Turkish Adaptation, Reliability, and Validity of the SAMANTA Questionnaire for Non-Pregnant Women of Reproductive Age

Background: Heavy menstrual bleeding (HMB) significantly impacts women’s quality of life (QoL). However, despite the high prevalence of HMB, culturally adapted screening tools remain scarce in Turkey. This study aimed to adapt and validate the SAMANTA questionnaire for non-pregnant Turkish women of reproductive age. Methods: This two-stage methodological study was conducted between January and June 2023. The adaptation process involved translating the SAMANTA questionnaire and culturally aligning it to Turkish healthcare practices. Psychometric testing was conducted on 148 women aged 18–45 years recruited from outpatient gynecological services at a tertiary care institution. Reliability was assessed through internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficient, ICC). Validity was evaluated by examining correlations between questionnaire scores and external measures of HMB severity and QoL. Results: The Turkish SAMANTA questionnaire exhibited satisfactory internal consistency, reflected by a Cronbach’s alpha of 0.713, and an ICC of 0.668, reflecting moderate reproducibility across the test-retest assessment. Significant correlations with external measures, including HMB severity (r = 0.762), supported its criterion validity. Over half of the participants (50.7%) scored ≥3, indicating the presence of HMB symptoms. Responses highlighted the substantial impact of HMB on daily activities, emotional well-being, and social engagement. Conclusions: The Turkish SAMANTA questionnaire represents a reliable and culturally appropriate tool for screening HMB. The straightforward design and cultural adaptation make the Turkish SAMANTA questionnaire suitable for identifying women who may require further clinical evaluation. Future research should explore its utility in various clinical contexts, including primary care, and community health initiatives.