Premenstrual Syndrome in Reproductive Age Females in Muzaffarabad AJK

Authors

  • Attia Ghulam Ghos Department of Obstetrics and Gynecology, AIMS Hospital, Muzaffarabad, AJK, Pakistan.
  • Aymen Ghulam Ghos Department of Radiology, Benazir Bhutto Hospital, Rawalpindi, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i7.2908

Keywords:

Anxiety, Bloating, Premenstrual Syndrome, Reproductive Age, Symptoms, Women’s Health.

Abstract

Objective: To determine the frequency and symptoms of premenstrual syndrome among reproductive aged women in Muzaffarabad AJK. Study Design: Cross sectional study. Duration and Place of Study: This research was conducted from 10th January 2025 to 10th June 2025 at the Obstetrics and Gynecology Department of AIMS Hospital Muzaffarabad AJK. Methodology: A total of 356 participants, aged 18–45 years, were selected. The Premenstrual Symptoms Screening Tool was adapted as a tool for screening symptoms of PMS, which comprise psychiatric symptoms such as mood changes, irritability, anxiety, depression, and fatigue, as well as somatic symptoms such as back ache, bloating, headaches, breast tender point, as well as abdominal discomfort. Continuous variables were presented in mean value with standard deviation as well as nominal variables which were presented as the form of frequency percent, as comparisons were conducted through the chi-squared test. Results: The prevalence of Premenstrual syndrome in the study group was found to be 46.10% (n=164). Anxiety as a psychological symptom was found in 70.70% (n=116) of the population, and as a somatic symptom, bloating was found in 61.00% (n=100) of the population. There was no association found between the variables of age, body mass index, marital status, or use of contraceptives with the prevalence of PMS (p > 0.05). Conclusion: The study indicates that PMS is a common condition affecting nearly half of reproductive-aged women.

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References

1. Howard, L. M., Wilson, C. A., Reilly, T. J., Moss, K. M., Mishra, G. D., Coupland‐Smith, E., ... & Oram, S. (2025). Women's reproductive mental health: currently available evidence and future directions for research, clinical practice and health policy. World Psychiatry, 24(2), 196-215.

https://doi.org/10.1002/wps.21305

2. 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

3. Kundakovic M, Rocks D. Sex hormone fluctuation and increased female risk for depression and anxiety disorders: from clinical evidence to molecular mechanisms. Front Neuroendocrinol. 2022;66:101010. doi:

https://doi.org/10.1016/j.yfrne.2022.101010

4. Le, J., Thomas, N., & Gurvich, C. (2020). Cognition, The Menstrual Cycle, and Premenstrual Disorders: A Review. Brain Sciences, 10(4), 198.

https://doi.org/10.3390/brainsci10040198

5. Mazza, M., & Marano, G. (2025). Unmasking the cycle: Premenstrual and menstrual exacerbation of psychiatric disorders and impact on female mental health. World Journal of Psychiatry, 15(8).

https://doi.org/10.5498/wjp.v15.i8.107132

6. Nzambimana, M., Okurut, E., Ishimwe, M. P., Cedeno, C. B., Niyubahwe, R. M., Odongo, A., Sleyoum, S. A., Kato, C., Kazigo, A. K., Mkojera, J. J., & Hakizimana, T. (2025). Premenstrual disorders, their severity patterns, and predictors among female University students in western Uganda: A cross‐sectional study. Health Science Reports, 8(11).

https://doi.org/10.1002/hsr2.71538

7. Brown, D., Smith, D. M., Osborn, E., & Wittkowski, A. (2024). The experiences and psychological impact of living with premenstrual disorders: A systematic review and thematic synthesis. Frontiers in Psychiatry, 15.

https://doi.org/10.3389/fpsyt.2024.1440690

8. Brown, R. D., Bondy, E., Prim, J., Dichter, G., & Schiller, C. E. (2024). The behavioral and physiological correlates of affective mood switching in premenstrual dysphoric disorder. Frontiers in Psychiatry, 15.

https://doi.org/10.3389/fpsyt.2024.1448914

9. Babour, R. R., Alharbi, S. A., Alzahrani, S. M., Alshareef, A. A., Bazeeb, L. S., Zahid, R., El Amin, N., Alalshaikh, N. K., & Ahmad, R. (2025). Premenstrual Dysphoric Disorder: A Cross-Sectional Study on Prevalence and Awareness Among Medical Students. Cureus, 17(3), e80917.

https://doi.org/10.7759/cureus.80917

10. Funnell, E. L., Martin-Key, N. A., & Bahn, S. (2025). Improving care experiences for premenstrual symptoms and disorders in the United Kingdom (UK): A mixed-methods approach. BMC Health Services Research, 25(1).

https://doi.org/10.1186/s12913-024-12140-3

11. Modzelewski, S., Oracz, A., Żukow, X., Iłendo, K., Śledzikowka, Z., & Waszkiewicz, N. (2024). Premenstrual syndrome: New insights into etiology and review of treatment methods. Frontiers in Psychiatry, 15.

https://doi.org/10.3389/fpsyt.2024.1363875

12. Ayyub, S., Agrawal, M., Sharma, V., & Aravind, A. (2024). The effect of physical activity on premenstrual syndrome: A systematic review. Annals of Neurosciences, 32(4), 315-320.

https://doi.org/10.1177/09727531241297012

13. Barone, J. C., Ho, A., Osborne, L. M., Eisenlohr-Moul, T. A., Morrow, A. L., Payne, J. L., Epperson, C. N., & Hantsoo, L. (2024). Luteal phase sertraline treatment of premenstrual dysphoric disorder (PMDD): Effects on markers of hypothalamic pituitary adrenal (HPA) axis activation and inflammation. Psychoneuroendocrinology, 169, 107145.

https://doi.org/10.1016/j.psyneuen.2024.107145

14. Sultana, A., Heyat, M. B., Rahman, K., Kunnavil, R., Fazmiya, M. J., Akhtar, F., Sumbul, Vidal Mazón, J. L., Rodríguez, C. L., & De La Torre Díez, I. (2022). A systematic review and meta-analysis of premenstrual syndrome with special emphasis on herbal medicine and nutritional supplements. Pharmaceuticals, 15(11), 1371.

https://doi.org/10.3390/ph15111371

15. 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

16. Andualem, F., Melkam, M., Takelle, G. M., Nakie, G., Tinsae, T., Fentahun, S., Rtbey, G., Seid, J., Gedef, G. M., Bitew, D. A., & Godana, T. N. (2024). Prevalence of premenstrual syndrome and its associated factors in Africa: A systematic review and meta-analysis. Frontiers in Psychiatry, 15.

https://doi.org/10.3389/fpsyt.2024.1338304

17. Manjrekar, S., & Patil, S. (2025). Prevalence, severity, and functional impairment of premenstrual syndrome among late reproductive-age women in rural Karnataka: A cross-sectional study. National Journal of Community Medicine, 16(12), 1237-1242.

https://doi.org/10.55489/njcm.161220255868

18. 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

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.

20. Jabeen, M., & Gul, F. (2007). Frequency of premenstrual syndrome in working women vs housewives in Peshawar. Journal of Postgraduate Medical Institute, 21(2).

21. Nisar, N. (2008). Frequency, intensity and impact of premenstrual syndrome in medical students. PubMed.

22. Mansoor A, Javed H, Muneer M, Noureen S, Ahmed MW, Amal. Frequency of premenstrual syndrome & premenstrual dysphoric disorders among medical students. J Pak Soc Intern Med. 2023;4(4):317-320.

23. Perveen, S., Mairaj, N., Maqbool, M., Bilal, A., & Munir, S. (2022). Prevalence the premenstrual syndrome (PMS) in Pakistani women. Pakistan Journal of Medical and Health Sciences, 16(9), 433-434.

https://doi.org/10.53350/pjmhs22169433

24. 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

25. Lakshmi, P. V., Vasundhara, R., & Miryani, J. (2019). Prevalence of premenstrual syndrome among the females in reproductive age group. International Journal of Obstetrics and Gynaecological Nursing, 1(2), 06-09.

https://doi.org/10.33545/26642298.2019.v1.i2a.10

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Published

2025-07-15

How to Cite

Ghos, A. G., & Ghos, A. G. (2025). Premenstrual Syndrome in Reproductive Age Females in Muzaffarabad AJK. Indus Journal of Bioscience Research, 3(7), 1604-1608. https://doi.org/10.70749/ijbr.v3i7.2908