29%, 43%, and 28% of the girls, respectively, and 52% used analgesics for dysmenorrhea. A total of 34% of the girls defined their menstrual cycle as irregular, and 32% reported school absenteeism due to menstruation-associated complaints (pain and/or heavy bleeding). Menstrual bleeding affected attendance to classes and other school activities, daily work, social, family, and friend relationships, as well as sports/exercise activities in 43%, 49%, 58%, 48%, 44%, and 60% of the participants, respectively. In total, 30% of the responders had a problem with menstruation, and 12% and 17% of these stated that they consulted a primary care physician or specialist, respectively.
  
  
  CONCLUSIONS
  Dysmenorrhea was found to be common in adolescent Turkish girls and to affect daily life in approximately half of the girls.
authors.affiliation: Fırat University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Endocrinology, Elazığ, Turkey Phone: +90 505 525 23 33 E-mail: esen_ihsan@yahoo.com.
authors.forename: İhsan
authors.initials: İ
authors.lastname: Esen
authors.forename: Baran
authors.initials: B
authors.lastname: Oğuz
authors.forename: Hepsen Mine
authors.initials: HM
authors.lastname: Serin
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D004412:Dysmenorrhea / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008572:Menarche; D008597:Menstrual Cycle; D008598:Menstruation; D015995:Prevalence; D011627:Puberty; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology