عنوان مقاله [English]
نویسندگان [English]چکیده [English]
Â Â Â Background and objective :Neuroendocrine adaptive responses to psycological stress include activation of the hypothalamic-pituitary-adrenal (HPA) axis and sometims suppression of the hypothalamic-pituitary-gonadal (HPG) axis. Choronic streesses of University entrance and enviromental changes in younge students are ferquent leading causes of delayed menstrual bleeding and make them worried due to lack of nessessary informaton. Â This study was aimed to explore the prevalence of delayed menstrual bleeding in Rafsanjan University of Medical sciences, students and their reaction to this problem. Â Material and Methods : This was a cross sectional descriptive study. Data were collected via two questionnaires. the first one collected demographic data in cluding, history of menstrual bleeding postponement, and the second one collected data of postponement property and the students reaction to that. All of female University students who participated in the study filledout the first questionnaire. Students who had a history of menstrual bleeding postponement during last six months were intervie we and filled the second questionnaire. Â Results: Of 318 participants 45.6% had history of menstrual bleeding postponement during last six months, leading them to feel worry in 65.7% and counsulting different persons in 48.1% In students who had ahistory of menstrual bleeding postponement the problem had been removed in 92.1% spontaneosly however ovarian problems had been recognized in 3.9% we observed a asignificant relationship between age and history of menstrual bleeding postponement. Â Conclusion: menstrual bleeding postponement is frequent in students who previously had regular menstural cycle however in most of cases it relates to chronic stress and would remove without any special masears.