Adolescence is the age between 10-19 years. It is an important phase of life where tremendous changes take place in a girls mental and physical development. Puberty means the process of a child developing into a sexually mature adult, which in females includes the increase in height, or the growth spurt, the development of breast (thelarche) and growth of body hair (called pubarche)and finally the beginning of periods or menarche.

Every girl develops at her own pace, these changes can start as early as 9 years and usually most girls get their periods or menstruation by the age of 16. The breast development usually starts a few years early. You should meet your doctor if you’ve not started menses by the age of 15.

In the first couple of years of menstruation, the cycles could be irregular. But it is better to consult your doctor if you are getting periods every 15 days or not getting them upto 2 months.

Period pain or dysmenorrhoea is a common symptom. It is usually nothing to worry about. Simple measures like heating pads, massage, rest and pain relief medication during those days Help. Also, keeping active, having a healthy diet, exercise and sleep routine and avoiding stress throughout the month reduce pain in periods. If these lifestyle changes fail to correct your pain, then you must visit your gynecologist.

Menstrual hygiene is an important aspect to discuss with adolescents. It helps reduce the risk of Urinary Tract Infections, reduces incidence of rashes in private parts, it ensures good reproductive health and minimizes risk of cervical cancer. Girls should

• Change the pad every four hours.
• Clean reusable pads properly.
• Keep the vaginal area clean.
• Never use two pads simultaneously.
• Wear comfortable, clean underwear.