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Background: Adolescence is often characterized as a period of puberty. Early menarche is associated with increased mortality and morbidity risks in later life among girls who experience menarche at an early age. Menarche is the first menstrual event in girls, marked by the shedding of the uterine lining and vaginal bleeding. The tendency to consume unhealthy foods, particularly fast food, as well as sugar-sweetened beverages (SSBs), may have adverse effects on health and potentially influence the timing of menarche. Objective: This study aimed to analyze the relationship between healthy food selection, sugar-sweetened beverage consumption, and the incidence of early menarche. Methods: This study employed a cross-sectional design. The sample consisted of 30 female students. Data were analyzed using the Spearman Rank correlation test. Results: The results showed that healthy food selection was significantly associated with the incidence of early menarche (p = 0.005) with a moderate correlation strength (ρ = 0.449). Similarly, sugar-sweetened beverage consumption was significantly associated with the incidence of menarche (p = 0.000) and demonstrated a very strong correlation (ρ = 0.841). Conclusion: There was a significant relationship between healthy food selection and sugar-sweetened beverage consumption with the incidence of menarche. Sugar-sweetened beverage consumption showed a stronger relationship with menarche incidence compared to healthy food selection.

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

Puberty in girls is a developmental stage where sexual maturation occurs as a manifestation of reproductive ability, marked by the first menstruation (menarche), a form of primary sexual maturity in girls. The purpose of this study was to determine whether there is a relationship between nutritional status and maternal menarche history with early menarche in elementary school students in grades 4-6 at SDN 01 Nagrak Gunung Putri Bogor in September 2025. This research was a quantitative, observational analytical study using a cross-sectional approach. It was conducted at SDN 01 Nagrak Gunung Putri Bogor from August to September 2025 with a sample of 49 respondents. Univariate and bivariate data analysis used the Chi-Square Test. The results showed a relationship between nutritional status and early menarche (p-value = 0.001 and OR = 3.7) and maternal menarche history with early menarche (p-value = 0.000 and OR = 7.3). The study concluded that there is a relationship between maternal nutritional status and menarche history with early menarche. It is recommended that SDN 01 Nagrak Gunung Putri Bogor collaborate with the nearest community health center and the Health College to conduct outreach activities on reproductive health.

Adolescent reproductive health is a crucial issue often overlooked in primary education, especially for young girls. The lack of accurate and age-appropriate information causes confusion among students when experiencing puberty, including menarche. This community service project aims to increase the knowledge and awareness of female students at MIS AL-KAUTSAR regarding reproductive organ health through an educational and participatory approach. The method used is Participatory Action Research (PAR), consisting of needs identification, program planning, educational implementation, and evaluation stages. The results indicate a significant increase in students' understanding of reproductive anatomy and hygiene, as well as behavioral changes such as greater openness to discussing menstruation and the emergence of local leaders among students. The program also led to the creation of new social structures in the school, such as a youth information corner and the involvement of female teachers as mentors. This initiative proves effective as an educational intervention model that can be replicated in other primary schools.

Breast cancer is one of the types of cancer that has the highest incidence in women, with an increasing incidence at a young age. The aim of the study was to identify factors associated with the incidence of breast cancer in women under 40 years of age at RSUD Arifin Achmad Riau Province. This study used a case control design with a retrospective approach with a sample of 76. The sampling technique used was consecutive sampling. Data analysis was done with chi-square test. The results showed that the majority of respondents had high school education (55.3%) in the case group and (57.9%) in the control group, the average age of the case group was 36.05 and the control group was 33.58, the age of menarche (68.4%) in the case group and (28.9%) in the control group, breastfeeding history (47.4%) in the case group and (15.8) in the control group, hormonal contraception (13.2%) in the case group and (10.5%) in the control group, family history (44.7%) in the case group and (2.6%) in the control group. Bivariate analysis showed there was an association between menarche age factor (P = 0.001, OR = 5.318), breastfeeding history factor (P = 0.007, OR = 4.800), family history factor (P = 0.000, OR = 29.952) with the incidence of breast cancer. There was no association between hormonal contraceptive factors and the incidence of breast cancer (P=1.000, OR=0.776). The study concluded that the factors associated with breast cancer in women under 40 years old are age of menarche, breastfeeding history and family history. It is expected for women under 40 years old to routinely perform SADARI (breast self-examination) to prevent and detect early occurrence of breast cancer.

Menarche is the first transitional period marked in women, known as the first menstruation (menarche). During menarche, physical and psychological changes occur, such as anxiety and sadness, due to the physical changes in this period. The changes usually include pubic hair, armpit hair, and breast development. This often happens among elementary school students, including those in SDN Lampeuneurut. This study aims to determine the relationship between parental support and the level of anxiety in girls facing menarche in SDN Lampeuneurut. This research employed a quantitative method with a cross-sectional design. The population consisted of 120 female students in grades 5 and 6 at SDN Lampeueneurut who had not yet experienced menarche. The sample was selected using purposive sampling, resulting in 55 respondents who met the inclusion criteria. This research was conducted from June 18th to 20th, 2025. The instruments used were a parental support questionnaire and the STAI (State Trait Anxiety Inventory) of anxiety questionnaire. The data were analyzed using a bivariate statistical test, the Chi-Square test. The research findings indicated a significant relationship between parental support and the anxiety levels of female students in facing menarche, with a p-value of 0.011 (p-value < 0.05). This study concludes that parental support is related to a decrease in the anxiety levels of girls facing menarche. This study recommends that schools provide basic reproductive health education from an early age, especially regarding menarche, and that parents understand the importance of providing emotional, informational, instrumental, and appreciative support.

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.

Background: Menstruation is the result of a complex interaction that involves the hormonal system and body organs, namely the hypothalamus, pituitary, ovaries and uterus. Things that affect the age of menarche are nutritional status, diet, family economic status, and sports activities.BMI is determined by body weight and height. The impact if young women experience early menarche, which is less than 12 years old, is at risk of developing breast cancer and ovarian cancer To find out the relationship between body mass index values ​​and the age of menarche in young women at Abulyatama Middle School, Aceh Besar district in 2023. This research method is analytic with a cross sectional study design. Using Independent Variables and dependent variables. Sampling technique Random sampling.Data analysis using Chi Square. Results The showed that out of 30 respondents whose body mass index was underweight, 13 respondents (43.3%) had overweight nutritional status, 10 respondents (33.3%) and normal nutritional status, 7 respondents (23.3%). Conclusion: the relationship between body mass index values ​​and menarche age in young women at Abulyatama Junior High School, Aceh Besar District. Based on the test results using Chi Square, it is known that P Value = 0.013, then Ho is rejected, Ha is accepted.

Primary dysmenorrhea is menstrual discomfort that begins during menarche and is not associated with any underlying pelvic pathological disorders. It is a common condition that can significantly affect daily activities and lower the quality of life. The pain often associated with dysmenorrhea may be alleviated by improving blood circulation and utilizing pleasant aromas. One of the most widespread gynecological conditions, dysmenorrhea affects women of all ages and is frequently characterized by painful menstruation. Aromatherapy, particularly with lavender flowers, has been traditionally used to treat a variety of conditions including pain, postpartum depression, anxiety, and discomfort following cesarean sections. It has also been used to reduce dysmenorrhea. According to the World Health Organization (WHO), 90% of women experience some form of dysmenorrhea, with 10–15% of these cases classified as severe. Pain management strategies for dysmenorrhea can be categorized into pharmaceutical and non-pharmacological methods, with aromatherapy being one of the prominent non-pharmacological techniques. This study aimed to assess the impact of lavender flower aromatherapy (Lavandula angustifolia) on the severity of dysmenorrhea in teenage females residing in Iloheluma Village, Patilanggio District, Pohuwato Regency. A quantitative, quasi-experimental approach was utilized in this research, employing a purposeful sampling method. The severity of dysmenorrhea discomfort before and after the lavender aromatherapy sessions was evaluated using the paired t-test. Of the respondents, 55% were aged 15–19 years. Prior to the aromatherapy treatment, 100% of participants reported moderate pain intensity. Following the aromatherapy session, the most common pain level reported by the participants (100%) was mild pain. These results suggest that lavender flower aromatherapy has a significant effect in reducing the severity of dysmenorrhea and can be considered an effective non-pharmacological intervention for menstrual discomfort.

Primary dysmenorrhea is menstrual discomfort that begins during menarche and is not associated with any underlying pelvic pathological disorders. It is a common condition that can significantly affect daily activities and lower the quality of life. The pain often associated with dysmenorrhea may be alleviated by improving blood circulation and utilizing pleasant aromas. One of the most widespread gynecological conditions, dysmenorrhea affects women of all ages and is frequently characterized by painful menstruation. Aromatherapy, particularly with lavender flowers, has been traditionally used to treat a variety of conditions including pain, postpartum depression, anxiety, and discomfort following cesarean sections. It has also been used to reduce dysmenorrhea. According to the World Health Organization (WHO), 90% of women experience some form of dysmenorrhea, with 10–15% of these cases classified as severe. Pain management strategies for dysmenorrhea can be categorized into pharmaceutical and non-pharmacological methods, with aromatherapy being one of the prominent non-pharmacological techniques. This study aimed to assess the impact of lavender flower aromatherapy (Lavandula angustifolia) on the severity of dysmenorrhea in teenage females residing in Iloheluma Village, Patilanggio District, Pohuwato Regency. A quantitative, quasi-experimental approach was utilized in this research, employing a purposeful sampling method. The severity of dysmenorrhea discomfort before and after the lavender aromatherapy sessions was evaluated using the paired t-test. Of the respondents, 55% were aged 15–19 years. Prior to the aromatherapy treatment, 100% of participants reported moderate pain intensity. Following the aromatherapy session, the most common pain level reported by the participants (100%) was mild pain. These results suggest that lavender flower aromatherapy has a significant effect in reducing the severity of dysmenorrhea and can be considered an effective non-pharmacological intervention for menstrual discomfort.

Dysmenorrhea is pain during menstruation experienced by women of childbearing age. Risk factors that can cause dysmenorrhea include age of menarche, family history, duration and menstrual cycle, stress, physical activity, nutritional status, and nutrient intake. Some nutrients that are related to the incidence of dysmenorrhea include fat, calcium, and magnesium. This study aims to determine the relationship between fat, calcium, magnesium, and physical activity intake with the severity of dysmenorrhea in students of the Faculty of Sport and Health Sciences, Surabaya State University. This study used a cross-sectional approach. The sampling technique used stratified random sampling with a total of 119 samples. Data collection used the NRS (Numeric Rating Scale) questionnaire for the incidence of dysmenorrhea, SQ-FFQ (Semi Quantitative Food Frequency) for fat, calcium, and magnesium intake, and IPAQ-SF (International Physical Activity Questionnaire-Short Form) for physical activity. The results showed that students of the Faculty of Sport and Health Sciences, Surabaya State University had low fat intake (79%), low calcium intake (58%), normal magnesium intake (47,9%), heavy physical activity (47,1%) and mild dysmenorrhea pain (40,3%). Data analysis using the Spearman Rank test showed a value of p = 0.000 (fat), p = 0.023 (calcium), p = 0.023 (magnesium), and p = 0.039 (physical activity). Based on the results of the study, it can be concluded that there is a significant relationship between fat, calcium, magnesium, and physical activity intake with the severity of dysmenorrhea (p <0.05).

Adolescents are the age group from 10 to 19 years who are in the transition period from children to adults. During this period, various changes occurred, both physical, psychological and social. The aim is to analyze the relationship between knowledge of maternal attitudes and roles and girls' readiness to face menarche. The formula method used is the Chi Square Test formula and Spearman Rank Correlation with the SPSS version of the computer program.  The results of the research show that children who are not ready are more likely to be found in the group with a supportive mother's role at 32.6%, compared to the group whose mother's role is not supportive at 6.7%. Based on the results of the Chi square statistical test, the result is a p value of 0.049 = meaning <0.05, so Ha is accepted, which means there is a relationship between the role of the mother and the readiness of female students at SD Negeri Semeru 06 in 2024. Furthermore, the or value in this research was found to be 0.1 with So it can be concluded that a supportive maternal role has a 0.1 times chance of being well prepared compared to a non-supportive maternal role. Conclusions Based on research at SDN Semeru 06 Bogor City (2024) shows that the majority of respondents had a poor understanding of menstruation, but their understanding increased after counseling.Abstract and Keywords must be written in

The menstrual hygiene behavior of adolescents, especially those in the menarche phase, still needs more attention. This study aims to evaluate menstrual hygiene practices among adolescent girls experiencing menarche at SMPN 4 Pare in Kediri. The study used a correlational research design with a cross-sectional approach. The population consisted of 40 female students, and a total sampling technique was used to select 40 respondents. The independent variable is health literacy and the dependent variable is menstrual hygiene ability. The E-Health questionnaire was used to assess health literacy, and the Menstrual Hygiene questionnaire was used to assess menstrual hygiene skills. Spearman rank statistical tests were used, and the results showed that 72.5% had poor health literacy and 67.5% had poor menstrual hygiene skills. The p-value was 0.001, which is less than the alpha level of 0.05 (r = 0.879). Health literacy greatly affects adolescents' ability to implement menstrual hygiene. Efforts are needed to increase interest in health literacy, especially among adolescents in the field of reproductive health.

Menarche is the first menstruation which usually occurs between the ages of 10-16 years. The arrival of the first menstruation makes teenagers feel unprepared and unable to face menarche due to a lack of knowledge and practice during menstruation. So in this case health education using the LAICEF method is needed. This research aims to determine the effect of health education using the LAICEF method on the readiness and ability to face menarche in grade 5 and 6 female students at Wangkal II Elementary School. This research is a pre-experimental design with a one-group pre-post test approach. The population was 25 female respondents from Wangkal II Elementary School, the 25 samples studied were taken using Total Sampling. The instrument used questionnaire through a process of editing, coding, scoring and tabulating. The data obtained from this research was analyzed using the Wilcoxon Test. The results of this research showed readiness and ability to face menarche during pre-post. The majority of respondents showing readiness results in the pretest were in the poor category, as many as 14 respondents (56%). In the post test data, the majority in the sufficient category were 12 respondents (48%). Meanwhile, the majority of abilities in the pretest were in the poor category, 17 respondents (68%). The majority of post test data were in the sufficient category, 16 respondents (64%). The results of the Wilcoxon test obtained a p value: 0.000 <0.05. This shows that there is an influence of health education using the PAIKEM method on the readiness and ability to face menarche in grade 5 and 6 female students at Wangkal II Public Elementary School. Health education using the LAICEF method can develop female students' innovation and creativity so that providing education on readiness and ability to face menarche can be effective and enjoyable for female students, and female students are not burdened by ongoing learning.

Background: For women, menarche is the first menstruation, which is a sign of puberty (maturity) for healthy adolescents. Menarche occurs at the age of 8 to 12 years. It is very important to prepare adolescents mentally and psychologically from the beginning of menarche so that they have a positive response to menarche. Aspects of menarche readiness are divided into 3, namely aspects of understanding, aspects of appreciation, and aspects of willingness. Factors that influence menarche readiness include internal factors, namely attitude and age, while external factors are sources of information, maternal social support and social environment. Unpreparedness to face menarche has an impact on personal hygiene during menstruation and anxiety. Objective: To determine the effect of menstruation education using animated video media and leaflets on menarche readiness in children aged 9-12 years at SDN Bojong 2 Cianjur. Method: This study used a true experimental design research design, with a pretest-posttest with control group design. The sampling technique used total sampling with a sample size of 94 respondents. Data collection was carried out using a questionnaire, then the data was processed and analyzed using SPSS computer software. Statistical test using Wilcoxon test. Results: In the intervention group between the pretest and posttest values ​​obtained a p-value of 0.000 (<0.05), while in the control group between the pretest and posttest values ​​obtained a p-value of 0.084 (> 0.05). Conclusion: There is a significant difference between the intervention group and the control group after being given menstruation education. So there is an effect of menstruation education using animated video media and leaflets on menarche readiness in children aged 9-12 years at SDN Bojong 2 Cianjur.

For girls, menarche was the first time they had their period, which was marked by changes in their bodies and minds.  Several things can make teenage girls anxious, and one of them is that they don't know enough about menstruation. This means that when they hit puberty, they aren't ready and don't know what to do.  Our study's goal is to find out how well smile education reduces the stress that teenage girls feel as they approach menarche at SD Islam Sultan Agung 01 Semarang and SD Islam Sultan Agung 04 Semarang.  This research is a type of quasi-experimental research with a control group design with two groups: one before the test and one after the test.  The sample was made up of 156 people.  A proportionate stratified random sample method was used, and a questionnaire was used as a study tool.  The Wilcoxon Sign Rank test and the Mann Whitney test are used in this work.  The Wilcoxon test showed that the difference between the pre- and post-tests for the intervention group was 0.000 < 0.05, while the difference for the control group was 0.084 < 0.05.  A meaningful number of 0.000 <0.05 was found in the Mann Whitney test.  The Wilcoxon pre-post test results of the training group and the control group showed that they were different before and after they learned how to smile.  Teenage girls who were getting ready to go through menarche felt less anxious when they used a game-based Smile Education app.

Ovarian cysts are a type of reproductive disease that often attacks women. Ovarian cysts are collections of fluid in the ovaries or fallopian tubes that accumulate and are surrounded by a membrane formed from the outer layer of the ovaries. Many people, especially women of childbearing age, do not know the factors that cause ovarian cysts themselves. Cyst Factor Analysis aims to increase public knowledge for early prevention. This research is a type of quantitative research using a cross sectional approach. The sample used was 109 respondents and anticipated drop out was 121 respondents in the work area of the Tlogosari Kulon Semarang Health Center. The sample was taken using a probability sampling technique with a simple random sampling type. The comparative test used was the Chi-Square test. The results of research using the Chi-Square test proved that the p value of the ovarian cyst factors was <0.05. This shows that there is a significant and strengthening relationship between age, menstrual cycle, genetic history, parity, economic status, history of previous cysts, menarche, hypothyroidism. There is a relationship between age, menstrual cycle, genetic history, parity, economic status, history of previous cysts, menarche, hypothyroidism on the incidence of ovarian cysts in women of childbearing age at the Tlogosari Kulon Semarang Community Health Center, and factors that have a significant influence are genetic history with a p-value <0.050.

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.

Menarche marks the onset of a young woman's first menstruation and requires both physical and psychological adjustments to achieve personal maturity. Therefore, adequate preparation is essential for adolescents as they experience this transition. Readiness for menarche involves various adaptations, including physical, psychological, and social aspects. This study aims to explore the level of menarche readiness among fifth-grade female students at Assisi Catholic Private Elementary School, Medan, in 2024. The research employs a descriptive method with a cross-sectional approach, utilizing the Accidental Sampling technique with a total of 34 respondents. Data collection was conducted using a questionnaire assessing menarche readiness, and the analysis was performed using univariate methods. The findings reveal that out of 34 respondents, the majority (30 students or 88.2%) were prepared for menarche, while only 4 students (11.8%) were not yet ready. This study is expected to serve as a valuable resource for schools in providing menarche education, thereby enhancing students' readiness for this important stage of development.

Early menarche in elementary school children means that children need to have knowledge about menstruation from an early age. Knowledge about menstruation affects children's responses during their first menstruation and personal hygiene during menstruation, so children need correct information about menstruation. This community service aims to provide information about menstruation and complementary therapies, especially relaxation therapy to reduce anxiety and pain. There are four stages in implementing this education, namely the planning stage, preparation stage, implementation stage and monitoring and evaluation stage. There was an increase in students' knowledge after providing education. The results of this community service can show that providing education can increase students' knowledge.