Frequency and Severity of Symptoms of Premenstrual Syndrome in Reproductive Age Women Presented to Mardan Medical Complex

Authors

  • Komal Hera Mardan Medical Complex, Mardan, KP, Pakistan.
  • Nuzhat Amin Mardan Medical Complex, Mardan, KP, Pakistan.
  • Shafaq Shehzadi Mardan Medical Complex, Mardan, KP, Pakistan.
  • Hina Alamzeb Mardan Medical Complex, Mardan, KP, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i7.2377

Keywords:

Menstrual Cycle, Premenstrual Syndrome, Prevalence, Symptom Severity

Abstract

Background: Premenstrual syndrome is a cyclical disorder characterized by physical, psychological, and behavioral symptoms occurring during the luteal phase of the menstrual cycle and resolving with menstruation. It affects social functioning, interpersonal relationships, and academic or occupational performance. The frequency and severity of symptoms differ across populations due to hormonal variations, lifestyle factors, and cultural perceptions. Data from Mardan are limited, where differences in socioeconomic status and healthcare access may influence reporting and recognition. Objective: To determine the frequency and severity of symptoms in patients of reproductive age with premenstrual syndrome presented to Mardan Medical Complex, Mardan. Study Design: Cross-sectional study. Duration and Place of Study: This study was conducted from December 2024 to May 2025 in the Department of Obstetrics and Gynecology at Mardan Medical Complex, Mardan. Methodology: A total of 151 women aged 18 to 48 years with regular menstrual cycles were included by non-probability consecutive sampling. Women with pregnancy, lactation, psychiatric illness, or use of hormonal or psychopharmacological therapy were excluded. Premenstrual syndrome was diagnosed when at least three recognized symptoms were present in the luteal phase. Severity was graded using the Premenstrual Symptoms Screening Tool. Results: The prevalence of premenstrual syndrome was 39.7%. Of these, 21.7% reported mild, 51.7% moderate, and 26.7% severe symptoms. Younger age (p<0.001), unmarried status (p<0.001), and lower body mass index (p<0.001) showed significant association, whereas socioeconomic, educational, and residential factors were not significant. Conclusion: Premenstrual syndrome is common in reproductive age women of Mardan, predominantly of moderate severity, and is associated with younger age, unmarried status, and lower body mass index.

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References

1. Vinod, A., & Kaimal, R. S. (2023). Perceptions and practices related to menstruation and reproductive health in adolescent girls in an urban population - A cross sectional study. Journal of Family Medicine and Primary Care, 12(4), 717-721.

https://doi.org/10.4103/jfmpc.jfmpc_1752_22

2. Orlowski, M., & Sarao, M. S. (2018). Physiology, follicle stimulating hormone. Follicle Stimulating Horm, 6, 21.

https://www.ncbi.nlm.nih.gov/books/NBK535442/

3. Elliott-Sale, K. J., Altini, M., Doyle-Baker, P., Ferrer, E., Flood, T. R., Harris, R., Impellizzeri, F. M., De Jonge, X. J., Kryger, K. O., Lewin, G., Lebrun, C. M., McCall, A., Nimphius, S., Phillips, S. M., Swinton, P. A., Taylor, M., Verhagen, E., & Burden, R. J. (2025). Why we must stop assuming and estimating menstrual cycle phases in laboratory and field-based sport related research. Sports Medicine, 55(6), 1339-1351.

https://doi.org/10.1007/s40279-025-02189-3

4. Rugvedh, P., Gundreddy, P., & Wandile, B. (2023). The menstrual cycle’s influence on sleep duration and cardiovascular health: A comprehensive review. Cureus.

https://doi.org/10.7759/cureus.47292

5. Attia, G. M., Alharbi, O. A., & Aljohani, R. M. (2023). The impact of irregular menstruation on health: A review of the literature. Cureus.

https://doi.org/10.7759/cureus.49146

6. Odongo, E., Byamugisha, J., Ajeani, J., & Mukisa, J. (2023). Prevalence and effects of menstrual disorders on quality of life of female undergraduate students in Makerere University college of health sciences, a cross sectional survey. BMC Women's Health, 23(1).

https://doi.org/10.1186/s12905-023-02290-7

7. Saraei, M., Shahrbabak, Z. M., Khalafi, F., Aminian, O., Eftekhari, S., & Izadi, N. (2024). Prevalence of premenstrual syndrome and related factors among nurses. Journal of the Turkish-German Gynecological Association, 74-80.

https://doi.org/10.4274/jtgga.galenos.2024.2023-3-1

8. Liguori, F., Saraiello, E., & Calella, P. (2023). Premenstrual syndrome and premenstrual dysphoric disorder’s impact on quality of life, and the role of physical activity. Medicina, 59(11), 2044.

https://doi.org/10.3390/medicina59112044

9. Tawakoli, M. F., Abed, A., & Sakhi, R. (2025). Prevalence of premenstrual syndrome (PMS) among female biomedical students in Kabul, Afghanistan: A cross-sectional study. International Journal of Women's Health, 17, 1911-1922.

https://doi.org/10.2147/ijwh.s524839

10. Park, J., Lee, J. J., Park, S., Lee, H., Nam, S., Lee, S., & Lee, H. (2022). Endocrine disrupting chemicals and premenstrual syndrome in female college students in East Asia: A multi-country study. International Journal of Women's Health, 14, 167-177.

https://doi.org/10.2147/ijwh.s349172

11. Eshetu, N., Abebe, H., Fikadu, E., Getaye, S., Jemal, S., Geze, S., Mesfin, Y., Abebe, S., Tsega, D., Tefera, B., & Tesfaye, W. (2022). Premenstrual syndrome, coping mechanisms and associated factors among Wolkite university female regular students, Ethiopia, 2021. BMC Women's Health, 22(1).

https://doi.org/10.1186/s12905-022-01658-5

12. Tiranini, L., & Nappi, R. E. (2022). Recent advances in understanding/management of premenstrual dysphoric disorder/premenstrual syndrome. Faculty Reviews, 11.

https://doi.org/10.12703/r/11-11

13. Hantsoo, L., Rangaswamy, S., Voegtline, K., Salimgaraev, R., Zhaunova, L., & Payne, J. L. (2022). Premenstrual symptoms across the lifespan in an international sample: Data from a mobile application. Archives of Women's Mental Health, 25(5), 903-910.

https://doi.org/10.1007/s00737-022-01261-5

14. Rezende, A. P., Alvarenga, F. R., Ramos, M., Franken, D. L., Dias da Costa, J. S., Pattussi, M. P., & Paniz, V. M. (2022). Prevalence of premenstrual syndrome and associated factors among academics of a University in Midwest Brazil. Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 44(02), 133-141.

https://doi.org/10.1055/s-0041-1741456

15. Bałanda-Bałdyga, A., Pałucka, K., Niedźwiedź, J., Kęsik, J. J., & Pilewska-Kozak, A. B. (2023). Premenstrual syndrome symptoms in women of reproductive age – a preliminary report. Kwartalnik Naukowy Fides et Ratio, 55(3), 27-40.

https://doi.org/10.34766/fetr.v55i3.1204

16. Amjad, A., Kumar, R., & Mazher, S. B. (2014). Socio-demographic Factors and Premenstrual Syndrome among Women attending a Teaching Hospital in Islamabad, Pakistan. Journal of Pioneering Medical Sciences, 4(4).

17. Shoeb, S., Maira, Naila, Bai, R., Yahya, W., & Shoeb, S. (2025). Premenstrual syndrome among reproductive-aged women in urban Pakistan: A cross-sectional study. Journal of Health, Wellness and Community Research, e307.

https://doi.org/10.61919/jzs48940

18. Altamimi, L. A., Aseeri, A. S., Kamran, Z., Kazi, A., & AlQuaiz, A. M. (2022). Prevalence of premenstrual syndrome and associated factors amongst women belonging to King Saud University in Riyadh, Saudi Arabia: A cross-sectional study. International Journal of Women's Health and Reproduction Sciences, 10(4), 194-201.

https://doi.org/10.15296/ijwhr.2022.33

19. Hafiz, M. Y., Hafiz Umar, F., Muhammad, A., & Umme, K. (2015). Prevalence and risk factors of premenstrual syndrome among female population of Rahim Yar Khan. J Sheikh Zayed Med Coll, 6(3), 824-827.

20. Kalsoom, U., Sultana, A., Amjad, T., & Bairam, S. (2018). Prevalance of premenstrual syndrome and knowledge assessment regarding it's prevention among medical students of a private medical college of Islamabad. Pakistan Armed Forces Medical Journal, (1), 159-164

21. Nisar, N., Zehra, N., Haider, G., Munir, A. A., & Sohoo, N. A. (2008). Frequency, intensity and impact of premenstrual syndrome in medical students. J Coll Physicians Surg Pak, 18(8), 481-4.

https://jcpsp.pk/archive/2008/Aug2008/05.pdf

22. Zarfishan, A., Saeed Alqahtani, S. A., Alasmre, F. A., Alasmre, H. A., Alasmre, L. A., Alarim, R. A., Almuntashiri, A. A., Al Shahrani, A. M., & Alqahtani, R. S. (2024). Prevalence, pattern, and predictors of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in Asir region, Saudi Arabia. Cureus.

https://doi.org/10.7759/cureus.65723

23. Yunus, S., Bano, B., Farooq, A., & Zarreen, A. (2021). Frequency and severity of premenstrual syndrome among undergraduate medical students. esculapio, 16(4), 29-32.

https://doi.org/10.51273/esc20.251646

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Published

2025-07-15

How to Cite

Hera, K., Amin, N., Shehzadi, S., & Alamzeb, H. (2025). Frequency and Severity of Symptoms of Premenstrual Syndrome in Reproductive Age Women Presented to Mardan Medical Complex. Indus Journal of Bioscience Research, 3(7), 1098-1102. https://doi.org/10.70749/ijbr.v3i7.2377