The Prevalence of Oligomenorrhea and its Relation to Obesity in High School Girls in Jahrom

Document Type : Original Article


1 Assistant Professor of Obstetrics & Gynecology, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.

2 Associate Professor of Obstetrics & Gynecology, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.

3 Assistant Professor of Obstetrics & Gynecology, Faculty of Medicine, Jahrom University of Medical Sciences, Shiraz, Iran.


Introduction: Overweight and obesity are becoming problems in the world. The study was performed with the purpose of evaluating the prevalence of oligomenorrhea and its relation with obesity in girls with age 15 - 20 years old in Jahrom.
Methods: In this cross- sectional and analytical study, 618 students were considered randomly among all of high school girls during 2004-2005. The questionnaires with content of medical history and menstrual pattern were completed after explanation about it to them. Height and weight of everybody were checked and the ratio of wrist to hip circumference was recorded in each questionnaires. Data was analyzed using SPSS software version 10.
Results: The mean age was 17.1. In obese and overweight subjects, no significant difference was observed regarding menarche and its duration with other groups. The prevalence of obesity was 1.3% and prevalence of oligomenorrhea in obese subjects was 21.6%. In obese group 84% have androgenic type of obesity.
Conclusion: Obesity is significantly associated with oligomenorrhea.


  1. National Institute of Diabetes & Digestive & Kidney Disease of the NIH, Statistics related to overweight and obesity. Available at: / nutrit/ statobes.htm, 2003.
  2. Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L, et al. Obesity in adulthood and its consequence for life expectancy: a life-table analysis.Ann Intern Med 2003 Jan 7;138(1):24-32.
  3. Goldziher JW,Axelrode LR,clinical and biochemical features of polycystic ovarian disease. Fertil Steril 1963 Nov-Dec;14:631-53.
  4. American College of Obstetricians and Gynecologists: Practice Bulletin. Polycystic ovarian syndrome. Obstet Gynecol 2002;100:1389-402.
  5. Saad MF, Damani S, Gingerige RL, Riad-Gabriel MG, Khan A, Boyadjian R, et al. Sextual dimorphism in plasma leptin consentration. J Clin Endocrinol Metab 1997 Feb;82(2):579-84.
  6. Stern MP, Haffner SM. Body fat distribution and hyperinsulinemia as risk factor for diabetes and cardiovascular disease. Arteriosclerosis 1986 Mar-Apr;6(2):123-30.
  7. Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, et al. Waist cicumference and abdominal sagittal diameter: best simple antropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and woman. Am J Cardiol 1994 Mar;73(7):460-8.
  8. Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, et al. A randomized trial of a lowcarbohydrate diet for obesity. N Engl J Med 2003 May 22;348(21):2082-90.
  9. Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. 7TH ed. Philadelphia:Lippincott Williams & Wilkins;2005.
  10. Taponen S, Martikainen H, Jarvelin MR, Sovio U, Laitinen J, Pouta A, et al. Metabolic cardiovascular disease risk factors in women with self-reported symptoms of oligomenorrhea and/or hirsutism: Northern Finland Birth Cohort 1966 Study. J Clin Endocrinol Metab 2005 May;89(5):2114-8.
  11. Solomon CG, Hu FB, Dunaif A, Rich-Edwards JE, Stampfer MJ, Willett WC, et al. Menstrual cycle irregularity and risk for future cardiovascular disease. J Clin Endocrinol Metab 2005 May;87(5):2013–7 .
  12. Sheehan M. Polycystic ovarian syndrome: diagnosis and management. Clin Med Res 2004 Feb;2(1):13-27.
  13. Pasquali R, Gambineri A, Biscotti D, Vicennati V, Gagliardi L, Colitta D, et al. Effect of long-term treatment with metformin added to hypo caloric diet on body composition, fat distributions, and androgen and insulin levels in abdominally obese women with and without the polycystic ovary syndrome. J Clin Endocrinol Metab 2000 Aug;85(8);2767-74.
  14. Bulik CM, Sullivan PF, Fear JL, Pickering A, Dawn A, McCullin M. Fertility and reproduction in woman with anorexia nervosa: a countrolled study. J Clin Psychiaty 1999 Feb;60(2):130-5.
  15. Hartz AJ, Baroriak PN, Wong A, Katayama KP, Rimm AA. The association of obesity with infertility and related menstrual abnormalities in woman. Int J Obes 1979:3(1):57-73.
  16. Akbari S, Tehrani M. [The relationship between obesity With cycles without ovulation In high school girls in Khorramabad]. Proceeding of th 4th Annual Congress of Medical Student Research; 2004; Nov-Dec. [In Persian].
  17. Haghighi L, Razaghi Z. [The relationship between BMI associated with hirsutism and menstrual pattern]. [Thesis in Persian]. Tehran: Iran University of Medical Sciences;1999.
  18. Ryan KJ. Medical ethics and risk management. In: Rayan KJ, Berkowitz RS, Barbieri RL, Dunaif A. Kistnere‘s gynecology and women’s health. 7th ed. St Louis:Modsy;1999:11-9.
  19. Zeynalzadeh M, Javadian M, Haji Ahmadi M, Hedayati F. [Oligomenorrhea in high school girls in Babol 2002- 2003]. [Article in Persian]. J Babol Univ Med Sci 2004 Fall;5(20):57.