Menstruation Management on Adolescents with Mental Retardation: A Scoping Review

Abstract

Menstruation management on adolescents with mental retardation is necessary as self-care to have no bad impact on reproductive organs health and social life. The objective of this study is to find out the evidence based on the management of adolescent mental retardation. This study uses five steps framework which adapted from Arksey and O'Malley. This review focuses on the relevant articles published in 2009-2019. There are 207 articles found and sorted based on inclusion and exclusion criteria, therefore 10 articles are used in this study to extract, compile, summarize and report the results. The thematic analysis has function to identify theme. There are three themes of menstruation management, such as management with menstruation education, the usage of drugs and contraception, permanent cessation of menstruation. The adolescents with low and mediocre mental retardation can use menstruation management along with menstruation education such as counseling and training also using drugs and contraceptives i.e. Depo-Provera IMI, LNG-IUS, COCP, NSAIDs while for adolescent with severe mental retardation can use menstruation management permanently stopping menstruation such as hysterectomy especially countries which have limited resources. Family support, caregivers and health workers in providing information and menstruation education also menstruation management are important in menstruation management on adolescent with mental retardation.