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Analysis of Factors Affecting the Menstrual Cycle Among Adolescent Girls: A Scoping Review Aningsih, Sri; Amalia, Silviatul; Safitri, Yulia Retno; Rahayu, Widya
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.286

Abstract

Menstruation is an important indicator of women’s reproductive health and is frequently disrupted during adolescence due to physiological adaptation and multiple external factors. This study aims to identify and synthesize the determinants influencing menstrual cycle regularity among adolescent girls based on recent research evidence. A Scoping Review was conducted according to PRISMA guidelines, using articles published between 2021–2025 from PubMed, Scopus, Science Direct, and Wiley databases. Eight eligible studies were analyzed narratively under three main categories: psychological, physiological, and lifestyle factors. Findings indicate that stress is the most dominant factor associated with menstrual cycle disturbances through hypothalamic–pituitary–ovarian (HPO) axis dysfunction. Physiological factors such as high body mass index (BMI), obesity, and hormonal imbalance were significantly correlated with irregular cycles and increased risk of polycystic ovary syndrome (PCOS). Unhealthy lifestyle behaviors, including sleep duration of <6 hours, high-fat intake, and excessive physical activity, further contributed to irregularities. Poor sleep quality and unbalanced diet disrupted the circadian rhythm and hormonal regulation of the reproductive system. Overall, menstrual irregularities result from an interaction of biological, psychological, and behavioral factors, most of which are modifiable. Comprehensive reproductive health education and healthy lifestyle interventions are crucial to prevent and manage menstrual disorders. Further longitudinal studies are recommended to strengthen causal evidence among variables
Relationship Between Academic Stress Levels And Menstrual Cycle Regularity Among Female Students At Vocational High School Al Azhar Amalia, Silviatul; Aningsih, Sri
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.326

Abstract

Adolescent girls’ reproductive health can be reflected through the regularity of their menstrual cycles, which are influenced by biological and psychological factors such as academic stress. Stress can disrupt the regulation of reproductive hormones through the activation of the hypothalamic pituitary adrenal (HPA) axis, potentially leading to menstrual irregularities. This study aimed to determine the relationship between academic stress levels and menstrual cycle regularity among adolescent girls at Vocational High School Al Azhar. This study used a cross-sectional methodology and a quantitative analytic observational design.  200 female students in grades X–XII who were chosen using complete sampling made up the study population.  A validated menstrual cycle questionnaire and the Perceived Stress Scale (PSS) were used to gather data.  The Chi-Square (χ²) test was used to analyze the data. The results showed that most respondents were 17 years old (64.5%) and had normal nutritional status (68.5%). The majority experienced mild stress (59%) and had normal menstrual cycles (85.5%). However, statistical analysis revealed a significant relationship between academic stress levels and menstrual cycle regularity (p = 0.005). The higher the academic stress level, the greater the likelihood of experiencing menstrual irregularities. Therefore, school-based promotive and preventive interventions such as stress management education, healthy sleep patterns, and balanced lifestyle programs are recommended to support adolescent reproductive health