Introduction:In India, there are 253 million adolescent girls between the ages of 10 and 19.The frequency of menstruation problems has been reported to be between 85.0 and 93.4%.The global pattern shows a secular decline in the menarcheal age from 16.50 years to 12.43 years.This age-group symbolizes the period of life that occurs when a person experiences significant biological, psychological, or physical growth and development.Menarche, the onset of menstruation, is a key developmental milestone in adolescence, crucial for assessing normal growth and excluding health issues.It significantly influences a woman's reproductive health (UDAYA, 2016).The initial round of the "Understanding the Lives of Adolescents and Young Adults (UDAYA)" survey found menstruation-related problems affecting young schoolgirls.Objective of study 1: To develop and validate a comprehensive scale for assessing and grading menstrual symptoms among adolescent girls.Material: A standardized, self-made comprehensive scale was used.Research design: Diagnostic study.Techniques: Simple random sampling technique.Sample size: Two hundred adolescent girls in Wardha schools.Results: Method used for development, validation, and piloting of the comprehensive menstrual symptoms assessment: "The final scale comprised 12 items categorized into the following domains: Negative affect, activity level changes, physical symptoms, mood changes, concentration level changes, body water retention, and premenstrual dysphoric disorder (PMDD)." One or more of the following symptoms PMDD, amount of blood loss (normal, oligo-, and poly-menorrhagia), dysmenorrhea, delayed menarche, combined symptoms (one or more of the symptoms) were included inter-rater correlation between two of the raters shows correlation coefficient value r = 0.998 for physical symptoms, r = 0.987 for affective symptoms, r = 0.95 for concentration and behavior symptoms, r = 0.962 for negative symptoms, r = 0.997 for PMDD, and r = 0.996 for combined symptoms. Conclusion:The comprehensive menstrual symptoms scale (CMSS) exhibited acceptable validity and reliability.Further research is required to assess menstrual symptoms among adolescent girls across different age-groups.
Bali N. Thool (Wed,) studied this question.