Primary Dysmenorrhea in the Schools of Parakou: Prevalence, Impact and Therapeutic Approach

Abstract

Objective: Assess prevalence, associated factors, impact of primary dysmenorrhea and therapeutic approach available for Parakou high schools facing primary dysmenorrhea. Method: It is a cross-sectional, descriptive and analytical study carried out through a survey from 25 May to 30 August, 2014 among 425 girl students from public high schools in the town of Parakou. Probabilistic sampling served as research tool and information was collected using a self-administered questionnaire. Findings: Prevalence of primary dysmenorrhea was 78.35% with 95% CI [74.07% – 82.11%]. It was light in 33.3% of the cases; moderate in 37.8% and severe in 28.8%. Irritability and fatigue were the most associated signs respectively in 60.1% and 51.6% of the cases. Dysmenorrhea was significantly associated with adolescents’ age and family history of dysmenorrhea. Absenteeism in class was noted in 30% of the cases, declining concentration in 63.7% of the cases and participation to sports activities in 55% of the cases. Among the students suffering from dysmenorrhea 11% consulted a medical doctor for pain relief and 89% used either self-medication (68%) or traditional medicine (21%). Complementary treatments were performed and consisted of hot baths (29%), rest (67%), and scarifications (9%). Conclusion: Prevalence of dysmenorrhea in the schools is high in Parakou. It requires a particular attention for lack of information impacts on its persistent under-treatment.