Prevalence of premenstrual syndrome and its impact on quality of life among female medical undergraduate students: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252860Keywords:
Female students, Quality, Impacts, Premenstrual syndrome, PrevalenceAbstract
Background: Premenstrual syndrome (PMS) encompasses a range of physical, emotional, and behavioural symptoms that occur cyclically during the luteal phase of the menstrual cycle. These symptoms, primarily influenced by hormonal fluctuations, can impair daily functioning and significantly reduce quality of life among female undergraduate students.
Methods: A cross-sectional study was conducted in December 2024 among 260 undergraduate female medical students. Participants were assessed using a structured, self-administered questionnaire that captured sociodemographic data, dietary habits, lifestyle factors, and symptom profiles. The Shortened Premenstrual Assessment Form was used to identify PMS, a symptoms checklist was used to assess premenstrual Dysphoric Disorder (PMDD), while quality of life was evaluated using the Symptom Checklist-36 (SCL-36). Statistical analysis was performed using descriptive statistics and chi- square tests; a p value <0.05 was considered significant.
Results: The prevalence of PMS was found to be 88.46% among the participants. The most frequently reported symptoms were backaches, joint and muscle aches and followed by abdominal heaviness and discomfort. Students with PMS demonstrated significantly lower quality of life across various domains. A strong association was observed between PMS and unhealthy dietary patterns, physical inactivity, and poor sleep hygiene.
Conclusions: A substantial proportion of medical students experienced distressing symptoms in the premenstrual phase, which adversely impacted their quality of life.
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References
Parry BL, Berga SL, Cyranowski JM. Psychiatry and reproductive medicine. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. 10th ed. New Delhi: Wolters Kluwer/Lippincott Williams & Wilkins; 2007:30,867-8.
Farrokh-Eslamlou H, Oshnouei S, Heshmati a B, Akbari E. Premenstrual syndrome and quality of life in Iranian medical students. Sex Reproduct Healthcare. 2015;6(1):23-7. DOI: https://doi.org/10.1016/j.srhc.2014.06.009
Thakrar P, Bhukar K, Oswal R. Premenstrual dysphoric disorder: Prevalence, quality of life and disability due to illness among medical and paramedical students. J Affect Dis Rep. 2021; 4:100112 DOI: https://doi.org/10.1016/j.jadr.2021.100112
World Health Organization. Women’s Mental Health: An Evidence Based Review, 2000. Available at: https://iris.who.int/bitstream/handle/10665/66539/WHO_MSD_MDP_00.1.pdf. Accessed 01 June 2025.
Alharajin R, Alhussain R, Bohulaigah Z, Alali D, AlHumaidhan M, Najjar R. Prevalence and determinants of premenstrual syndrome among female medical students at King Faisal University. Saudi Med Humanit J. 2024;9(1):45-51.
Al-Shahrani AM, Miskeen E, Shroff F, Elnour S, Algahtani R, Youssry I, et al. Premenstrual syndrome and its impact on the quality of life of female medical students at Bisha University, Saudi Arabia. J Multidiscip Healthc. 2021;14:2373-9.
Mekonnen AG, Dagnew B, Yeshita HY. Premenstrual syndrome and associated factors among female health science students in Ethiopia: a cross-sectional study. BMC Womens Health. 2023;23(1):290.
Al-Batanony MA, AL-Nohair SF. Prevalence of premenstrual syndrome and its impact Bhuvaneswari K, Rabindran P, Bharadwaj B. Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry. Natl Med J India. 2019;32(1):17-9. DOI: https://doi.org/10.4103/0970-258X.272109
Tolosa FW, Bekele ML. Prevalence, impacts and medical managements of premenstrual syndrome among female students: Cross-sectional study in college of health sciences, Mekelle university, Mekelle, Northern Ethiopia. BMC Womens Health 2014;14:52. DOI: https://doi.org/10.1186/1472-6874-14-52
Mishra A, Banwari G, Yadav P. Premenstrual dysphoric disorder in medical students residing in hostel and its association with lifestyle factors. Ind Psychiatry J. 2015;24:150-7. DOI: https://doi.org/10.4103/0972-6748.181718
Seedhom EA, Mohammed SE, Mahfouz EM. Life style factors associated with premenstrual syndrome among El-Minia university students, Egypt. ISRN Public Health 2013;2013:617123. DOI: https://doi.org/10.1155/2013/617123
Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Archives of women’s mental health. 2003;6(3):203-9. DOI: https://doi.org/10.1007/s00737-003-0018-4
Raval CM, Panchal BN, Tiwari DS, Vala AU, Bhatt RB. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder among college students of Bhavnagar, Gujarat. Ind J Psych. 2016;58(2):164-70. DOI: https://doi.org/10.4103/0019-5545.183796
Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool on quality of life among University Medical Students, Al Qassim University, KSA. Publ Heal Res. 2014;4(1):1-6.
Malhotra P, Sharma SK, Kaur R, Urvashi V, Gaur R, Mugdal SK. Pre-menstrual syndrome and health related quality of life among young adult females at Northern India: A cross-sectional study. Clin Psych J. 2019;6(1):65.
Maheshwari P, Menon B, Jith A, Bhaskaran R. Prevalence of premenstrual syndrome and its effect on quality of work life in working women in South India. Industr Psych J. 2023;32(2):255-9. DOI: https://doi.org/10.4103/ipj.ipj_106_22
Kamat SV, Nimbalkar A, Phatak AG, Nimbalkar SM. Premenstrual syndrome in Anand District, Gujarat: A cross-sectional survey. J Fam Medi Prim Care. 2019;8(2):640-7. DOI: https://doi.org/10.4103/jfmpc.jfmpc_302_18
Chauhan A, Juneja K, Tyagi N, Agarwal V. Impact of Premenstrual Syndrome (PMS) on Quality of Life among adolescent girls of rural area of Gautam Buddh Nagar: A Cross-sectional study. Ind J Commu Health. 2024;36(5):697-702. DOI: https://doi.org/10.47203/IJCH.2024.v36i05.011
Trivedi D, Patel K, Jain KG. Impact of stress on premenstrual syndrome among young women: a cross-sectional study. Cureus. 2024;16(11). DOI: https://doi.org/10.7759/cureus.74622
Dutta A, Sharma A. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in India: a systematic review and meta-analysis. Health promotion perspectives. 2021;11(2):161. DOI: https://doi.org/10.34172/hpp.2021.20
Sahin S, Ozdemir K, Unsal A. Evaluation of premenstrual syndrome and quality of life in university students. J Pak Med Assoc. 2014;64(8):915-22.
Uran P, Yürümez E, Aysev A, Kılıç BG. Premenstrual syndrome health-related quality of life and psychiatric comorbidity in a clinical adolescent sample: a cross-sectional study. Int J Psych Clin Pract. 2017;21(1):36-40. DOI: https://doi.org/10.1080/13651501.2016.1235710
Kırcan N, Ergin F, Adana F, Arslantaş H. The prevalence of premenstrual syndrome in nursery students and its relationship with quality of life. Meandros Medi Dent J. 2012;13(1):19-25.
Al-Shahrani AM, Miskeen E, Shroff F, Elnour S, Algahtani R, Youssry I, Ahmed S. Premenstrual syndrome and its impact on the quality of life of female medical students at Bisha University, Saudi Arabia. J Multidisci Health. 2021:2373-9. DOI: https://doi.org/10.2147/JMDH.S327893
Victor FF, Souza AI, Barreiros CD, Barros JL, Silva FA, Ferreira AL. Quality of life among university students with premenstrual syndrome. Revista Brasile Ginecol Obstetr. 2019;41:312-7. DOI: https://doi.org/10.1055/s-0039-1688709
Nandakumar H, Kuppusamy M, Sekhar L, Ramaswamy P. Prevalence of premenstrual syndrome among students–Stress a potential risk factor. Clin Epidemiol Glob Heal. 2023;23:101368. DOI: https://doi.org/10.1016/j.cegh.2023.101368