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Personal hygiene saat menstruasi adalah tindakan untuk memelihara kesehatan dan kebersihan pada organ kewanitaan saat menstruasi. Perawatan pada saat menstruasi diperlukan karena pada saat menstruasi pembuluh darah rahim sangat mudah terkena infeksi. Kebersihan harus selalu dijaga karena kuman mudah sekali masuk dan akan menyebabkan penyakit pada organ reproduksi. Menurut World Health Organization (WHO) mengatakan bahwa sekitar 90% perempuan di Indonesia mengalami keputihan, dan 60% kasus tersebut terjadi pada kelompok remaja. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan  personal hygiene selama menstruasi pada remaja putri di SMA Negeri 1 Kabangka Kabupaten Muna Sulawesi Tenggara Tahun 2026. Penelitian ini berjenis penelitian kuantitatif dengan jumlah sampel mencapai 102 siswi. Teknik pengambilan sampel dalam penelitian ini menggunakan total sampling yaitu jumlah sampel sama dengan populasi. Analisis datanya menggunakan analisis univariat dan bivariat untuk menggambarkan distribusi frekuensi dan menguji adanya hubungan antara variabel independen dan dependen. Hasil penelitian menunjukkan bahwa variabel sikap dan sumber informasi berhubungan dengan tindakan personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,004 dan 0,000 (p < 0,05). Variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan tidak memiliki hubungan dengan tindakan  personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,25, 0,746, dan 0,467 (p > 0,05). Kesimpulan dari penelitian ini berdasarkan uji statistik Chi Square menunjukkan adanya hubungan variabel sikap dan sumber informasi dengan tindakan personal hygiene saat menstruasi serta tidak adanya hubungan antara variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan dengan tindakan personal hygiene saat menstruasi.

Personal hygiene practices during menstruation is important to maintaining the reproductive health of adolescent girls and preventing reproductive organ infections. Poor hygiene causes post-menstrual problems in 5.2 million adolescents in Indonesia, such as reproductive tract infections, urinary tract infections, pathological vaginal discharge, fungal infections, genital area irritation, and unpleasant odor. Factors influencing personal hygiene practices during menstruation include knowledge, perceptions, attitudes, and infrastructure. This study was aimed determine the relationship between knowledge, perceptions, attitudes, and infrastructure and personal hygiene practices during menstruation among female students at the Daarussa'adah Qur'an Tahfidzil Islamic Boarding School in Pesawaran in 2026. This study was quantitative with a cross-sectional approach. The population was all female students at the Daarussa'adah Qur'an Tahfidzil Islamic Boarding School in Pesawaran, and a sample of 74 respondents was selected using total sampling. Data analysis used the chi-square test with a significance level of 95%. The results of the study showed a relationship between knowledge (p-value = <0.001; OR = 279.000), perception (p-value = <0.001; OR = 620.000), attitude (p-value = <0.001; OR = 165.333), and infrastructure (p-value = <0.001; OR = 0.002) and personal hygiene behavior during menstruation. Suggested for the Islamic boarding schools include routinely improving reproductive health education regarding personal hygiene during menstruation and providing adequate infrastructure to support the development of good knowledge, perceptions, and attitudes, so that female students can optimally implement personal hygiene behaviors during menstruation.

Gangguan menstruasi teridentifikasi sebagai salah satu permasalahan kesehatan utama yang dihadapi oleh populasi remaja di Indonesia. Pada skala global, Organisasi Kesehatan Dunia (WHO) mencatat bahwa 75% remaja putri mengalami gangguan menstruasi, dengan sekitar 80% di antaranya mengalami ketidakteraturan siklus haid pada tahun pertama pasca menarche. Untuk mengetahui hubungan status gizi dengan siklus mentruasi pada mahasiswi STIKES Widyagama Husada Malang. Penelitian ini menggunakan metode kuantitatif dengan desain analitik korelasional melalui pendekatan cross sectional .Jumlah sampel ditentukan menggunakan rumus Rule of Thumb menurut Suharsimi Arikunto dengan pengambilan 15% dari populasi sehingga diperoleh sebanyak 41 responden. Analisis data dilakukan menggunakan uji Chi-Square (?²) dengan tingkat kepercayaan 95% (? = 0,05).  Hasil uji Chi-Square diperoleh nilai Chi-Square dengan nilai signifikansi (p-value) = 0,001 < 0,05, sehingga dapat disimpulkan bahwa H0 ditolak dan H1 diterima. Artinya, terdapat hubungan yang signifikan antara status gizi dengan siklus menstruasi pada mahasiswi STIKES Widyagama Husada Malang. Hasil penelitian menunjukkan bahwa mahasiswi dengan status gizi tidak normal, baik gizi kurang maupun gizi lebih, cenderung mengalami siklus menstruasi yang tidak teratur dibandingkan dengan mahasiswi yang memiliki status gizi normal. Sebagian besar mahasiswi STIKES Widyagama Husada Malang memiliki status gizi normal, namun masih ditemukan mahasiswi dengan status gizi kurang dan lebih yang cenderung mengalami gangguan siklus menstruasi, terutama oligomenore

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.

Reproductive health is an aspect of health that still requires serious attention, particularly for women of reproductive age. Polycystic Ovary Syndrome (PCOS) is a hormonal disorder with a prevalence of 3.4% among women worldwide, yet it often goes undetected due to a lack of awareness. This community service activity aims to increase the knowledge of women of reproductive age regarding menstruation, PCOS, and the importance of early detection through an educational webinar titled “Hormone Talk: Exploring Menstruation, PCOS, and the Importance of Early Detection.” The event was held online via the Zoom Meeting platform on December 13, 2025, and was attended by over 100 participants, the majority of whom were female students. The evaluation method utilized pre-tests and post-tests analyzed using a Dependent T-test. The results showed a significant increase in the average knowledge score from 64.78 (pre-test) to 79.67 (post-test), with a difference of 14.89 points and a p-value of 0.000. This demonstrates that reproductive health educational webinars are effective in enhancing participants’ knowledge. It is hoped that this activity can serve as a model for sustainable digital-based health promotion interventions in efforts to improve reproductive health literacy among Indonesian women.

Personal Hygiene Selama Menstruasi Merupakan Aspek Penting Dalam Menjaga Kesehatan Reproduksi Remaja Putri. Penelitian Ini Bertujuan Untuk Menganalisis Faktor-Faktor Yang Berhubungan Dengan Perilaku Personal Hygiene Selama Menstruasi Pada Remaja Putri Di SMA Negeri 10 Kendari, Sulawesi Tenggara Tahun 2025. Penelitian Ini Menggunakan Metode Kuantitatif Analitik Dengan Desain Cross Sectional. Sampel Dalam Penelitian Ini Sebanyak 128 Responden Yang Dipilih Menggunakan Teknik Stratified Random Sampling. Pengumpulan Data Dilakukan Menggunakan Kuesioner, Kemudian Dianalisis Secara Univariat Dan Bivariat Menggunakan Uji Chi-Square Dengan Tingkat Signifikansi 0,05. Hasil Penelitian Menunjukkan Bahwa Tidak Terdapat Hubungan Yang Signifikan Antara Pengetahuan Dengan Perilaku Personal Hygiene (P>0,05) Dan Sumber Informasi Dengan Perilaku Personal Hygiene (P>0,05). Sebaliknya, Terdapat Hubungan Yang Signifikan Antara Sikap (P<0,05) Dan Fasilitas Sanitasi Sekolah (P<0,05) Dengan Perilaku Personal Hygiene Selama Menstruasi. Kesimpulan Penelitian Ini Menunjukkan Bahwa Sikap Dan Ketersediaan Fasilitas Sanitasi Sekolah Merupakan Faktor Penting Yang Memengaruhi Perilaku Personal Hygiene Selama Menstruasi Pada Remaja Putri, Sedangkan Pengetahuan Dan Sumber Informasi Tidak Berhubungan Secara Signifikan. Diperlukan Peningkatan Edukasi Kesehatan Reproduksi Dan Perbaikan Fasilitas Sanitasi Sekolah Untuk Mendukung Perilaku Kebersihan Menstruasi Yang Lebih Baik.

Background:Reproductive health education plays a crucial role, particularly for adolescents with disabilities, in maintaining their reproductive health. One effort to reduce menstrual-related problems is by developing hygienic behaviors. Menstrual personal hygiene refers to individual cleanliness practices aimed at maintaining, preserving, and improving personal hygiene and health to achieve physical and psychological well-being through the implementation of hygienic actions during menstruation. Objective; This study aimed to identify factors associated with menstrual personal hygiene behavior among adolescents with disabilities as part of long-term care. Methods:This study employed a correlational analytic design with a cross-sectional approach. The sample consisted of 36 respondents, selected using a total sampling technique. Data were collected using a questionnaire. Data analysis was conducted using bivariate analysis with the Chi-square test. Results: The results showed that variables significantly associated with respondents’ menstrual personal hygiene behavior were knowledge (p-value = 0.018), family support (p-value = 0.003), and adequacy of facilities and infrastructure (p-value = 0.003). Meanwhile, self-motivation was not significantly associated with menstrual personal hygiene behavior (p-value = 0.124). Conclusion: Therefore, nurses and healthcare providers are encouraged to enhance reproductive health education, involve families, and promote the provision of disability-friendly facilities to support long-term care for adolescents with disabilities.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Anemia dan dismenore adalah masalah kesehatan yang umum dan saling berhubungan pada remaja putri, di mana prevalensi anemia di Indonesia masih tinggi (22,7%) dan berisiko memperparah nyeri menstruasi yang mengganggu aktivitas. Program pengabdian masyarakat dilaksanakan di SMA Negeri 1 Cawas, Klaten, dengan sasaran siswi kelas XII, bertujuan untuk meningkatkan pengetahuan dan kesadaran mereka mengenai anemia dan dismenore, faktor risiko, tanda-gejala, serta strategi pencegahan melalui penyuluhan dan screening kesehatan. Hasil dari kegiatan ini menunjukkan adanya peningkatan pengetahuan yang signifikan, terbukti dari kenaikan rata-rata nilai tes dari 58,3 (pre-test) menjadi 82,7 (post-test), serta peningkatan proporsi siswi dengan pengetahuan baik dari 32% menjadi 85%, menunjukkan dampak positif edukasi tersebut terhadap pemahaman siswi.

ABSTRAK Dismenorea merupakan nyeri menstruasi yang umum dialami remaja putri dan berdampak pada aktivitas serta konsentrasi belajar. Penanganan nonfarmakologis seperti kompres hangat dan air asam jawa dinilai efektif mengurangi nyeri. Penelitian ini bertujuan mengetahui pengaruh kombinasi tersebut terhadap penurunan nyeri dismenorea pada siswi SMAN 6 Semarang sebagai alternatif terapi alami dan aman.Penelitian ini menggunakan desain kuasi-eksperimental dengan pendekatan pre-test dan post-test pada satu kelompok. Metode kuantitatif diterapkan untuk mengukur perubahan sebelum dan sesudah intervensi. Sampel diambil menggunakan teknik accidental sampling dengan pertimbangan purposive sampling, yakni memilih responden yang sesuai kriteria secara kebetulan dan mudah dijangkau saat penelitian berlangsung.Data pretest dan posttest tidak berdistribusi normal (p 0,05). Uji Wilcoxon Signed Ranks menunjukkan p-value 0,000 ( 0,05) dan nilai Z -5,230, menandakan pemberian kompres hangat dengan kombinasi air asam jawa berpengaruh signifikan menurunkan nyeri dismenorea pada remaja putri di SMAN 6 Semarang.Berdasarkan penelitian pada 35 remaja putri dengan dismenorea, mayoritas (88,57%) berusia 13-15 tahun dan semua memiliki siklus menstruasi normal. Sebelum intervensi, tingkat nyeri bervariasi dari ringan hingga sangat menyiksa. Setelah intervensi kompres hangat dengan air asam jawa, nyeri menurun signifikan. Uji Wilcoxon menunjukkan p-value 0,000 (0,05), membuktikan intervensi efektif mengurangi nyeri dismenorea.

Puberty is an important period in the development of young girls, marked by various physical, emotional, and social changes. A lack of understanding about puberty and menstruation often leads to feelings of anxiety, shame, and poor hygiene practices. Therefore, early education is essential to help female students recognize their body changes and maintain reproductive health properly. This community service was conducted at MI Tamrinussibyan 1 Al Hikmah Benda, specifically targeting early adolescent female students. The activity was carried out through interactive counseling and group discussions, supported by presentation media and illustrations. The topics covered included an introduction to puberty, understanding menstruation, healthy eating habits, and practices for maintaining personal hygiene and reproductive health. The results showed an improvement in the students' understanding of reproductive health, accompanied by a positive change in their attitudes toward self-care during menstruation. This program is expected to provide essential knowledge for students to navigate puberty in a healthy, clean, and confident 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.

Dysmenorrhea atau dismenore didefinisikan sebagai menstruasi yang menyakitkan serta keluhan ginekologi paling umum terjadi pada wanita usia muda yaitu usia remaja. Keluhan yang dirasakan yaitu nyeri atau kram di perut bagian bawah yang muncul sebelum atau saat menstruasi. Dismenore berpengaruh terhadap gangguan psikologis seperti depresi, kecemasan dan somatisati yang dapat menghambat perkembangan pada remaja. Tujuan penelitian ini untuk mengetahui pengaruh kejadian dysmenorrhea terhadap perkembangan remaja putri. Jenis penelitian ini survei analitik observasional melalui pendekatan cross seictional stuidy. Populasi adalah seluruh siswi sebanyak 42 orang serta teknik pengambilan sampel total sampling. Instrumen pengumpulan data menggunakan lembar kuesioner. Analisis data yaitu analisa univariat dan bivariat dengan menggunakan uji chi-square. Hasil penelitian terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan sosial remaja putri dengan nilai p = 0,032, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan emosional remaja putri dengan nilai p = 0,014, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan kognitif remaja putri dengan nilai p = 0,047, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan moral remaja putri dengan nilai p = 0,029. Kesimpulan penelitian ini yaitu ada pengaruh kejadian dysmenorrhea terhadap perkembangan remaja putri.

Kesehatan menstruasi merupakan indikator penting bagi kesejahteraan reproduksi perempuan. Di lingkungan perguruan tinggi, mahasiswi menghadapi berbagai tekanan akademik dan lingkungan yang dapat bertindak sebagai risiko kesehatan kerja yang memengaruhi siklus menstruasi mereka.  Systematic review ini bertujuan untuk mengidentifikasi dan menganalisis faktor gaya hidup, psikososial, dan biologis yang memengaruhi ketidakteraturan siklus menstruasi pada mahasiswi.  Menggunakan panduan PRISMA, pencarian sistematis dilakukan pada database PubMed dan Scopus untuk artikel yang terbit antara tahun 2021 dan 2026. Sebanyak 23 artikel studi cross-sectional dan case-control memenuhi kriteria inklusi dan disintesis dalam penelitian ini.  Temuan studi secara konsisten mengidentifikasi stres psikologis (stres akademik dan depresi) sebagai prediktor paling dominan terhadap gangguan menstruasi melalui gangguan pada aksis hipotalamus-hipofisis-adrenal (HPA). Selain itu, kualitas tidur yang buruk/insomnia, Indeks Massa Tubuh (IMT) ekstrem (terlalu kurus dan kelebihan berat badan/obesitas), gaya hidup sedenter, serta pola makan yang buruk (asupan lemak tinggi, kebiasaan melewatkan makan) secara signifikan meningkatkan risiko dismenore, siklus tidak teratur, dan Premenstrual Syndrome (PMS). Sebaliknya, konsumsi makanan kaya vitamin A memberikan efek perlindungan. Gangguan menstruasi di kalangan mahasiswi memiliki prevalensi tinggi dan bersifat multifaktorial. Promosi kesehatan di kampus perlu menerapkan program manajemen stres serta edukasi kebersihan tidur dan nutrisi guna mendukung kesehatan reproduksi mahasiswi.

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.

Mortalitas dan morbiditas pada wanita merupakan masalah yang perlu mendapatkan perhatian yang cukup serius, terutama di negara berkembang dan memiliki iklim tropis layaknya Negara Indonesia. Personal hygiene dan sanitasi berada pada nomor 3 dan kesehatan reproduksi berada pada nomor 8 dalam 10 faktor resiko utama penyebab kesakitan kematian pada usia remaja. Remaja pada masa pubertas mengalami perubahan fisik yang ditandai dengan terjadinya menstruasi. Saat menstruasi jika personal hygiene buruk bisa mengakibatkan infeksi saluran reproduksi (ISR), infeksi saluran kemih (ISK), penyakit radang panggul (PRP), dan kemungkinan terburuknya bisa menyebabkan kanker serviks. Salah satu cara untuk menghindari masalah tersebut yaitu dengan melakukan praktik perilaku personal hygiene saat menstruasi. Penelitian ini bertujuan untuk mengetahui gambaran perilaku personal hygiene pada remaja putri di SMP Negeri 4 Surakarta. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode pengambilan sampel secara non propability sampling dengan pengambilan sampel menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebanyak 48 responden (63,3%) berperilaku baik, sedangkan responden yang berperilaku buruk berjumlah 28 responden (36,8). Temuan ini menunjukkan gambaran perilaku yang baik.

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.

Menstrual Hygiene Management (MHM) is the management of hygiene and health during women's menstrual period. One of the factors that influence Menstrual Hygiene Management (MHM) is the role of the teacher. Teachers play a role in equipping students with knowledge about hygiene, facilitating proper toilets and how to maintain their reproductive organs, this will have a positive impact on students in elementary schools. This study aims to determine the description of the role of teachers in implementing the menstrual hygiene management (MHM) program at Elemantary School Pare area. The research design used Descriptive Analytic, with sampling technique using Purposive Sampling obtained a sample of 40 respondents. Data collection using questionnaire sheet, data processed with descriptive statistical test. Based on the results of research in 6 (six) Elemantary School in the Pare Region on the role of teachers in the implementation of Menstrual Hygiene Management (MHM), almost all data were found to be in the good and sufficient category, especially in the indicator as the role of facilitator (79.30) and supervisor (76.87). From the results of the data, the role of facilitator and supervisor is the highest because the facilities in several schools have met the criteria for Menstrual Hygiene Management (MHM) and the observations of teachers at school to female students have been carried out well, but there are still roles that score the lowest, namely educator (63.75) because some respondents have never received counseling on Menstrual Hygiene Management (MHM) and still lack of education. Primary school teachers are advised to take part in training to increase knowledge about menstrual hygiene management (MKM)