Primary dysmenorrhea among adolescents in the District of Constantine, Algeria


  • Nousseiba ABED University of Brothers Mentouri, Laboratory of Pharmacology and Toxicology, Constantine; University of Brothers Mentouri, Laboratory of Cellular and Molecular Biology, Constantine (DZ)
  • Hadjer MARZOUG University of Brothers Mentouri, Faculty of Nature and Life Sciences, Department of Biochemistry and Biological Cellular and Molecular, Constantine (DZ)
  • Kenza BOUGHAMBOUZ University of Brothers Mentouri, Faculty of Nature and Life Sciences, Department of Biochemistry and Biological Cellular and Molecular, Constantine (DZ)



adolescents, Constantine, menstrual pain, primary dysmenorrhea, symptoms


To determine the frequency of dysmenorrhea, its properties and its impact, behaviour of adolescents in the District of Constantine, and to explore the relationship between dysmenorrhea and several presumed risk factors. A cross-sectional study was employed in 562 adolescent girls. A multiple-choice questionnaire was administered to the adolescents. The severity of dysmenorrhea pain was assessed by visual analogy scale. Data were obtained and analysed using SPSS version 22.  In the sample, the frequency of dysmenorrhea was 89.7%. In 55.6% of cases the pains appeared after the 1st year of menstruation.  The mean intensity of pain was 5.64 + 3.02. Of all adolescents experiencing dysmenorrhea, 51.2% reported moderate pain. 58.7% reported the duration of their menstrual pain as 24 hours or less. 47.30% experienced pain most at onset of menses. A variety of signs were reported mostly nervousness (65.6%), headache (45.9%); depressed mood (35.8%) and painful breast (32.4%). 89.7% reported missing. Only 12.4% of the adolescents consulted a doctor for their dysmenorrhea; 44.7% used a medical prescription and self-medication. The most common medications used were Paracetamol, Phloroglucinol and Diclofenac potassium. 74.5% used herbal treatment to manage their dysmenorrhea. The results show that risk factors that showed significant association with pain severity were family history, duration of menstrual period, nature of menstrual flow and the psychological profile. The frequency of dysmenorrhea among the District of Constantine is high, and the pain that these adolescents suffer can be severe, disabling. Our results suggest that family history, duration and nature of menstrual flow and the psychological profile are important risk factors associated with dysmenorrhea.


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Author Biographies

Hadjer MARZOUG, University of Brothers Mentouri, Faculty of Nature and Life Sciences, Department of Biochemistry and Biological Cellular and Molecular, Constantine



Kenza BOUGHAMBOUZ, University of Brothers Mentouri, Faculty of Nature and Life Sciences, Department of Biochemistry and Biological Cellular and Molecular, Constantine




Ahuja A, Sharma MK, Singh A (2016). Impact of dysmenorrhea on quality of life of adolescent girls of Chandigarh. Journal of Child and Adolescents Behavior 4:295.

Al Asadi J, Abdul Qadir R (2013). Dysmenorrhea and its impact on daily activities among secondary school students in Basra, Iraq. Journal of the Faculty of Medicine Baghdad 55(4):339-344.

Alia S, Shamssain M, Shahwan M (2016). Prevalence and impact of dysmenorrhea on health-related quality of life in the United Arab Emirates. European Journal Pharmaceutical and Medical Research 3(2):77-86.

Al-Kindi R, Al-Bulushi A (2011). Prevalence and impact of dysmenorrhoea among Omani high school students. Sultan Qaboos University Medical Journal 11:485-491.

Al-Matouq S, Al-Mutairi H, Al-Mutairi O, Abdulaziz F, Al-Basri D, Al-Enzi M, Al-Taiar A (2019). Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics 19:80.

Anandha Lakshmi S, Saraswathi I, Saravanan A, Ramamchandran C (2011). Prevalence of premenstrual syndrome and dysmenorrhoea among female medical students and its association with college absenteeism. International Journal of Biological and Medical Research 2(4):1011-1016.

Aouad P, Bui M, Sarraf S, Donnelly T, Chen Y, Jaaniste T, Eden J, Champion D (2022). Primary dysmenorrhoea in adolescents and young women: A twin family study of maternal transmission, genetic influence and associations. Australian and New Zealand Journal of Obstetrics and Gynaecology 62(5):725-731.

Bahrami A, Sadeghnia H, Seyed A, Mirmousavi JA, Eslami S, Heshmati M, Bahrami-Taghanaki H, Gordon A, Majid Ghayour-Mobarhan F (2017). Neuropsychological function in relation to dysmenorrhea in adolescents. European Journal of Obstetrics & Gynecology and Reproductive Biology 215:224-229.

Baidya S, Debnath M, Das R (2014). A study of reproductive health problems among rural adolescent girls of Mohanpur block of West Tripura district. Religion 200:100.

Balbi C, Musone R, Menditto A, Di Prisco L, Cassese E, D’Ajello M, ... Cardone A (2000). Influence of menstrual factors and dietary habits on menstrual pain in adolescence age. European Journal of Obstetrics & Gynecology and Reproductive Biology 91(2):143-148.

Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K (1991). The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. Journal of Palliative Care 7(2):6-9.

Cerin A, Collins A, Landgren BM, Eneroth P (1993). Hormonal and biochemical profiles of premenstrual syndrome. Acta Obstetricia et Gynecologica Scandinavica 72:337-343.

Champion D, Bui M, Bott A, Donnelly T, Goh S, Chapman C, ... Hopper J (2021). Familial and genetic influences on the common pediatric primary pain disorders: a twin family study. Children 8(2):89.

Dawood MY (2006). Primary dysmenorrhea: advances in pathogenesis and management. Obstetrics & Gynecology 108:428-441.

De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M (2017). Dysmenorrhea in adolescents and young adults: a review in different country. Acta Biomed 87(3):233-246.

De Sanctis VM, Soliman A, Bernasconi S, Bianchin L, Bona G, Bozzola M, ... Perissinotto E (2015). Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatric Endocrinology Reviews (PER) 13(2):465-473.

Friedrichsdorf SJ, Giordano J, Desai Dakoji K, Warmuth A, Daughtry C, Schulz CA (2016). Chronic pain in children and adolescents: diagnosis and treatment of primary pain disorders in head, abdomen, muscles and joints. Children 3(4):42.

Gordley LB, Lemasters G, Simpson SR, Yiin JH (2000). Menstrual disorders and occupational, stress, and racial factors among military personnel. Journal of Occupational and Environmental Medicine 42:871-881.

Goubert L, Crombez G, Van Damme S (2004). The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. Pain 107(3):234-241.

Habibi N, Huang MS, Gan WY, Zulida R, Safavi SM (2015). Prevalence of primary dysmenorrhea and factors associated with its intensity among undergraduate students: a cross-sectional study. Pain Management Nursing 16(6):855-861.

Haque SE, Rahman M, Itsuko K, Mutahara M, Sakisaka K (2014). The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. BMJ Open 4(7):e004607.

Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM (1999). Primary dysmenorrhea in young Western Australian women: prevalence, impact, and knowledge of treatment. Journal of Adolescent Health 25(1):40-45.

Ibrahim N, AlGhamdi M, Al-Shaibani A, AlAmri F, Alharbi H, Al-Jadani A, Alfaidi R (2015). Dysmenorrhea among female medical students in king Abdulaziz University: prevalence, predictors and outcome. Pakistan Journal of Medical Sciences 31(6):1312-1317.

Jensen D, Andersen K, Wagner G (1987). Prostaglandins in the menstrual cycle of women. A review. Danish Medical Bulletin 34(3):178-182.

Kamel D, Tantawy S, Abdelsamea G (20170. Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study. Journal of Pain Research 10:1079-1085.

Khamdan HY, Aldallal KM, Almoosa EM, Al Omani NJ, Haider AS, Abbas ZI (2014). The impact of menstrual period on physical condition, academic performance and habits of medical students. Journal of Women Health Care 3:185.

Kho KA, Shields JK (2020). Diagnosis and management of primary dysmenorrhea. JAMA 323:268-269.

Klein JR, Litt IF (1981). Epidemiology of adolescent dysmenorrhea. Pediatrics 68:661.

László KD, GyŐrffy Z, Ádám S, Csoboth C, Kopp MS (2008). Work-related stress factors and menstrual pain: a nation-wide representative survey. Journal of Psychosomatic Obstetrics & Gynecology 29(2):133-138.

Latthe P, Mignini L, Gray R, Hills R, Khalid K (2006). Factors predisposing women to chronic pelvic pain: systematic review. BMJ 332(7544):749-55.

Lghoul S, Loukid M, Hilali MK (2020). Prevalence and predictors of dysmenorrhea among a population of adolescent’s schoolgirls (Morocco). Saudi Journal of Biological Sciences 27(7):1737-1742.

Liang W, Zhang Y, Huajun LI, Jingjing CHU, Zhenwei QIN, Lixia LOU, ... Wei WANG (2012). Personality and Primary Dysmenorrhea: a study using a five-factor model in Chinese university women. Archives of Neuropsychiatry/Noropsikiatri Arsivi 49(2)92-95.

Loeser JD, Treede RD (2008). The Kyoto protocol of IASP basic pain terminology. Pain 137:473-477.

Mohamed EM (2012). Epidemiology of dysmenorrhea among adolescent students in Assiut City, Egypt. Life Science Journal 9:348-353.

Mrugacz G, Grygoruk C, Sieczyński P, Grusza M, Bołkun I, Pietrewicz P (2013). Etiopathogenesis of dysmenorrhea. Medycyna wieku rozwojowego 17(1):85-89.

Nohara M, Momoeda M, Kubota T, Nakabayashi M (2011). Menstrual cycle and menstrual pain problems and related risk factors among Japanese female workers. Industrial Health 49(2):228-234.

Nooh AM (2015). Menstrual disorders among Zagazig university students, Zagazig, Egypt. Middle East Fertility Society Journal 20(3):198-203.

Nygren K, Rybo G (1983). Prostaglandins and menorrhagia. Acta Obstetrica Gynecologica Scandinavica 113:101-103.

Ortiz MI, Rangel-Flores E, Carrillo-Alarcon LC, Veras-Godoy HA (2009). Prevalence and impact of primary dysmenorrhea among Mexican high school students. International Journal of Gynecology and Obstetrics 107:240-243.

Parker MA, Sneddon AE, Arbon P (2010). The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population‐based study of Australian teenagers. BJOG: An International Journal of Obstetrics & Gynaecology 117(2):185-192.

Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P (2006). The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG: An International Journal of Obstetrics & Gynaecology 113:453-463.

Potur DC, Bilgin NC, Komurcu N (2014). Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. Pain Management Nursing 15(4):768-777.

Proctor M, Farquhar C (2006). Diagnosis and management of dysmenorrhoea. BMJ 332:1134.

Sahin N, Kasap B, Kirli U, Yeniceri N, Topal Y (2018). Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea. Reproductive Health 15:13.

Shiferaw MT, Wubshet M, Tegabu D (2014). Menstrual problems and associated factors among students of Bahir Dar University, Amhara National Regional State, Ethiopia: a cross-sectional survey. The Pan African Medical Journal 17.

Unsal A, Tozun M, Aslan G, Ayranci U, Alkan G (2010). Evaluation of dysmenorrhea among women and its impact on quality of life in a region of Western Turkey. Pakistan Journal of Medical Sciences 26(1).

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, ... Xu X (2004). Stress and dysmenorrhoea: a population based prospective study. Occupational and Environmental Medicine 61(12):1021-1026.

WHO (World Health Organization) (1996). Cancer pain relief, 2nd ed., Geneva, Switzerland: World Health Organization.

Ylikorkala O, Dawood MY (1978). New concepts in dysmenorrhea. American Journal of Obstetrics and Gynecology 130(7):833-847.

Zhou H-G, Yang Z-W (2010). Students Group. Prevalence of dysmenorrhea in female students in a Chinese University: a prospective study. Health 2(4):311-314.

Zhu X, Wong F, Bensoussan A, Zhou SK, Lo C, Yu (2010). Are there any cross-ethnic differences in menstrual profiles? A pilot comparative study on Australian and Chinese women with primary dysmenorrhea. Journal of Obstetrics and Gynaecology Research 36(5):1093-1101.



How to Cite

ABED, N., MARZOUG, H., & BOUGHAMBOUZ, K. (2023). Primary dysmenorrhea among adolescents in the District of Constantine, Algeria. Notulae Scientia Biologicae, 15(3), 11633.



Research articles
DOI: 10.55779/nsb15311633

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