Primary dysmenorrhea: evaluation and treatment pattern among female medical students


  • Sapna Gupta Department of Pharmacology, Govt. Medical College, Jammu, J&K, India
  • Sharminder Kaur Department of Pharmacology, Govt. Medical College, Jammu, J&K, India
  • Shamiya Sadiq Department of Pharmacology, Govt. Medical College, Jammu, J&K, India
  • Vijay Khajuria Department of Pharmacology, Govt. Medical College, Jammu, J&K, India



Dysmenorrhea, Female medical students, Mefenemic acid, Menarche, Self medication


Background: Dysmenorrhea is a very common condition in females in fertile age group and its affective and somatic features often limit female mobility which results in loss of work hours. The aim of the study was to evaluate prevalence, severity, drug usage and loss of work days among young female medical students.

Methods: The current questionnaire based study was done in Department of pharmacology, GMC Jammu over a period of 3 months. Female students aged between 17-24 years who consented for participation were included. The demographic profile and detailed history of dysmenorrhea was recorded.

Results: Out of 342 participants, 218 females (63.7%) had history of dysmenorrhea. Most of the dysmenorrhic females had menarche between 13-14 yrs of age (73.3%) and menstrual cycle of 21-34 days (82.5%), duration of bleeding less than 6 days (91.6%) and had a positive family history of dysmenorrhea (58.7%). Majority of females had mild to moderate features of dysmenorrhea (93.4%). Most common medication was Mefenemic acid alone and in combination (90.5%). Most of the females took self-medication (69.8%) and only 30.2% took medicines on advice of doctor. 71.5% students missed their classes due to symptoms of dysmennorhea.

Conclusions: Dysmenorrhea is quite prevalent among college going medical students. Most of them had positive family history. Mefenemic acid and its combination was frequently used to treat symptoms. On an average 1-2days were lost due to dysmenorrhea.


Helwa HAA, Mitaeb AA, Hamshri SA Sweilch WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female University Students. BMC Womens Health. 2018;18:18.

Chiu MH, Hsieh HF, Yang YH, Chen HM, Hsu SC, Wang HH. Influencing factors of dysmenorrhea among hospital nurses; a questionnaire survey in Taiwan. BMJ OPEN.2017;7(12).

Dawood MY. Dysmenorrhea and Prostaglandins In: Gynecologic endocrinology, Boston. Springer. 1987:405-421.

Proctor M, Farquhar C. Diagnosis and management of dysmenorrhea. BMJ. 2006;332(7550):1134-8.

Saini V, Sangwan S. Awareness on gender empowerment and Beti Bachao Beti Padhao through intervention. IJRHAL. 2018;6(1):227-34.

Yesuf TA, Eshete NA, Sisay EA. Dysmenorrhea among University Health Science Students, Northern Ethopia: Impact and Associated Factors. IJRMED. 2018;2018.

Kumbhar SK, Reddy M, Sujana B, Roja RK, Divya BK, Balakrishna C. Prevalence of Dysmenorrhea among Adolescent Girls (14-15 years) of Kadapa District and its impact on quality of life: A Cross Sectional Study. Nati J Commu Med. 2011;2(2):265-8.

Sherpa SZ, Devi R, Dangol A, Limbu A, Chettri I, Gurung J, et al. Knowledge Regarding Dysmenorrhea and its Health Seeking Behavior in Colleges of Sikkim. Asian J Nur Edu Resea. 2017;7(4):477-81.

Parveen N, Majeed R, Rajar UDM. Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci. 2009;25(5):857-60.

Omidvar S, Bakouei F, Amiri FN, Begum K. Primary Dysmenorrhea and Menstrual Symptoms in Indian Female Students: Prevalence, Impact and Management. Glob J Health Sci. 2016;8(8):53632.

Marjoribanks J, Proctor M, Farquhar C, Sangkomkamhang US, Derks RS. Nonsteroidal anti- inflammatory drugs for primary dysmenorrhea. Cochrane Database System Rev. 2003.

Sugumar R, Krishnarah V, Channaveera GS, Mruthyunjaya S. Comparison of the pattern, efficacy and tolerability of self-medicated drugs in primary dysmenorrhea: A questionnaire based survey. Ind J Pharmacol. 2013;45(2):180-3.

Ortiz MI, Rangel-flores E. Carrillo-Alaroon LC, Veras-Godoy HA. Prevalence and Impact of Primary dysmenorrhea among Mexican high school students. Int J Gynaecol Obstet. 2009;107(3):240-3.

Kumar KS, Konjengbam S, Devi HS. Dysmenorrhea among Higher Secondary School girls of Imphal West district, Manipur: A cross-sectional study. J Med Soc. 2016;30(1):38-43.

Lakshmi SA, Priya M, Saraswathi I, Saravanan A, Ramachandran C. Prevalence of premenstrual syndrome and dysmenorrhea among female medical students and its association with college absenteeism. Intl J Biol Med Res. 2011;2:1011-6.




How to Cite

Gupta, S., Kaur, S., Sadiq, S., & Khajuria, V. (2018). Primary dysmenorrhea: evaluation and treatment pattern among female medical students. International Journal of Basic & Clinical Pharmacology, 7(10), 1873–1876.



Original Research Articles