• POONAM SHARMA
• Dr. MURARI LAL DHAKAR

According to WHO adolescence is defined as a period between 10-19 years of age. During this time adolescence will develop a personal sense of individual identity and feeling of self worth which also includes an alteration of body image, adaptation to more mature intellectual abilities adjustment to society’s demand for behavioral maturity, internalizing personal value system and preparing for adult role. In girls adolescence is recognized as a turbulent period which signifies the transition from girlhood to womanhood. A woman goes through several developmental milestones that greatly influence her reproductive health. Puberty especially the onset of menstruation poses a challenge to an adolescence girls because it usually occurs before they knows about it. It is exceptionally a special period in girl’s life that requires special attention. Attaining menarche is a usual biological process and the duration of monthly cycle is usually of 28 ± 2-3 days which is identified by constant and repeated detaching of progestetional endometrial combined by 50 –200 ml blood loss between implies changing of 3-5 pads/day represents ordinary flow. Due to menstruation related problems adolescent girls, young adult and women normal will affect. Imbalance monthly cycles & other problems related to menstruation are often coupled with reproductive problems psychological physical mental and social problems such health harms related to system of procreative are dysmenorrheal, PMS, uneven cycles and sexual tract infections. Youngsters are ignorant of the biological and natural function of their body and Issues associated with menstruation are never discussed openly. Faulty perceptions on menstruation will lead to faulty menstrual practices because their mothers and family members shy away to negotiate the difficulties of children’s. Mothers themselves are facts of the natural biological process. This makes adolescent girls grow up with limited knowledge. Adolescent girls are also vulnerable for under nutrition and anemia Apart from menstrual disorders along with menstrual problems. The count of RBC is less or Hb% is less such condition is called as anemia. Hemoglobin present in RBC that enables to carry o2 from lungs to various parts of body. When decreased RBC or less HB % is seen, blood fail to supply adequate oxygen and tissues starts producing the anemia symptoms. (Gupta and Kochar, Dietary iron requirement in women and girls is more than men because of menstruation pregnancy, lactation and other demands on their bodies. Inadequate iron in the diet causes anemia. Iron-deficiency anemia is major prevailing nutritional deficiency around the world especially among adolescent girls. Because the total nutrient requirements are increased during adolescence period to support a dramatic growth and development Eating right food at right time will prevent nutritional deficiencies especially iron deficiency disorders. Good diet is needed for proper growth and development of adolescents, for boosting their immunity and preventing conditions like anemia. Vitamin D and calcium in diet and weight bearing exercises build up the bone mass in this age. Seventy-five percent of girls affected by menstrual problems, because of cultural taboos male dominance and deficient knowledge about menstrual cycle leads to attendance shortage in female college students and they won’t seek health services, and malnutrition in teenage girls are more prevalent which contributes for occurrence of seminal problems. Many medical conditions may be the cause for uneven monthly cycles. Ninety percent of menstrual problems are preventable detected early and properly treated by appropriate methods at peripheral level itself. Negligence of Women’s health is seen because, mothers themselves are not aware about facts in terms of menstruation and anemia. At most demographic and fiscal force formed by youth, and these youths are coming up citizens of nation. Pre-adult period youths are prepared for undertaking better tasks like social cultural family and financial issues in adulthood well in advance if we teach the teenager about menstrual hygiene monthly cycle and deficiency disorder they can take-care of their later life. If the community nurse able to address these problems effectively in rural families and guide them in right way to manage their general health and become healthy feature mother

"“A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING MENSTRUAL HYGINE AND NUTRITIONAL ANEMIA AMONG TEENAGE GIRLS AT SELECTED NURSING COLLEGES HISAR DISTRICT HARYANA”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 5, page no.k358-k375, May-2025, Available :http://www.jetir.org/papers/JETIR2505B24.pdf

"“A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING MENSTRUAL HYGINE AND NUTRITIONAL ANEMIA AMONG TEENAGE GIRLS AT SELECTED NURSING COLLEGES HISAR DISTRICT HARYANA”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 5, page no. ppk358-k375, May-2025, Available at : http://www.jetir.org/papers/JETIR2505B24.pdf