Menstrual Health and Genital Hygiene Status in Cerebral Palsy

Study Overview
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Brief Summary
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There is little information about the menstrual health and genital hygiene behaviors of young women with CP. The most important reason for this is that women with CP did not meet the inclusion criteria and were excluded from the study. This may lead to a knowledge gap that limits the design of approaches that can help women and families with CP. Therefore, this study was planned to determine menstrual health and genital hygiene behaviors in women with CP.

Official Title
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Determination of Menstrual Health and Genital Hygiene Status in Women With Cerebral Palsy

Conditions
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Menstrual Problem, Cerebral Palsy, Women's Health

Intervention / Treatment
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* Other: Evaluation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: for women with cerebral palsy (CP) Participating in the research voluntarily, Being diagnosed with CP To be GMFCS level I-II-II to be 10-30 years old, Being able to read and write Turkish, Not having any mental problems that prevent cooperation and understanding, Being a woman To have menstruated at least once. For healthy women Participating in the research voluntarily, to be 10-30 years old, Being able to read and write Turkish, Not having any mental problems that prevent cooperation and understanding, Being a woman To have menstruated at least once. Exclusion Criteria: Having a history of pregnancy Having an acute genital infection To have undergone gynecological surgery.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Control group<br>Healthy women will be included | Other: Evaluation<br>* Individuals' menstrual status, pain, menstrual symptoms and genital hygiene behaviors will be evaluated.<br>|
| Cerebral palsy group<br>Women with cerebral palsy will be included | Other: Evaluation<br>* Individuals' menstrual status, pain, menstrual symptoms and genital hygiene behaviors will be evaluated.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menstrual Pain | The highest pain intensity experienced by individuals during the menstrual period will be determined using the visual analog scale. Individuals will be asked to determine the highest pain intensity experienced during menstruation on a straight line from 0 to 10 cm. In this chart, 0 means I have no pain, 10 means I have unbearable pain. Facial expressions will be added below the line to increase the clarity of the assessment. At the same time, adolescents will be asked to mark where the pain is on the front and back body images. | A month | 
| Menstruation-related symptoms | Menstruation-related symptoms of individuals will be determined using the Menstruation Symptom Scale (MSS). The Menstruation Symptom Scale was developed by Chesney and Tasto in 1975 to assess menstrual pain and symptoms. It is a widely used scale in studies conducted in many different countries. The scale consists of 22 items questioning the symptoms related to menstruation and is scored in a five-point Likert type as never (1), rarely (2), sometimes (3) often (4) and always (5). The total score of MSS is calculated by taking the mean score of all items in the scale. An increase in the total score indicates an increase in the severity of menstrual symptoms. The scale has three sub-dimensions: 'Negative Effects/Somatic Complaints', 'Menstrual Pain' and 'Coping Methods'. | A month | 
| Genital Hygiene status | The genital hygiene behaviors of individuals will be evaluated using the Genital Hygiene Behaviors Scale (GHDS). The GHQ scale is a five-point Likert-type scale consisting of 23 items and 3 sub-dimensions developed by Karahan (2017). The level of agreement with the statements is scored as Totally agree (5), Agree (4), Undecided (3) Disagree (2), Completely disagree (1). The total score is obtained by adding the point values of the answers given to all the statements. The first 12 items of the scale include general hygiene habits, 13-20. substances, menstrual hygiene, 21-23. items are intended to determine abnormal finding awareness. 5 items of the scale have reverse entries. The total score varies between 23-115. Higher scores indicate improved genital hygiene. | A month |