This document provides information about adolescence and menstrual health for teenagers. It defines adolescence as the period between ages 10-19 according to the WHO. It describes the physical, psychological, and behavioral changes that occur during adolescence, including sexual maturity and the onset of menstruation. Statistics about adolescent health issues worldwide and in India are presented, such as high rates of pregnancy complications among adolescent girls. The document then discusses the menstrual cycle process and common symptoms. It provides guidance on menstrual hygiene and addresses some common myths and restrictions around menstruation.
Introduction to the presentation on awareness aimed at teenagers.
Key stages include infancy, childhood, adolescence (ages 10-19) as defined by WHO.
Focus on adolescent health, physical changes, global stats, and concerning pregnancy rates.
Discussion on menstruation, menstrual cycle phases, and related symptoms and hygiene.
Details on the follicular and ovulation phases, PMS symptoms, and cultural taboos.
Religious views on menstruation and common myths regarding menstrual cycles.Comparison of menstrual products, hygiene tips, and disposal methods for sanitary napkins.
Indications of menstrual cycle problems and natural remedies for cramping.
Mobile applications for tracking periods and reference materials for further learning.
KEY STAGES INLIFE
Infancy
Childhood
Adolescence
Adulthood
Old age
4.
Phase ofhuman development
encompassing the transition from
childhood toadulthood.
Acc. To WHO – age period
between 10 – 19 years for both
sexes, married & unmarried
people.
ADOLESCENCE
4
5.
ADOLESCENT
5
Adolescence
EarlyAdolescence
Middle adolescence :
Late adolescence
Youth
Young people
: 10 – 19years
: 10 – 13years
14 – 16years
: 17 – 19years
: 15 – 24 years
: 10- 24 years
7.
ADOLESCENT HEALTH
7
Majorphysical, psychological and behavioural changes
Sexual maturity &onset of sexualactivity.
Development of adult mental process &adult identity.
Great human resource for the society.
Growth spurt and physical activity.
Menstruation.
Pregnancy.
GLOBAL ADOLESCENT HEALTH
9
Complications linked to pregnancy
and childbirth are the second cause
of death for 15-19-year-old girls
globally.
Some 11% of all births worldwide are
to girls aged 15 to 19 years, and the
vast majority are in low- and middle-
income countries.
830 women and girls die everyday
due to pregnancy and childbirth.
10.
ADOLESCENT IN INDIA
10
23% of population in India are Adolescent.
Half of the group is sexually active before marriage.
Fertility rate is high in adolescent
unsafe motherhood
MMR &IMR
Low knowledge about family planning &healthysexuality
11.
ADOLESCENT IN INDIA
11
19.8% of women in age group of
15-19 are pregnant.
Age specific fertility rate for 15-19 is
107/ 1000
59% knows about condom.
49%knows about OCP.
Contraceptive use among married
adolescent 15-19 is 7%
12.
ADOLESCENT IN INDIA
12
In a 2014 study, 42% of women did not
know about sanitary pads or anatomy
and physiology in menstruation. "Most
of them were scared or worried on first
menstruation."
Half of the women suffer from
nutritional anemia.
Young people between age of 10-25
years make up 50% of all new HIV
infection.
MENSTRUAL PHASE
Cycle days(approximate) Events of the menstrual cycle
Days 1-5 (menstrual phase) •The first day of menstrual
bleeding is considered Day 1 of
the cycle.
•Bleeding is usually heaviest
on the first 2 days.
FOLICULAR PHASE
Cycle days(approximate) Events of the menstrual cycle
Days 6-14
(follicular phase)
•Once the bleeding stops, the
uterine lining (also called the
endometrium) begins to
prepare for the possibility of a
pregnancy.
•The uterine lining becomes
thicker and enriched in blood
and nutrients.
22.
OVULATION PHASE
Cycle days(approximate) Events of the menstrual cycle
14- 25 (ovulation phase) •Ovulation is when ovary releases a
mature egg.
•The egg travels down the fallopian tube
toward the uterus to be fertilized by
sperm.
•Ovulation happens at around day 14 in
28-day cycle — right in the middle of
menstrual cycle. It lasts about 24 hours.
•After a day, the egg will die or dissolve
if it isn’t fertilized
Symptoms: A slight rise in basal body
temperature. Thicker discharge that has
the texture of egg whites
23.
LUTEAL PHASE
Cycle days(approximate) Events of the menstrual cycle
Days 25-28 (luteal phase) •If the egg was not fertilized or
implantation does not occur,
hormonal changes signal the uterus
to prepare to shed its lining, and the
egg breaks down and is shed along
with lining.
•The cycle begins again on Day 1
menstrual bleeding.
25.
• Bloating
• Breastswelling, pain, or tenderness
• Mood changes
• Headache
• Weight gain
• Changes in sexual desire
• Food cravings
• Trouble sleeping
SYMPTOMS OF PMS(PRE
MENSTRUAL SYNDROME
Hinduism:Considered ritually impure,impure and polluted .women are not
allowed to “enter the kitchen and temples", wear flowers, touch other males
or females.” Women have a separate room to stay in, separate plates and
cutlery, and do not enter the kitchen or any sacred section of the house.
• Women who are into activities such as singing, tailoring or art, do not touch
their tools for these three days. On the third day, after the woman takes a
ritual bath, she is considered cleansed and may resume her normal routine.
RELIGIOUS VIEWS
28.
Christianity:
• Most Christiandenominations do not follow any specific
rituals or rules related to menstruation.
Islam:
• During menstrual periods, women are excused from
performing prayers. They should not fast.
30.
MENSTRUAL MYTHS
• Everywoman's cycle is or should be
28 days long.
• Every woman will or should bleed
every month.
• Every woman will or should ovulate
every cycle.
• If a woman bleeds, she is not pregnant.
• A woman cannot ovulate or get
pregnant while she is menstruating.
Every woman is different
31.
IDENTIFYING COMMON ISSUES
•Every woman’s menstrual cycle is
different.
• Some women get their period at the
same time each month. •Others are
more irregular.
• Some women bleed more heavily or
for a longer number of days than
others.
• Sanitary napkincan be used and
disposed in a much easier way as
compared to cloth
• It has absorbent material layer,
which provides a dry feeling
•Decreases chances of infections
• Helps in mobility and ease of daily
routine work
ADVANTAGES OF SANITARY
NAPKIN
35.
• Change atleastonce a day
• Changing every six-eight
hours is recommended
• During heavy menses, may
need to change every 3-4 hours
• Do not keep till completely
soaked
CHANGE SANITARY NAPKIN
36.
• Ensure thatclean, soft, dry and absorbent cloth
is used
• In case, it is being reused, it must be washed
thoroughly and dried in private but sunny place.
• After drying, if possible it should be ironed
• store in a clean and dry place
• Do not share this cloth with anyone
• After multiple use, dispose off this cloth
WHAT IF USING CLOTH?
37.
• If theyare left in the open, they are
a sore sight
• May lead to transmission of
infections like Hepatitis B and
hepatitis C
• Will attract flies and insects
NECESSITY TO DISPOSE OFF SANITARY
NAPKINS
38.
• Napkins shouldnot be thrown into the toilets particularly the water
closet.
• Keep old newspapers/waste paper ready to wrap the used napkin.
Drop it in the bin.
• You can dispose the contents of the bin after your cycle bleed is over
or daily.
• In case there is no disposal mechanism prevalent in your locality, see
about disposing it within your backyard itself either by sanitary pit
(burial) or incineration(burning).
DISPOSING NAPKINS
39.
• Skipped periods,or periods have
stopped entirely.
• Periods are irregular.
• Bleeding for more than seven days.
• Periods are less than 21 days or
more than 35 days apart.
• Bleeding between periods (heavier
than spotting).
SIGNS OF A PROBLEM WITH
MENSTRUAL CYCLE
40.
• Birth control
•Pregnancy
• (Poloycystic ovary syndrome PCOS)
• Uterine fibroids
• Eating disorders
THINGS THAT CAN ALTER MENSTRUAL
CYCLE
41.
• Spasmodic cramping: A diet high in linoleic and liblenic
acids, found in vegetables and fish, increases the prostaglandins
for aiding muscle relaxation.
• Congestive cramping : To counter congestive cramping, avoid
wheat and dairy products, alcohol, caffeine, and refined sugar.
UTERINE CRAMPING
42.
• Increase exercise.
•Try not using tampons.
• Avoid red meat, refined sugars,
milk, and fatty foods.
• Eat lots of fresh vegetables, whole
grains, nuts, seeds and fruit.
• Avoid caffeine.
• Meditate
• Drink ginger root tea.
NATURAL OPTIONS TO ALLEVIATE
CRAMPING
43.
• Don’t Putcayenne pepper on
food.
• Breathe deeply, relax, notice
where you hold tension in your
body and let it go.
Drink plenty of water
For men: Around 3.7 liters or
125 ounces
• For women: Around 2.7 liters
or 91 ounces
44.
• Clue
• EveTracker
• Flo Period & Ovulation
• Period Diary
• Ovia Fertility Period Tracker
• Cycles
• Dot
PERIOD TRACKING MOBILE
APPLICATIONS
REFERENCE
51
IAP textbook ofPaediatrics 5thedition
Community medicine with recent advances 3rd edition AH
Suryakantha.
National health programmes of India 11thedition J.Kishore’s
Textbook of community medicine revised 3rd edition by
Sunderlal, Adarsh,Pankaj
WHO - Adolescent health and adolescent pregnancy pdf.