The aim of this cross sectional study was to determine the frequency and quality of menstrual disturbances in general experience which can pose a risk of delayed gynaecological complications in teenage girls of Karachi. Students were randomly selected from different senior schools located in various areas of Karachi, Pakistan. Data was generated after a quantitative survey employing “The Parker Sneddon MDOT questionnaire” as a research tool. Main outcome measures were self reports of menstrual bleeding patterns, typical symptoms and morbidities. Average age of the study participants was 14 years, whereas average weight was assessed to be 46 Kgs. Amidst 98.5% respondents, irregularity of periods was assessed in 32% girls. Clotting was reported in 59% girls whereas severe clotting and excessive bleeding indicative of menorrhagia was assessed in 12% girls. The impact on QOL (quality of life) was measured as 25.5%, teenage girls missed their school due to their periods whereas 72% attended school regularly and 23% of the girls complained of worsening of their periodic cycle in the past 12 months. High grade pain during menstruation was reported by 10.5% girls and 41.5% of the participants take medication to subside their pain, 30% take panadol and 10.5% girls find relief in medications. Girls indicating moderate to severe pain in association with a high number of menstrual symptoms, school absences and interference with life activities should be effectively managed to minimize menstrual morbidity.
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