DARK CHOCOLATE’S EFFECT ON MENSTRUAL PAIN IN
LATE ADOLESCENTS
Menstrual pain or dysmenorrhea is stiffness
or seizures in the lower abdomen due to
menstruation and production of
prostaglandin substances that occur at the
time of or during menstruation (Widyastuti,
Rahmawati, & Purnamaningrum, 2009).
Usually, pain is felt in the day before the
menstrual period and start of the first
menstruation (menarche). Conditions that we
then know lasts for two days or until the end
of menstruation. The prevalence of
menstrual pain vary between with the high
prevalence is in teenager (LlewellynJones,
2005).
Science related to dysmenorrhea is still inadequate to provide
specialized clinics, examining the potential benefits or risks to the
community about interventions such as the example above. However,
there is an increasing interest in the use of herbs outside medical
therapy derived from traditional Western countries. There is also
evidence to suggest that not all herbs are safe and concern about
undesirable side effects (Puspitasari & Novia, 2008). One therapy
that can be used as an alternative to overcome the pain during
premenstruation and menstruation time is dark chocolate. Dark
chocolate contains many benefits in the health field. Substances
contained in chocolate are rich in vitamin A, B1, C, D, and vitamin E.
In addition, chocolate also contains anti-oxidants of phenol and
flavonoids, rich in minerals such as calcium, potassium, iron, a little
omega 3 and 6, and high magnesium (Nurazizah, Tih, & Suwindere,
2015), which can reduce menstrual pain and premenstrual
occurrence in women Chocolate, in all of its forms, starts at the same
source: the Theobroma cacao tree that has been cultivated over
3,000 years ago by Native Americans of Central and North America
of South America (cacaoweb, 2016).
• Data obtained from the Community Health Center of Pandanaran showed that
the incidence of women who came with menstrual pain amounted 31 patients in
2015. Of the 31 patients, 11 patients were teenagers. At the time the patient
check, particularly patients who are still in school, must be accompanied by one
of her parents and ask permission not to attend the school.
Setting
This study was conducted from September to November 2016 at the Bhakti
Husada Boarding School of Poltekkes Kemenkes Semarang.
Research Subjects
There were 50 samples recruited by simple random sampling, with 25 randomly
assigned to the experiment and control group. The inclusion criteria of the
samples included: 1) young woman aged 18-21 years, 2) experiencing pre-
menstrual pain and menstrual pain in the last 3 months, 3) regular menstrual
cycle, 4) single, 5) not taking analgesic medication in the last 24 hours, 6) and
willing to be a respondent. The exclusion criteria included: young woman
diagnosed with certain gynecologic disease or secondary dysmenorrhea, and
allergic to chocolate.
• Conclusion: Dark chocolate could reduce menstrual pain significantly in the
late adolescents.
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