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Adolescents (10-19 years) constitute about 22.8% of India’s population; approximately one-fifth population of India1. Adolescence is a highly formative period for future. Many of the challenges that emerge at this age are rooted in experience in the womb or younger childhood. Effects of neuro-biological changes in very early years can emerge in adolescence and this will influence the behaviors that can lead to many of the life threatening disease and other chronic conditions2. Intense physical, psycho-social and cognitive developments are noticed during adolescent’s period. During adolescence, there will be increase in their nutritional needs. Consequently, they gain up to 50% of their weight, more than 20% of their height, and 50% of their skeletal structure during this period3. Menstruation is an issue in an adolescent girl’s life with medical, social and psychological dimensions. It is a milestone event in female puberty and an important indicator of reproductive health4. Menstrual cycle irregularity has a physiological dimension and it is necessary to determine whether diagnostic procedures need to be initiated. Hypothalamus-pituitary-ovary axis immaturity could be one of the reasons for irregular menses5. General health, genetic, socio-economic and nutritional factors influence the age of menarche. The mean age of menarche is typically between 12 and 13 years6. Hygiene-related practices of women during Abstract

Prevalence of Menstrual Disorders and Menstrual Hygiene among School Going Adolescent Girls in Central Kerala