Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2020

01-12-2020 | Analgesics in Dentistry | Research article

Use of complementary and alternative therapies for the treatment of dysmenorrhea among undergraduate pharmacy students in Malaysia: a cross sectional study

Authors: Usman Abubakar, Amni Izzati Zulkarnain, Fatihah Samri, Sabrina Ros Hisham, Anis Alias, Muhammad Ishak, Hajarah Sugiman, Taufik Ghozali

Published in: BMC Complementary Medicine and Therapies | Issue 1/2020

Login to get access

Abstract

Background

Dysmenorrhea is a common problem that affects female students’ quality of life and academic activities. Complementary and alternative therapies (CATs) are used for the treatment of dysmenorrhea. This study investigated the practices and perceptions of female undergraduate students with dysmenorrhea towards CATs.

Methods

This was a cross-sectional study conducted among undergraduate pharmacy students in a public university in Malaysia using a validated and pre-tested self-administered questionnaire. The study was conducted in November and December 2019. The data was analysed using descriptive and inferential statistical tests.

Results

Of the 318 female undergraduate students invited, 219 completed the questionnaire (response rate: 68.9%) with 52% aged between 21 and 23 years. The prevalence of dysmenorrhea was 72.1%, and the prevalence of ever-use and current use of CATs was 70.3 and 54.4%, respectively. Bed rest (71.5%), hot compress/heating pad (47.5%) and massage (43.0%) were the most common CATs used by the respondents. The most common reasons for using CAT were to reduce the need for analgesics (61.4%), efficacy (37.3%) and recommendation by others (32.9%). About 23 and 9% of the respondents believed that CATs were equally “effective” and “more effective” than analgesics, respectively. Reducing the need for analgesics (AOR: 4.066, 95% CI: 2.136–7.739) and those who agreed that CATs are effective (AOR: 2.701, 95% CI: 1.337–5.457) were independently associated with the current use CATs for the treatment of menstrual pain.

Conclusion

The prevalence of ever-use and current use of CATs is high among female undergraduate pharmacy students. Bed rest and heat applications are the most common CATs used. Reducing the need for analgesics and efficacy are the factors associated with the current use of CATs. Students should be educated about the safe and effective use of CATs to reduce adverse effects and improve their quality of life.
Appendix
Available only for authorised users
Literature
1.
go back to reference De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Biomed. 2016;87(3):233–46.PubMed De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Biomed. 2016;87(3):233–46.PubMed
2.
go back to reference Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762–78.CrossRefPubMed Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762–78.CrossRefPubMed
3.
go back to reference Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):18.CrossRefPubMedPubMedCentral Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):18.CrossRefPubMedPubMedCentral
4.
go back to reference Ameade EP, Amalba A, Mohammed BS. Prevalence of dysmenorrhea among university students in northern Ghana; its impact and management strategies. BMC Womens Health. 2018;18(1):39.CrossRefPubMedPubMedCentral Ameade EP, Amalba A, Mohammed BS. Prevalence of dysmenorrhea among university students in northern Ghana; its impact and management strategies. BMC Womens Health. 2018;18(1):39.CrossRefPubMedPubMedCentral
5.
go back to reference Najafi N, Khalkhali H, Tabrizi FM, Zarrin R. Major dietary patterns in relation to menstrual pain: a nested case control study. BMC Womens Health. 2018;18(1):69.CrossRefPubMedPubMedCentral Najafi N, Khalkhali H, Tabrizi FM, Zarrin R. Major dietary patterns in relation to menstrual pain: a nested case control study. BMC Womens Health. 2018;18(1):69.CrossRefPubMedPubMedCentral
6.
go back to reference Alsaleem MA. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: an exploratory study. J Family Med Prim Care. 2018;7(4):769.CrossRefPubMedPubMedCentral Alsaleem MA. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: an exploratory study. J Family Med Prim Care. 2018;7(4):769.CrossRefPubMedPubMedCentral
7.
go back to reference Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med. 2000;154(12):1226–9.CrossRefPubMed Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med. 2000;154(12):1226–9.CrossRefPubMed
8.
go back to reference Schoep ME, Adang EM, Maas JW, De Bie B, Aarts JW, Nieboer TE. Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women. BMJ Open. 2019;9(6):e026186.CrossRefPubMedPubMedCentral Schoep ME, Adang EM, Maas JW, De Bie B, Aarts JW, Nieboer TE. Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women. BMJ Open. 2019;9(6):e026186.CrossRefPubMedPubMedCentral
9.
go back to reference Armour M, Parry K, Al-Dabbas MA, Curry C, Holmes K, MacMillan F, et al. Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: a systematic review and meta-analysis. PLoS One. 2019;14(7):e0220103.CrossRefPubMedPubMedCentral Armour M, Parry K, Al-Dabbas MA, Curry C, Holmes K, MacMillan F, et al. Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: a systematic review and meta-analysis. PLoS One. 2019;14(7):e0220103.CrossRefPubMedPubMedCentral
10.
go back to reference Yu A. Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract. 2014;39(11):1–2.CrossRefPubMed Yu A. Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract. 2014;39(11):1–2.CrossRefPubMed
11.
go back to reference Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, et al. Prevalence, impact, and management practice of dysmenorrhea among University of Gondar Students, northwestern Ethiopia: a cross-sectional study. Int J Reprod Med. 2017;2017:3208276.CrossRefPubMedPubMedCentral Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, et al. Prevalence, impact, and management practice of dysmenorrhea among University of Gondar Students, northwestern Ethiopia: a cross-sectional study. Int J Reprod Med. 2017;2017:3208276.CrossRefPubMedPubMedCentral
12.
go back to reference Samba Conney C, Akwo Kretchy I, Asiedu-Danso M, Allotey-Babington GL. Complementary and alternative medicine use for primary dysmenorrhea among senior high school students in the Western region of Ghana. Obstet Gynecol Int. 2019;2019:8059471.CrossRefPubMedPubMedCentral Samba Conney C, Akwo Kretchy I, Asiedu-Danso M, Allotey-Babington GL. Complementary and alternative medicine use for primary dysmenorrhea among senior high school students in the Western region of Ghana. Obstet Gynecol Int. 2019;2019:8059471.CrossRefPubMedPubMedCentral
13.
go back to reference Yesuf TA, Eshete NA, Sisay EA. Dysmenorrhea among university health science students, northern Ethiopia: impact and associated factors. Int J Reprod Med. 2018;2018:9730328.CrossRefPubMedPubMedCentral Yesuf TA, Eshete NA, Sisay EA. Dysmenorrhea among university health science students, northern Ethiopia: impact and associated factors. Int J Reprod Med. 2018;2018:9730328.CrossRefPubMedPubMedCentral
14.
go back to reference Yusof J, Mahdy ZA, Noor RM. Use of complementary and alternative medicine in pregnancy and its impact on obstetric outcome. Complement Ther Clin Pract. 2016;25:155–63.CrossRefPubMed Yusof J, Mahdy ZA, Noor RM. Use of complementary and alternative medicine in pregnancy and its impact on obstetric outcome. Complement Ther Clin Pract. 2016;25:155–63.CrossRefPubMed
15.
go back to reference Mohamad TA, Islahudin F, Jasamai M, Jamal JA. Preference, perception and predictors of herbal medicine use among Malay women in Malaysia. Patient Prefer Adherence. 2019;13:1829.CrossRef Mohamad TA, Islahudin F, Jasamai M, Jamal JA. Preference, perception and predictors of herbal medicine use among Malay women in Malaysia. Patient Prefer Adherence. 2019;13:1829.CrossRef
16.
go back to reference Kartal YA. Complementary and alternative medicine therapy use of Western Turkish students for menstrual symptoms. Int J Caring Sci. 2019;12(2):1097. Kartal YA. Complementary and alternative medicine therapy use of Western Turkish students for menstrual symptoms. Int J Caring Sci. 2019;12(2):1097.
17.
go back to reference Parker MA, Sneddon AE, Arbon P. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG. 2010;117(2):185–92.CrossRefPubMed Parker MA, Sneddon AE, Arbon P. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG. 2010;117(2):185–92.CrossRefPubMed
18.
go back to reference Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426.CrossRefPubMedPubMedCentral Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426.CrossRefPubMedPubMedCentral
19.
go back to reference Oksuz E, Sozen F, Kavas E, Arik EP, Akgun Y, Bingol P, et al. Usage of analgesics among young girls and dysmenorrhea. Konuralp Tıp Dergisi. 2017;9(3):213–21. Oksuz E, Sozen F, Kavas E, Arik EP, Akgun Y, Bingol P, et al. Usage of analgesics among young girls and dysmenorrhea. Konuralp Tıp Dergisi. 2017;9(3):213–21.
20.
go back to reference Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. Int J Womens Health. 2018;10:35.CrossRefPubMedPubMedCentral Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. Int J Womens Health. 2018;10:35.CrossRefPubMedPubMedCentral
21.
go back to reference Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. Pain Manag Nurs. 2014;15(4):768–77.CrossRefPubMed Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. Pain Manag Nurs. 2014;15(4):768–77.CrossRefPubMed
22.
go back to reference Al-Jefout M, Seham AF, Jameel H, Randa AQ, Luscombe G. Dysmenorrhea: prevalence and impact on quality of life among young adult Jordanian females. J Pediatr Adolesc Gynecol. 2015;28(3):173–85.CrossRefPubMed Al-Jefout M, Seham AF, Jameel H, Randa AQ, Luscombe G. Dysmenorrhea: prevalence and impact on quality of life among young adult Jordanian females. J Pediatr Adolesc Gynecol. 2015;28(3):173–85.CrossRefPubMed
23.
go back to reference Aktaş D. Prevalence and factors affecting dysmenorrhea in female university students: effect on general comfort level. Pain Manag Nurs. 2015;16(4):534–43.CrossRefPubMed Aktaş D. Prevalence and factors affecting dysmenorrhea in female university students: effect on general comfort level. Pain Manag Nurs. 2015;16(4):534–43.CrossRefPubMed
24.
go back to reference Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. PLoS One. 2018;13(8):e0201894.CrossRefPubMedPubMedCentral Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. PLoS One. 2018;13(8):e0201894.CrossRefPubMedPubMedCentral
25.
go back to reference Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341–6.PubMed Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341–6.PubMed
26.
go back to reference Sukalingam K, Ganesan K. Health-related quality of life in young adult girls with dysmenorrhea among university medical students in Shah Alam, Malaysia: a cross-sectional study. Recent Adv Biol Med. 2016;2(2016):968. Sukalingam K, Ganesan K. Health-related quality of life in young adult girls with dysmenorrhea among university medical students in Shah Alam, Malaysia: a cross-sectional study. Recent Adv Biol Med. 2016;2(2016):968.
27.
go back to reference Jaiprakash H, Myint KK, Chai LY, Nasir BM. Prevalence of dysmenorrhea and its sequel among medical students in a Malaysian University. J Adv Med Medical Res. 2016;4:1–8. Jaiprakash H, Myint KK, Chai LY, Nasir BM. Prevalence of dysmenorrhea and its sequel among medical students in a Malaysian University. J Adv Med Medical Res. 2016;4:1–8.
28.
go back to reference Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):73–7.CrossRefPubMed Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):73–7.CrossRefPubMed
29.
go back to reference Kim SD. Yoga for menstrual pain in primary dysmenorrhea: a meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2019;36:94–9.CrossRefPubMed Kim SD. Yoga for menstrual pain in primary dysmenorrhea: a meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2019;36:94–9.CrossRefPubMed
30.
go back to reference Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (zingiber officinale) for dysmenorrhea: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2016;2016:6295737.PubMedPubMedCentral Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (zingiber officinale) for dysmenorrhea: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2016;2016:6295737.PubMedPubMedCentral
31.
go back to reference Armour M, Smith CA, Steel KA, Macmillan F. The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis. BMC Complement Altern Med. 2019;19(1):22.CrossRefPubMedPubMedCentral Armour M, Smith CA, Steel KA, Macmillan F. The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis. BMC Complement Altern Med. 2019;19(1):22.CrossRefPubMedPubMedCentral
32.
go back to reference Fisher C, Adams J, Hickman L, Sibbritt D. The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: a cross-sectional study. BMC Complement Altern Med. 2016;16(1):129.CrossRefPubMedPubMedCentral Fisher C, Adams J, Hickman L, Sibbritt D. The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: a cross-sectional study. BMC Complement Altern Med. 2016;16(1):129.CrossRefPubMedPubMedCentral
33.
go back to reference Jo J, Lee SH. Heat therapy for primary dysmenorrhea: a systematic review and meta-analysis of its effects on pain relief and quality of life. Sci Rep. 2018;8(1):1–8.CrossRef Jo J, Lee SH. Heat therapy for primary dysmenorrhea: a systematic review and meta-analysis of its effects on pain relief and quality of life. Sci Rep. 2018;8(1):1–8.CrossRef
34.
go back to reference Shah M, Monga A, Patel S, Shah M, Bakshi H. The effect of hypnosis on dysmenorrhea. Int J Clin Exp Hypn. 2014;62(2):164–78.CrossRefPubMed Shah M, Monga A, Patel S, Shah M, Bakshi H. The effect of hypnosis on dysmenorrhea. Int J Clin Exp Hypn. 2014;62(2):164–78.CrossRefPubMed
35.
go back to reference Shirvani MA, Motahari-Tabari N, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial. Arch Gynecol Obstet. 2015;291(6):1277–81.CrossRefPubMed Shirvani MA, Motahari-Tabari N, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial. Arch Gynecol Obstet. 2015;291(6):1277–81.CrossRefPubMed
36.
go back to reference Salmalian H, Saghebi R, Moghadamnia AA, Bijani A, Faramarzi M, Amiri FN, et al. Comparative effect of thymus vulgaris and ibuprofen on primary dysmenorrhea: a triple-blind clinical study. Caspian J Intern Med. 2014;5(2):82.PubMedPubMedCentral Salmalian H, Saghebi R, Moghadamnia AA, Bijani A, Faramarzi M, Amiri FN, et al. Comparative effect of thymus vulgaris and ibuprofen on primary dysmenorrhea: a triple-blind clinical study. Caspian J Intern Med. 2014;5(2):82.PubMedPubMedCentral
Metadata
Title
Use of complementary and alternative therapies for the treatment of dysmenorrhea among undergraduate pharmacy students in Malaysia: a cross sectional study
Authors
Usman Abubakar
Amni Izzati Zulkarnain
Fatihah Samri
Sabrina Ros Hisham
Anis Alias
Muhammad Ishak
Hajarah Sugiman
Taufik Ghozali
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2020
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-020-03082-4

Other articles of this Issue 1/2020

BMC Complementary Medicine and Therapies 1/2020 Go to the issue