Rural studies were more numerous among adolescent girls across rural locations than in rural ones. The majority of research has examined awareness, attitude, conception, beliefs, cultural elements, factors, experiences, general well-being, sanitation, seeking support behavior, knowledge, perceptions, practices, prevalence, and menstruation issues. Very few Indian studies have been conducted in this community. Most of these occurred in schools. Although urban research outnumbered rural research, several studies have examined menstruation in adolescent females from rural and urban regions. More research needs to be done on menstruation in non-schooled adolescents and on interventions. Most studies have emphasized menstrual patterns, customs, and issues. ^{6 , 12 , 14 , 15} Most Indian studies were community-based; only a few were conducted in rural areas.

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To evaluate menstruation-related knowledge, attitudes, sources of information, and psychological well-being.

To determine the association between menstrual cycles of adolescent girls and their mental health in central rural India.

The present study will be a cross-sectional study.

Eligibility criteria

The inclusion criteria were adolescent girls aged 15–19 years who attained menstruation. Exclusion criteria: Girls younger than 15 years and above 19 years, as well as those who were hesitant and uncomfortable asking for information to participate in the study, were excluded.

The pre-validated questionnaire will be used to collect data in the rural part of the Wardha district in Central India.

This study will be conducted among adolescent girls aged 15-19 in the rural area of the Wardha district. Google and paper-based forms will be used to contact individuals and invite them to participate in the study. They will be given access to the online and offline questionnaires. The data tool will be in print format and will be available in Marathi, English, and Hindi.

This study will be conducted among adolescent girls aged 15-19 in the rural area of the Wardha district.

This study examined variables related to menstruation problems, knowledge, attitude, and practice. Age at menarche, days of the cycle: The individual’s stress, worry, and sadness levels rose when menstrual symptoms were more intense. The duration, length, and amount of menstrual bleeding did not significantly correlate with menstrual symptoms such as anxiety, depression, or stress, according to the Pearson correlation test. Menstruation-related distress (MEID-Q) and the Hamilton Depression Rating Test (HDRS). Percentage of mental health among adolescent girls living in rural areas.

The tool comprises an offline consent form and online questionnaire. The data collection process involved the use of the Kobo collection tool. Each survey ensured anonymity and included a page with permission for information and details about the objectives of the study.

The tool consists of an online questionnaire and offline collection of data. The questionnaire was produced using the Kobo collection app and offline forms. The first component of the questionnaire concerned the individual’s demographic information. The Menstrual Distress Questionnaire (MEDI-Q) examines and evaluates adolescent girls’ overall distress throughout their mental health. The MEDI-Q questionnaire tool has been validated among people aged 15 to 19, with established concurrent and criterion validity in many languages and a test-retest reliability of 0.61. ^{16 , 17}

The following section goes through the scale’s item numbering system item by item, using the prefix “H” for HAM-D items and “A” for a typical subscale item, followed by the item’s name, as it appears on the scale to measure mental depression and mental stress. This item is specific to depressed mood, which, according to our standards, is any feeling of emotion, including those mentioned in the item’s label, as well as low, blue, sad, dysphonic, sobbing, etc. Other negative mood states (e.g., anxiety, tension, anger, and irritability). ^{18 , 19}

Menstruation has an impact on mental health, according to a prior study conducted by Field. ²⁰

The sample size was calculated using the following article, and the proportion of sleep disturbance was found to be 61.6%.

The sample size was calculated using the following equation: Where Alpha (α) is 0.05, proportion (p) is estimated to be 0.61, and the error estimate (d) is 0.05.

The sample size of this study was 364. The rate of sleep disturbance in adolescent girls living in rural areas was examined using data; therefore, the sample size was 364 adolescent girls.

We used a simple random sampling method. Adolescent girls will be comfortable sharing study information related to menstruation and mental health effects during menstruation. The adolescent girls did not hesitate to participate in the interviews.

The Statistical Package for the Social Sciences SPSS 24.0 software [ SPSS 24.0 Download - spss.exe (informer.com)] will analyse the data after converting it to an MS Excel spreadsheet. We will calculate descriptive statistics, including the mean, mode, and median, for variables such as age and period. We then used the chi-squared test to analyze the data.

Adolescent girls experience menstruation-related psychosocial issues that are not an uncommon sight. Menstrual distress, burden, stigma, lack of counselling services, lack of preparation menarche, lack of easy access to clean resources, privacy concerns when changing pads are necessary, lack of facilities for disposing sanitary napkins, and inadequate psychological and social support. Most girls experienced stress, mood swings, and restlessness during their menstrual cycle. These findings were consistent with those of previous studies have discovered that the majority of girls were agitated during menstruation. Approximately 25% of them felt ashamed and guilty about their pubertal changes, and experienced menarche in fear, shyness, and sadness. On the first day of menstruation, girls report psychological problems such as anxiety, trouble concentrating, sadness, irritability, and excitement. ⁸ Approximately two-thirds of teenagers in the current study were unaware that menarche occurred earlier.

When assessing mental health symptoms, several factors may need to be considered, including age, education, marital status, socioeconomic status, lifestyle, baseline symptoms of mental health disorders, frequency of sleep, sadness, anxiety, depression, and stress. Demographic profiles and mental health issues will be used to analyze and assess these variables.

Throughout the study, the researcher approached the community base to conduct research in and around the Wardha district. Consequently, the researcher will be unable to assess the mental health issues faced by adolescent girls in rural and urban communities. No standardized questionnaire will be used in the study to measure their mental health issues.

Individual understanding: Menstruation is a natural psychological process in adolescent girls and how to deal with it. Enabling encouraging menstruation is typical of non-taboos and non-myths, with no restrictions.

Practice improves psychological health by using materials to absorb and collect menstruation blood prevention and clean facilities to change and dispose of the materials (at home, school, work facility for menstruation hygiene, and pain management demonstration of how to use MHH materials). Improved accessibility of menstrual products. Adolescent girls encounter considerable psychosocial challenges during menstruation, including limited access to clean materials, a lack of privacy for change pads, sanitary napkin disposal facilities, sociocultural constraints, and psychological and social support.

The Dtta Meghe Institute of Higher Education and Research (DU),Ethical Approval (DMIHER (DU)/IEC/2023/42) was granted by Institutional Ethical committee on Human Research for this study on dated 20/12/2023 additionally, written informed consent will be obtained from all participants before their inclusion in the study. Privacy and confidentially will be maintained throughout the study. Measures will be taken to minimize any potential harm or risks to the participant’s such as referral for medical consultation if needed.

The study has not yet started; only data collection procedure started.