Effectiveness of Mint and Fenugreek Paste for Reduction of Dysmenorrhea among the Adolescent Girls in Selected Areas

Menstruation is an ordinary physiological marvel for ladies showing her capacity for reproduction. Monthly cycle is an intricate cycle, including the conceptive and endocrine framework. It has to be a regular cycle. Anyway, this ordinary wonder isn’t a simple one; it is regularly connected with some level of sufferings and shame. The pain during the menstrual cycle is known as Dysmenorrhea. The present study aims to determine the effectiveness of dietary mint and fenugreek paste for the reduction of dysmenorrhea among adolescent girls. A quantitative experimental research was conducted among 60 adolescent girls. A convenient sampling technique was used to select the samples. Self-administered structured questionnaires were used to collect demographic data, and pain scale was assessed. After the Pretest, an intervention was given to the study participants, i.e. administration of 6 grams of mint fenugreek paste prepared from 2 grams of mint powder, 2 grams of fenugreek powdermix with 2 grams of honey. It was given orally twice a day (i.e. 2 days before and 3 days during the cycle). On 5 day after intervention, posttest was conducted by a numeric pain rating scale. The study results shows mint and fenugreek paste had a signi icant reduction in the dysmenorrhea, p<0.001. Thereby, this indicates that the mint and fenugreek paste is effective in reducing the pain during menstruation.


INTRODUCTION
Menstruation is an ordinary physiological marvel for ladies showing her capacity for reproduction. The menstrual cycle is a complex process involving the reproductive and endocrine system. It is the regular cycle (Janssen et al., 2013). Anyway, this ordinary wonder isn't a simple one; it is regularly connected with some level of sufferings and shame. The pain during the menstrual cycle is known as Dysmenorrhea. It typically starts around the time that the monthly cycle starts. Side effects normally last under three days (Banikarim et al., 2000). The torment is typically in the pelvic area or lower abdomen. Other indications may incorporate back torment, looseness of the bowels, or sickness. In young ladies, agonizing periods happens with no issue (Campbell and McGrath, 1997). It is more normal among those with hefty periods, unpredictable periods whose periods began before twelve years old, or who have low body weight (Ameade et al., 2018). Dysmenorrhea is the common problem among the adolescent girls during menstruation. It in luences around 40 to 70 % of ladies of conceptive age with 10% of ladies depicting serious side effects. Among the feminine problems, dys-menorrhea is the most widely recognized one in, half of the ladies of youngster bearing age (Sharma et al., 2008). In 60-90% of juvenile young ladies in India, dysmenorrhea is a signi icant reason for non-attendance from school or limitation of day by day living or social connection. In the second and third year after menarche, 20% of ladies encounter dysmenorrhea. About 80% of ladies create torment during the period inside the long term of menarche. Beyond 25 years old years, the instance of dysmenorrhea is typically optional to other pelvic issues (Hilário et al., 2009).
The home consideration the executives to lessen dysmenorrhea is watched more if there should arise an occurrence of those with iron insuf iciency of general handicap. It is essential to have an even nutritious eating routine which incorporates green vegetables, occasional natural products, dates, coconut, milk and milk items, entire grain oats, entire heartbeats, mustard leaves, bathua, spinach, fenugreek, dried foods grown from the ground. Half teaspoon of sesame powder taken with warm water two times per day is additionally valuable to ease torment. Bathua is generally excellent for restoring iron de iciency and torment during a feminine cycle. One teaspoon of radish seed powder brought with warm water two times per day is acceptable in such conditions. A large portion of the girls utilize home solutions for easing the Dysmenorrhea.
Accordingly, a large portion of the home solutions for feminine issues are widening the veins and facilitating the muscles. The remedies for Dysmenorrhoea include hot application measures, exercise, diet, herbs and rest & sleep (Banikarim et al., 2000). Mint leaves have the probability of decreasing postoperative nausea. It very well may be additionally used to mitigate queasiness brought about by movement disorder or feminine spasms by loosening up the smooth muscles of the stomach pit (Masoumi et al., 2016). Mint can calm muscle hurts and agony by reproducing similar desensitizing activity on the nerves which distinguish torment. Acid re lux can be assuaged liquids and utilized as a solution for awful breath. It has antispasmodic movement and narcotic properties which can ease strain during agony and muscle hurts (Khodakarami et al., 2015).
Before a decade a study conducted to assess the effectiveness of the mint extract upon dysmenorrhea among the students in Chennai, in which, the level of dysmenorrhea was assessed before and after mint extracts administration for consecutive days. The distinction between the trial pretest and posttest is discovered to be measurably demonstrated to be critical. There was no huge relationship between the chose segment factors and pretest post-test dysmenorrhea score. The outcome could be ascribed to the viability of the mint concentrate (Unsal et al., 2010). The purpose of the study [1] to assess the level of Dysmenorrhea among adolescent girls [2] to assess of the level of knowledge regarding dysmenorrheal and self-care among adolescent girls.
[3] to assess the effectiveness of the administration of the Mint and fenugreek paste and fenugreek paste among adolescent girls.
[4] to associate with the level of pain after administration of mint and fenugreek paste among adolescent girls with the selected demographic variables.

MATERIALS AND METHODS
A quantitative research approach with an experimental one group pretest post-test research design was used to conduct the study in Thiruvallur district. Last information was gathered in the period of January 2020 among juvenile young ladies. Reason for the examination was disclosed to the subjects. The subjects were guaranteed about anonymity and privacy of the data gave by them, and composed assent was taken from the adolescent girls. Total 60 adolescents were selected by using a convenient sampling technique. The data collection period was done with prior permission from the institutions. A pretest was conducted using a numeric pain rating scale. After pretest intervention was given to the study participants, i.e. administration of 6 grams of mint and fenugreek paste prepared from 2 grams of fenugreek and 2 grams of mint and 1 grams of honey. It was given orally twice a day after food, 2 days prior to menstruation and 3 days during menstruation, on the 5 th day after intervention post-test was conducted by using a numeric pain rating scale. The data were analyzed using descriptive and inferential statistics. The sample characteristics were described using frequency and percentage. Pearson's correlation coef icient was used to assess the effectiveness of mint and fenugreek paste among adolescent girls. Chi-square was used to associate the post-test level of pain with the selected demographic variables.

RESULTS AND DISCUSSION
Section A: Description of the demographic variables of the adolescent girls.
Most of the adolescent girls 44(73.3%) were in the age group of 18-20 years 40(66.7%) were graduate and above 40(66.7%) were Hindus 33(55%) belonged to the nuclear family and 44(73.4%) were non-vegetarian.   The study revealed that the majority 55% of nursing students had severe pain during dysmenorrhea in Pretest, whereas a majority of 57% of nursing students had mild pain during dysmenorrhea in Posttest. Results depicted that pretest means dysmenorrhea score of nursing students was 6.3±2.04, and post-test mean dysmenorrhea score of nursing students was 2.68±1.71. This difference in the mean scores was statistically signi icant at p<0.001 level.
The study concluded that there was a decrease in the level of pain during dysmenorrhea after administration of mint leave paste (Kaur et al., 2017).
Section D: Association of the level of pain among adolescent girls with selected demographic variables.

CONCLUSIONS
Mint and fenugreek paste is an effective measure to reduce the dysmenorrhea. From the result of the study, it was concluded that mint and fenugreek paste reduced the pain level of the adolescent girls and had increased level of knowledge on dysmenorrhea. Thereby it is also the comfortable and easy method that can be practised by the adolescent girls to reduce the pain level of dysmenorrhea.