The impact of dysmenorrhea on quality of life among health care nursing staff in Abha maternity and children hospital in the year 2022


  • Fatima Alamri Department of Obstetrics and Gynecology, Abha General Maternity and Children Hospital, Abha, Saudi Arabia
  • Khalid Alqahtani Department of Obstetrics and Gynecology, Khamis Mushait Maternity and Children Hospital, Khamis Mushait, Saudi Arabia
  • Saeed Alqahtani Department of Obstetrics and Gynecology, Abha General Maternity and Children Hospital, Abha, Saudi Arabia
  • Majed Alshahrani Department of Obstetrics and Gynecology, Faculty of Medicine, Najran University, Najran, Saudi Arabia
  • Mamdoh Eskandar Department of Obstetrics and Gynecology, Collage of Medicine, King Khalid University, Abha, Saudi Arabia



Dysmenorrhea, Nurse, Quality, Life


Background: Dysmenorrhea is a common health problem among women of childbearing age. It is given low priority in most parts of the world, including Saudi Arabia. Therefore, attention is needed for better prevention and management practices, and thus to improve the quality of life. This study aims to explore the impact of dysmenorrhea on the quality of life among nursing staff in Abha Maternity and Children Hospital.

Methods: Cross-sectional study that included 209 nurses who are in childbearing age. The questionnaire contained information about sociodemographic factors, menstrual characteristics, presence or absence of dysmenorrhea, presence or absence of other menstruation- related symptoms, and questions to assess the impact of dysmenorrhea on their quality of life.

Results: 79.9% of the participants reported having moderate to severe dysmenorrhea. Regarding the other menstruation-related symptoms, more than 90% of the participants reported having abdominal pain or discomfort (95.2%), fluctuation of mood (95.2%), anger (93.3%), back pain (91.9%), and fatigue (90.9%). In addition, significant associations were found between dysmenorrhea and the following quality of life variables: wanting to cry and to be alone during menstruation; menstrual problems that affects relationship with friends, performance at work, and daily activities.

Conclusions: The prevalence of dysmenorrhea is high among the nursing staff in Abha Maternity and Children Hospital. Its impact on quality of life is pronounced especially on the attendance and performance at work. Adverse health problems of menstrual disturbances represent a significant occupational health challenge among the nursing profession in Saudi Arabia.



Vlachou E, Owens DA, Lavdaniti M, Kalemikerakis J, Evagelou E, Margari N, et al. Prevalence, Wellbeing, and Symptoms of Dysmenorrhea among University Nursing Students in Greece. Diseases. 2019;7:5.

Burnett M, Lemyre M. No. 345-Primary Dysmenorrhea Consensus Guideline. J Obstet Gynaecol Canada. 2017;39:585-95.

French L. Dysmenorrhea. Am Fam Physician. 2005;71:285-91.

Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. BMJ 2006;332:1134-8.

Lundström V, Gréen K, Svanborg K. Endogenous Prostaglandins in Dysmenorrhea and the Effect of Prostaglandin Synthetase Inhibitors (PGSI) on Uterine Contractility. Acta Obstet Gynecol Scand. 1979;58:51-6.

Coco AS. Primary dysmenorrhea. Am Fam Physician. 1999;60:489-96.

Mrugacz G, Grygoruk C, Sieczyński P, Grusza M, Bołkun I, Pietrewicz P. Etiopathogenesis of dysmenorrhea. Med Wieku Rozwoj. 2018;17:85-9.

Roberts SC, Hodgkiss C, DiBenedetto A, Lee EC. Managing dysmenorrhea in young women. Nurse Pract. 2012;37:47-52.

Harel Z. Dysmenorrhea in adolescents and young adults: an update on pharmacological treatments and management strategies. Expert Opin Pharmacother. 2012;13:2157-70.

Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. The Impact of Dysmenorrhea on Quality of Life Among Spanish Female University Students. Int J Environ Res Public Health. 2019;16:713.

Alsaleem M. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study. J Fam Med Prim Care. 2018;7:769.

Ju H, Jones M, Mishra G. The Prevalence and Risk Factors of Dysmenorrhea. Epidemiol Rev. 2014;36:104-13.

Zannoni L, Giorgi M, Spagnolo E, Montanari G, Villa G, Seracchioli R. Dysmenorrhea, Absenteeism from School, and Symptoms Suspicious for Endometriosis in Adolescents. J Pediatr Adolesc Gynecol. 2014;27:258-65.

Ortiz MI, Rangel-Flores E, Carrillo-Alarcón LC, Veras-Godoy HA. Prevalence and impact of primary dysmenorrhea among Mexican high school students. Int J Gynaecol Obstet. 2009;107:240-3.

Schoep ME, Nieboer TE, Zanden M van der, Braat DDM, Nap AW. The impact of menstrual symptoms on everyday life: a survey among 42,879 women. Am J Obstet Gynecol. 2019;220:569.e1-7.

Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol. 1990;97:588-94.

Acheampong K, Baffour-Awuah D, Ganu D, Appiah S, Pan X, Kaminga A, et al. Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana. Obstet Gynecol Int. 2019;2019:5834159.

O’Connell K, Davis AR, Westhoff C. Self-treatment patterns among adolescent girls with dysmenorrhea. J Pediatr Adolesc Gynecol 2006;19:285-9.

Schoep ME, Adang EMM, Maas JWM, Bie B De, Aarts JWM, Nieboer TE. Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women. BMJ. 2019;9:e026186.

Ibrahim NKR, AlGhamdi MS, Al-Shaibani AN, Al-Amri FA, Alharbi HA, Al-Jadani AK, et al. Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, predictors and outcome. Pakistan J Med Sci. 2015;31:23-8.

Rafique N, Al-Sheikh MH. Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi Med J. 2018;39:67-73.

Abd El-Mawgod MM, Alshaibany AS, Al-anazi AM. Epidemiology of dysmenorrhea among secondary-school students in Northern Saudi Arabia. J Egypt Public Health Assoc. 2016;91:115- 9.

Hashim RT, Alkhalifah SS, Alsalman AA, Alfaris DM, Alhussaini MA, Qasim RS, et al. Prevalence of primary dysmenorrhea and its effect on the quality of life amongst female medical students at King Saud University, Riyadh, Saudi Arabia. Saudi Med J. 2020;41:283-9.

Bakhsh H, Algenaimi E, Aldhuwayhi R, AboWadaan M. Prevalence of dysmenorrhea among reproductive age group in Saudi Women. BMC Womens Health. 2022;22:78.

Agarwal K, Agarwal A. A study of dysmenorrhea during menstruation in adolescent girls. Indian J Community Med. 2010;35:159.

Gagua T, Tkeshelashvili B, Gagua D. Primary dysmenorrhea: prevalence in adolescent population of Tbilisi, Georgia and risk factors. J Turkish Ger Gynecol Assoc 2012;13:162-8.

Derseh BT, Afessa N, Temesgen M, Semayat YW, Kassaye M, Sieru S, et al. Prevalence of Dysmenorrhea and its Effects on School Performance: A Crosssectional Study. J Womens Heal Care. 2017;6:22-8.

Karanth S, Liya SR. Prevalence and risk factors for dysmenorrhoea among nursing student and its impact on their quality of life. Int J Reprod Contraception, Obstet Gynecol 2018;7:2661.

Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. Palazón-Bru A, ed. PLoS One. 2018;13:e0201894.

Midilli TS, Yasar E, Baysal E. Dysmenorrhea Characteristics of Female Students of Health School and Affecting Factors and Their Knowledge and Use of Complementary and Alternative Medicine Methods. Holist Nurs Pract. 2015;29:194-204.

Pokhrel M, Thapa M. Dysmenorrhea among Nursing Staff in a Tertiary Care Center: A Descriptive Cross-sectional Study. J Nepal Med Assoc. 2021;59:23-7.

Lawson CC, Johnson CY, Chavarro JE, Lividoti Hibert EN, Whelan EA, Rocheleau CM, et al. Work schedule and physically demanding work in relation to menstrual function: the Nurses’ Health Study 3. Scand J Work Environ Health. 2015;41:194-203.

Smith DR. Menstrual disorders and their adverse symptoms at work: An emerging occupational health issue in the nursing profession. Nurs Health Sci. 2008;10:222-8.




How to Cite

Alamri, F., Alqahtani, K., Alqahtani, S., Alshahrani, M., & Eskandar, M. (2023). The impact of dysmenorrhea on quality of life among health care nursing staff in Abha maternity and children hospital in the year 2022. International Journal Of Community Medicine And Public Health, 10(10), 3430–3435.



Original Research Articles