الوعي والخبرات لإناث الحجاج حول تأخير الحيض (الدورة الشهرية) أثناء الحج ١٤٣٧هـ

Abstract

هدفت الدراسة إلى تحديد الوعي واستخدام الأدوية لتأخير الحيض مع آثارها الجانبية ومستوى الرضا بين الحجاج أثناء مناسك الحج. كما تعرضت الدراسة إلى مواقف المرأة والمعتقدات حول تأخير الحيض. المواد وأسلوب البحث: تم إجراء دراسة مسح وملاحظة باستخدام استبيان ذاتي خلال الحج في الفترة التي تبدأ من 15 من ذي القعدة حتى 30 من شهر ذي الحجة. 1437 في مكة المكرمة، المملكة العربية السعودية. تم مشاركة الحجاج من النساء وعددهم (ن = 594) بين الحيض وانقطاع الطمث وأجريت مقابلات. تم تحليل البيانات باستخدام SPSS الإصدار 16. تم تحليل البيانات الرقمية باستخدام المتوسط و(الانحراف المعياري "SD")، في حين تم استخدام أرقام جنبًا إلى جنب مع النسب المئوية للمعطيات الفئوية. We aimed to determine the awareness and use of medications to suppress menstruation along with their side effects and satisfaction level among the Hajj Pilgrims. We also studied women's attitudes and beliefs about menstrual suppression . Material and Methods : An observational cross-sectional survey was performed by using self-administered structured questionnaire during Pilgrimage (Hajj) period starting from 15th of Dhul-Qaidah till 30th of Dhul-Hijjah; 1437 in Makkah, Saudi Arabia. Women Hajj pilgrims (n=594) between menarche and menopause, were interviewed. Data was analyzed using SPSS version 16. Numeric data was presented as mean (Standard deviation “SD”) while numbers along with percentages for categorical data were used . The average age of the participants was 35.3 years (SD=8.4), with 413(69.5%) being multiparous, 556(93.6%) were aware of menstruation postponement by medications and 313(56%) got this information from their family doctors. However, 381(64%) used medications and 356(93.3%) successfully achieved menstrual suppression. Norethisterone was the most commonly used 301(79%) medications. However, 21% (80/381) complained of side effects, of which the most common one was irregular spotting 31.3% (25/80) followed by abdominal pain . Satisfaction rate of medications users was 324(85%). Out of 381 women 87(22.8%) reported side effects after discontinuing the hormones, the most commonly experienced side effect was heavy prolonged bleeding 47(54%). Majority 472(79.5%) were happy with their monthly periods and 573(96.5%) didn't prefer to manipulate their periods by using hormones. The awareness that hormones can be used to postpone menstruation was high. However, the information was deficient and usually obtained through their family doctors. The medication commonly used was Norethisterone. Overall satisfaction rate with medications’ usage was high. Most women did not know what to do in case of unscheduled bleeding . Key Words: Menstrual suppression, Norethisterone, Oral contraceptive pills.