BACKGROUND: Disorders during menstruation are common problems in adolescent girls, leading to disturbance in their health as well as future reproductive life. So the present study was undertaken to study the prevalence of menstrual disorders in urban and rural field practice area of a tertiary medical college. MATERIAL AND METHODS: This was a community based cross–sectional study in rural and urban field practice area of Indira Gandhi Government Medical College, Nagpur on the 280 adolescent girls in the age group of 10–19 years who have attained menarche. RESULTS: Dysmenorrohea was the main disorder in both urban and rural area (66.25%) followed by premenstrual syndrome (60.89%). The statistical difference in the occurrence of any menstrual disorder between urban and rural area was not significant (P>0.05). CONCLUSION: Disorders like dysmenorrhoea and premenstrual syndrome are prevalent in both urban and rural areas.