Heavy menstrual bleeding and dysmenorrhea in adolescents: A systematic review of self‐management strategies, quality of life, and unmet needs

Author:

Pouraliroudbaneh Shiva1ORCID,Marino Jennifer12345,Riggs Elisha67,Saber Ashraf8,Jayasinghe Yasmin19,Peate Michelle1

Affiliation:

1. Department of Obstetrics and Gynaecology, Royal Women's Hospital University of Melbourne Parkville Victoria Australia

2. Centre for Adolescent Health Murdoch Children's Research Institute Parkville Victoria Australia

3. Department of Paediatrics University of Melbourne Parkville Victoria Australia

4. Centre for Epidemiology and Biostatistics University of Melbourne Parkville Victoria Australia

5. Specialty of Child and Adolescent Health University of Sydney Sydney New South Wales Australia

6. Intergenerational Health Murdoch Children Research Institute Parkville Victoria Australia

7. Department of General Practice University of Melbourne Parkville Victoria Australia

8. Esfarayen Faculty of Medical Sciences Esfarayen Iran

9. Department of Gynaecology Royal Children's Hospital Parkville Victoria Australia

Abstract

AbstractBackgroundHeavy menstrual bleeding (HMB) and dysmenorrhea (DM) are common gynecological problems.ObjectiveTo systematically review the needs, quality of life (QOL), and effectiveness of self‐management strategies among young women (12–25 years) with DM or HMB.Search StrategyRelevant terms were searched through PubMed, EBSCO, Google Scholar, ProQuest, and Ovid between 2010 and 2022.Selection CriteriaQualitative and quantitative studies published in peer‐reviewed journals, females aged 12–25, exploring DM or HMB, reporting supportive care needs, quality of life, self‐treatment strategies, and/or treatment‐seeking behavior.Data Collection and AnalysisAbstracts were reviewed for eligibility by two researchers. Included studies were extracted and assessed for quality independently by two authors, with discrepancies resolved through consensus or the involvement of a third researcher. Data extracted included study details, menstrual history, symptoms, self‐care strategies, and quality of life. The Joanna Briggs Institute checklists were used for quality assessment.Main ResultsThe search returned 285 190 studies, of which 55 were eligible for inclusion. Prevalence rates of HMB and DM were in the ranges 4%–63% and 42%–94%, respectively. Over 80% of young women with DM and HMB experienced physical and psychological problems, including pelvic pain, sleep issues, mood disturbance, diarrhea, and nausea. Academic performance and daily activities were severely affected. Most (>62%) named their mothers as their primary source of information, and friends as the secondary source (10%–65%). Few studies explored needs, but they could be inferred and fell under school‐related and social needs. QOL was poorer in those who had DM than those who did not. Pain was the most common issue that drove young women to find treatment. More than 70% used medication to reduce pain. More than half chose home remedies (e.g., heat therapy, massages, herbal tea, hot drinks). No studies provided information about the efficacy and dosage of medication and herbal remedies.ConclusionsHMB and DM have a large impact on daily living, with large areas of unmet need. Limited access to information impairs the management of symptoms and consequent QOL.

Publisher

Wiley

Reference76 articles.

1. The Quality of Life of Adolescents with Menstrual Problems

2. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers

3. ACOG practice bulletin: management of anovulatory bleeding;ACOG Committee on Practice Bulletins—Gynecology ACoOG;Int J Gynaecol Obstet,2001

4. NICE.Heavy menstrual bleeding: assessment and management: National Institute for Health and Care Excellence.2021[updated 24 May 2021. NICE guideline [NG88]].https://www.nice.org.uk/guidance/ng88

5. Heavy Menstrual Bleeding in Adolescents

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