Publication Search

Background: Menstruation is a natural physiological process that indicates the functional maturity of the female reproductive system. Menstrual cycle disorders can be influenced by several factors, including stress and obesity. Stress may cause hormonal changes through the hypothalamic-pituitary axis, leading to decreased luteinizing hormone (LH) levels and menstrual irregularities. Obesity can also affect ovarian function and disrupt the menstrual cycle. Objective: To determine the relationship between stress and obesity with menstrual cycle disorders among female adolescents at SMAN 1 Majene in 2026. Methods: This study used an analytical observational design with a cross-sectional approach. Data on stress levels, obesity status, and menstrual cycle disorders were collected simultaneously from 84 female respondents. The chi-square test was used to analyze the relationships among variables. Results: The analysis showed a significant relationship between stress and menstrual cycle disorders (p = .006; α < .05). A significant relationship was also found between obesity and menstrual cycle disorders (p = .002; α < .05). Many obese respondents experienced irregular menstrual cycles. Conclusion: There is a significant relationship between stress and obesity with menstrual cycle disorders among female adolescents at SMAN 1 Majene.

Polycystic Ovary Syndrome (PCOS) is a chronic condition that not only impacts reproductive and metabolic functions, but also has a major impact on the mental health of women who experience it. This study aims to explore the factors that affect mental health in women with PCOS through a biopsychosocial approach. The method used was a review of the narrative literature on 11 scientific articles obtained through Google Scholar. The results of the study show that there are three main dimensions that are interrelated, namely biological factors (insulin resistance, obesity, hyperandrogenism, menstrual disorders, and infertility), psychological factors (neuroticism, coping style, and body image), and social factors (social stigma and social support). These three dimensions interact in a complex way and can contribute to the appearance of psychological disorders such as depression, anxiety, and low self-esteem. Therefore, a biopsychosocial approach is important to understand and treat the mental health of people with PCOS holistically. Interventions that are integrated between medical, psychological, and social aspects are needed to improve the emotional well-being and quality of life of women with PCOS in a sustainable manner.

Menstrual cycle disorders can negatively impact athletic performance. A combination of irregular eating patterns and intense training can increase the risk of such disturbances. Factors influencing menstrual cycle irregularities include nutritional status, physical activity, dietary habits, stress levels, smoking, hormonal medication use, and endocrine disorders. A study conducted in Semarang found that 28.8% of female athletes experienced menstrual cycle issues. This research aims to investigate how physical activity and food intake affect menstrual cycle disorders among adolescent volleyball athletes in Kudus Regency. The methodology employed was an observational analytical study with a cross-sectional approach, selecting 46 respondents using purposive sampling techniques. The IPAQ and SQFFQ questionnaires were used as research instruments. Data were analyzed using bivariate analysis with the Chi-Square test. The results indicated that the majority of athletes had a high level of physical activity (76.1%), while 50% were categorized as having severe food intake deficits. Additionally, 78.3% of athletes experienced menstrual cycle disturbances, which included 36 individuals. Bivariate analysis revealed that physical activity influenced the menstrual cycle of adolescent volleyball athletes (p-value = 0.045), and dietary intake also had an effect (p-value = 0.000). Therefore, both physical activity and eating patterns significantly impact menstrual cycle disorders among adolescent volleyball athletes.

Menstrual cycle abnormalities are one of the reproductive health problems that are commonly experienced by adolescent girls, especially in the early days after menarche. These disorders can affect quality of life, including discomfort during activities, risk of anemia, and potential fertility disorders. A preliminary study at SMA Negeri 4 Pandeglang showed that 7 out of 10 grade XI students experienced menstrual cycle abnormalities, while there was no special program related to reproductive health in schools. This study aims to analyze factors related to menstrual cycle abnormalities, namely stress levels, diet, and physical activity. The research design used was quantitative with a Cross Sectional approach, involving 70 respondents who were selected through the Purposive Sampling technique. Data collection was carried out through a structured questionnaire and analyzed using the Chi-Square statistical test. The results of the analysis showed that there was a significant relationship between stress (p=0.011), diet (p=0.021), and physical activity (p=0.015) with menstrual cycle abnormalities. These findings confirm the importance of educational interventions in the school setting to improve adolescents' understanding of reproductive health and encourage healthy lifestyles. This research is expected to be the basis for the development of more comprehensive promotive and preventive programs in supporting the welfare of adolescent girls.

Personal hygiene during menstruation is a crucial aspect in maintaining the reproductive health of adolescent girls. Failure to adhere to personal hygiene practices during menstruation can potentially lead to various health problems, such as reproductive tract infections, pruritus vulvae, and vaginal discharge. Parents play a crucial role in shaping healthy behaviors in adolescent girls by providing education regarding the reproductive process and how to properly care for their genitals. Parents' roles in this context are considered effective if they actively provide reproductive health education, establish open communication, and model healthy behaviors. This education includes providing accurate information about reproductive organ function, techniques for cleaning genitalia during menstruation, and discussing health issues related to menstruation. This study aims to determine the relationship between parental role and menstrual personal hygiene practices among adolescent girls at SMP Negeri 1 Sambirejo, Sragen. The study used a quantitative method with a descriptive correlational design and a cross-sectional approach. The study sample consisted of 81 respondents, selected using a purposive sampling technique. The instruments used were questionnaires on parental roles and menstrual personal hygiene practices. The results showed that 53 respondents (65.4%) had parents with good roles, and 62 respondents (76.5%) had good menstrual personal hygiene practices. Data analysis using the Spearman Rank test resulted in a p value = 0.000 (p < 0.05), which indicates that the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Thus, there is a significant relationship between parental roles and menstrual personal hygiene practices in adolescent girls at SMP Negeri 1 Sambirejo. This finding underscores the importance of parents' role in supporting proper menstrual hygiene practices through providing accurate information, open communication, and examples of healthy behavior, thus contributing to the prevention of reproductive health disorders among adolescents.

Injectable contraception is a type of hormonal contraceptive which is divided into two types, namely combined injection contraceptives and progestin injection contraceptives. One of the frequently used injectable contraceptives is the 3-month injectable contraceptive containing Depo-Provera (Depo Medroxy Progesterone Acetate). This contraceptive has good effectiveness, but has some side effects, such as menstrual disorders, weight gain, nausea, headaches, breast pain, and so on. Menstrual disorders that occur in the form of amenorrhea, hypermenorrhea, and spotting. Side effects that arise are the biggest cause of acceptors to stop using injectable contraceptives. A number of women complained that the use of contraceptive methods caused menstrual problems. However, it is hormonal in nature and not everyone experiences the same complaints. To find out " There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB injections and menstrual disorders at BPM Rosalina Munthe, in 2025. This type of research uses a cross sectional research design with chi square with a sampling technique that is total sampling. The results showed that the p-value of the relationship between DMPA injection duration and menstrual disorders was 0.03 <0.05. There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB Injections and Menstrual Disorders at BPM Rosalina Munthe, in 2025.

Adolescent girls commonly experience menstrual disorders, with a 67.2% incidence of dysmenorrhea and 63.1% of premenstrual syndrome (PMS). Menstrual pain, or dysmenorrhea, is one of the most frequent reproductive health issues experienced by women, affecting both adolescents and adults. This condition can significantly hinder daily activities, which calls for appropriate treatment. Dysmenorrhea can be managed through both pharmacological and non-pharmacological methods. While pharmacological treatments offer quick relief, non-pharmacological approaches are considered safer as they do not induce side effects, unlike medications. One effective form of non-pharmacological therapy is acupressure, which has shown promising results in alleviating menstrual pain. According to a study by Latifah and colleagues, acupressure was proven to be effective in reducing menstrual discomfort. In line with this, a community outreach initiative was conducted to educate and train adolescent girls on acupressure techniques as a form of self-care. From May 5 to 9, 2025, acupressure education was provided to 30 female students at a local school. The training focused on teaching students how to apply acupressure to specific pressure points that relieve menstrual pain, without the need for medication or herbal remedies. Pre- and post-training assessments showed a significant increase in students’ knowledge and skills related to the practice of acupressure. The results indicated that students were able to effectively apply acupressure techniques and felt more confident in managing menstrual pain independently. This approach not only offered immediate relief but also empowered the students with a long-term strategy to manage dysmenorrhea in the future. This activity demonstrated positive outcomes, suggesting that acupressure is a valuable, sustainable solution for menstrual pain relief among adolescents.

Dysmenorrhea is one of the most common menstrual disorders, but it often receives little attention. The purpose of this study was to determine the relationship between nutritional status, fat intake, and iron intake with the incidence of dysmenorrhea in female Nutrition students at Surabaya State University. The method in this study was quantitative with a cross-sectional study design. The sample consisted of 92 female Nutrition students at Surabaya State University using a purposive sampling technique. The instruments used were the NRS questionnaire to measure the level of dysmenorrhea pain and the SQ-FFQ form to measure fat and iron intake. Data analysis used the Spearman Rank correlation test which showed that there was a significant relationship between excess nutritional status of 33.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.832), there was a significant relationship between excess fat intake of 58.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.793), and there was a significant relationship between insufficient iron intake of 94.6% with the incidence of dysmenorrhea (p = 0.000, r = 0.610).

Adolescence is a critical phase in individual development, especially for adolescent girls who begin to experience menstruation as a sign of reproductive maturity. However, not all adolescents experience menstruation normally; some experience disorders such as menstrual pain, irregular cycles, and prolonged bleeding. This study aims to explore in depth the subjective experiences of adolescent girls with menstrual disorders at SMP Negeri 2 Bunta, Banggai Regency, focusing on the nature of the disorders experienced, their interpretation of these experiences, coping strategies, and the social support received. This study employs a qualitative approach with a phenomenological design. The primary informants were female adolescents in grades VII–IX who had experienced menstrual disorders in the past six months, selected purposively until data saturation was achieved. Data collection techniques included in-depth interviews, non-participatory observation, and document analysis. Data were analyzed using the Miles and Huberman model through data reduction, data presentation, and drawing conclusions. The results of the study indicate that menstrual disorders are viewed as normal by most informants, despite causing physical discomfort and psychological anxiety. Adolescents' responses to these disorders vary, ranging from the use of warm compresses and medication to no intervention at all. The primary sources of information are mothers and social media, while the roles of teachers and schools remain limited. Social support is most commonly provided by family, although some adolescents also feel supported by peers and teachers. This study emphasizes the importance of systematic reproductive health education, school involvement in supporting adolescents, and the creation of safe and stigma-free discussion spaces regarding menstruation-related issues.

Menstrual hygiene is an important component of personal hygiene that plays a significant role in an individual's health behavior, helping to prevent disorders in reproductive organ function. This study aims to determine the effect of health promotion on the level of menstrual hygiene knowledge among children aged 13–15 years. The study design used a pre-experimental approach with a one-group pre-posttest design. The population consisted of 110 respondents, and using simple random sampling, 83 respondents were selected. Data for this study were collected using a knowledge level questionnaire. After tabulation, the data were analyzed using the Wilcoxon test with p < 0.05. The results showed that nearly all female students (108, or 98.2%) had insufficient knowledge of menstrual hygiene before receiving health promotion. Almost all female students after receiving health promotion had adequate knowledge of menstrual hygiene, totaling 88 (80.0%). Based on the above results, the effect of health promotion on the level of knowledge of menstrual hygiene among children aged 13-15 years was found to be p = 0.000 (p < 0.05). This indicates that health promotion has an effect on the level of knowledge about menstrual hygiene among girls aged 13–15 years. Therefore, it is hoped that female students will always maintain their genital hygiene by practicing proper personal hygiene in accordance with the guidelines provided by healthcare professionals, especially during menstruation.

Personal hygiene during menstruation is very important to prevent reproductive health disorders. Low knowledge among adolescent girls regarding personal hygiene during menstruation can trigger various health problems. The aim of this study was to determine the relationship between knowledge and personal hygiene behavior during menstruation among female students at SMK Negeri 1 Sirapit. This research used a quantitative design with a cross-sectional approach. A sample of 80 female students was selected from a total population of 100 using Slovin's formula. Data were collected through a questionnaire and analyzed using the Chi-Square test. The results showed that the majority of respondents had low levels of knowledge (48.7%) and poor personal hygiene behavior (57.9%). The Chi-Square test indicated a significant relationship between knowledge and personal hygiene behavior during menstruation (p = 0.014). Good knowledge was associated with good personal hygiene behavior. It is recommended to enhance menstrual hygiene education among adolescent girls.

Background: Menstrual disorders that are often found in women include late menstruation, and the amount of menstrual blood. Almost 75% of adolescents experience menstruation, including irregular cycles, pain, long and heavy bleeding during menstruation. The menstrual cycle is not only influenced by biological factors such as lifestyle, hormonal disorders, nutritional status, but can also be influenced by social and environmental factors. The purpose of this study was to determine the factors that influence the menstrual cycle in adolescent girls at MAN 1 Semarang City. Method: This type of research is quantitative with a cross-sectional approach. The sample of this study amounted to 168 respondents. The respondent selection used probability sampling technique. This study used univariate, bivariate, and multivariate analysis tests. The analysis used was Spearman's rho and multiple logistic regression. Results and Conclusions: The results of this study indicate that the factors age, menarche, diet, nutritional status, and hemoglobin levels have no relationship to the menstrual cycle in female adolescents, but from the factors of stress, physical activity, fast food consumption habits, and sleep quality there is a relationship to the menstrual cycle in female adolescents at MAN 1 Semarang City where for stress level obtained p value: 0.002, physical activity with p value: 0.012, fast food consumption habits with p value: 0.035, and sleep quality with p value: 0.022. The factors that most influence the menstrual cycle in female adolescents at AN 1 Semarang City are stress levels with p value 0.002 and Od Ratio 3.365.

The intensity of menstrual pain in adolescent girls can decrease study concentration due to discomfort and anxiety affected by hormonal changes during menstruation. This study aims to determine the relationship between the level of anxiety and intensity of menstrual pain with adolescent girls' study concentration. This study uses a quantitative method with a cross sectional analytical approach, with a total of 133 respondents determined by the solvin formula. Data collection used three instruments: Anxiety level, intensity of menstrual pain, and study concentration. The data analysis was carried out using the Spearman Rank test with valid and rebable questionnaires. The study showed that there was a significant relationship between anxiety level and learning concentration P-Value = 0.000 and rho = 0.426 while menstrual pain and learning concentration P-Value = 0.000 and rho = 0.515. so it can be concluded that there is a relationship between the level of anxiety and intensity of menstrual pain and the concentration of adolescent girls' learning. This research can increase the role of community nurses in counseling, reproductive education and relaxation training for female students with menstrual pain, anxiety and learning concentration disorders.

Anxiety is a psychological issue that is often experienced by young women, particularly when dealing with academic demands, social pressures, and the physical changes that occur during puberty. In addition, irregular menstrual cycles are a common problem faced by many young women, which can have long-term impacts on their reproductive health. This study aims to determine whether there is a relationship between anxiety levels and the menstrual cycle in adolescent girls at SMPN 3 Cianjur in 2024. The research uses a Stratified random sampling method, involving 80 adolescent girls who experience both anxiety disorders and menstrual cycle irregularities. Data collection was carried out using primary data obtained directly from participants, utilizing the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire and a menstrual cycle questionnaire. The statistical analysis involved both univariate and bivariate techniques, with a chi-square test employed to examine the relationship between the two variables. The results of the chi-square test showed a significance value of 0.675, indicating that there is no significant relationship between anxiety levels and menstrual cycle irregularities in the adolescent girls at SMPN 3 Cianjur. This study contributes to the understanding of the psychological and physiological challenges faced by adolescents, and highlights the need for further research to explore other factors that may influence menstrual health and mental well-being. Given the findings, this study recommends that future research consider including additional variables such as lifestyle factors or hormonal imbalances that could provide deeper insights into the relationship between mental health and reproductive health.

Unhealthy lifestyle, stress, health problems, physical activity, hormonal imbalance, and nutritional status are all factors that contribute to irregular menstruation. Stress is a common cause of menstrual cycle disorders. It induces the pituitary gland to release ACTH (Adrenocorticotropic Hormone), which increases cortisol levels, disrupting the menstrual cycle. This study aims to investigate the relationship between stress levels and the occurrence of menstrual pain (dysmenorrhea) among adolescent girls at SMA Negeri 1 Kutalimbaru, Kutalimbaru District, in 2023. The research uses a cross-sectional design with an analytic survey approach. A sample of 45 adolescent girls was selected, consisting of two groups: case and control. Data were collected using a questionnaire, and data analysis was performed using univariate and bivariate analysis techniques. The results show that the majority of adolescents experience moderate stress (51.1%) and mild menstrual pain (48.9%). The analysis reveals a significant relationship between stress levels and the occurrence of dysmenorrhea, with a Spearman Rank correlation coefficient of 0.656 and a p-value of 0.000. This study highlights the importance of stress management in reducing menstrual pain among adolescent girls.

Background Sexual health is defined as a state of complete physical, mental and social well-being, not merely the absence of disease or disability in all matters relating to sexuality. While reproductive rights are the right to achieve optimal sexual and reproductive health standards. Including the right to make decisions regarding reproduction without discrimination and violence. Complete information and also the instillation of religious values and norms can be provisions to prevent sexual crimes against children and adolescents (reproductive health, 2020). The purpose of this community service program (PKM) is to improve human resources in terms of being a means of developing knowledge of fertile couples for excellent efforts to prevent menstrual cycle disorders in Bangun Rejo Village, Tanjung Morawa District in 2024 and the establishment of a reproductive health clinic for fertile women. The methods used include 3 stages: 1. Preparation stage At this stage, an official letter process is carried out for activity permits. 2. Implementation stage The second stage is implementation. In each session, before the education, a pretest questionnaire was given, after all participants filled out the questionnaire, the educational material presentation session began, after the counseling, a posttest was given by giving a questionnaire. Stage 3 is the evaluation of the counseling activities through a knowledge questionnaire. For this knowledge variable, a pretest and posttest assessment were carried out. Results Based on the results of the implementation of community service for WUS in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, Sumatra Province, the average knowledge score before being given education (pretest) was 59.02 while after being given education (posttest) it increased to 79.99. Based on the results of statistical tests with a P value: 0.001

Introduction: stress is a condition of a person due to stimulation or pressure. Women are susceptible to emotional disorders or stress. Many factors affect irregular menstrual patterns, including stress. Irregular menstrual cycles can have serious impacts on women's health which will affect the metabolic, fertility, sexual, and reproductive systems. The inability to reproduce naturally can cause shame, guilt, and low self-esteem. These negative feelings can cause various levels of depression, anxiety, stress, and poor quality of life. This article aims to determine the effect of stress on women's menstrual cycles and fertility. Research method: a literature review with narratives from various research results related to stress and the menstrual cycle, as well as women's fertility. Data sources: from national and international journals indexed from 2017 to 2023. Results: increased production of CRH and cortisol causes decreased ovulation. This decreased ovulation will affect the length of the proliferation and secretion period, thereby affecting the menstrual cycle. Stress affects menstrual cycle disorders and women's fertility. Conclusion: stress influences changes in women's menstrual cycles and fertility so women need counseling and support during therapy.

Menopause is the natural end of the menstrual cycle which usually occurs when women enter the age of 45-55 years. In addition to changes in the menstrual cycle, one of the signs and symptoms of menopausal mental disorders is insomnia. Acupressure is one of the options for overcoming insomnia. The benefits of acupressure are to increase blood circulation, stimulate the nervous system, and relax the body. The purpose of this activity is to increase the knowledge of menopausal mothers about insomnia and how to reduce insomnia with acupressure. The method used is preparation through coordination with midwives and cadres of Selokerto Village, Sempor District, Kebumen Regency. The implementation of the activity was carried out with lectures and acupressure simulations, while the evaluation and follow-up plan for the activity was carried out by evaluating the knowledge of menopausal mothers and could be carried out independently using an acupressure pocket book distributed to menopausal mothers. The number of respondents in this activity was 15 menopausal mothers. The activity went smoothly, all mothers were enthusiastic in participating in the activity. Respondents were aged between 55-74 years. The level of knowledge of respondents before the activity was carried out, most had sufficient knowledge about menopause and acupressure for insomnia. While after the activity, most of the respondents' knowledge about menopause was good. Conclusion: Community service activities can effectively increase respondents' knowledge about acupressure to overcome insomnia.

Primary dysmenorrhea is menstrual pain that is generally experienced by young women which is not accompanied by physical disorders or pathology in the reproductive organs. This condition often interferes with daily activities, including academic performance and psychological well-being. Many non-pharmacological approaches are used to reduce the intensity of dysmenorrhea pain, such as massage and physical exercise. This study aims to compare the effectiveness of the Cat Stretch Exercise and lumbar massage in reducing the pain intensity of primary dysmenorrhea at SMA Negeri 3 Tuban. The research design uses True Experimental with the Pretest-Posttest Control Group Design method. A total of 32 female students who experienced primary dysmenorrhea were selected as samples using a purposive sampling technique, divided into two groups: one group was given Cat Stretch Exercise therapy and the other group was given lumbar massage. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after treatment. The results showed that there was a significant reduction in pain in both groups, but the Cat Stretch Exercise was more effective in reducing pain intensity compared to lumbar massage. The p-value obtained was 0.005, which shows a significant difference between the two groups.

Menstruation is the decay of the uterine wall or accompanied by bleeding due to the absence of fertilization. Menstrual cycle disorders are caused by several factors including stress, endocrine disorders, diet, nutritional status, nutrient intake, physical activity and sleep quality. The purpose of this study was to determine the relationship between macronutrient intake and menstrual cycle female  adolescents of SMK Negeri 2 Tuban. Analytical research method with cross sectional approach. The sample in this study was adolescent girls of SMK Negeri 2 Tuban totaling 201 respondents, as samples randomited by simple random sampling echniquel. Independent variable of macronutrients and dependent variable of menstrual cycle. The analysis in this study used the spearmans correlation statistical test. The results showed that energy and carbohydrate intake was almost half normal at 47.3% and 43.8%. While the protein intake is mostly normal at 57.2% and fat intake is almost half experiencing excess intake at 44.3%. Statistical test results were obtained (p < 0.05), energy intake (p = 0.000), protein intake (p = 0.003), fat intake (p = 0.000) , and carbohydrate intake (p = 0.000). The conclusion of this study is that there is a significant relationship between macronutrient intake and menstrual cycle in adolescent girls of SMK Negeri 2 Tuban.