Premenstrual syndrome: severity and its impact on academic and social performance of undergraduate female students in Hayatabad, Peshawar

Premenstrual syndrome in undergraduate female students

Authors

  • Raheelah Amin Khyber Girls Medical College, Khyber Medical University, Peshawar
  • Noor Fatima Khyber Girls Medical College, Khyber Medical University, Peshawar
  • Aiman Gul Imran Khyber Girls Medical College, Khyber Medical University, Peshawar
  • Rida Asghar Khyber Girls Medical College, Khyber Medical University, Peshawar
  • Faiza Shah Khyber Girls Medical College, Khyber Medical University, Peshawar
  • Hira Gul Khyber Girls Medical College, Khyber Medical University, Peshawar

DOI:

https://doi.org/10.52442/jrmi.v12i3.850

Keywords:

Academic Performance, Premenstrual Syndrome, Psychological Symptoms, Social Life, Undergraduate Students

Abstract

Introduction: Premenstrual syndrome (PMS) is characterized by emotional and physical symptoms that recur during the luteal phase of the menstrual cycle and is relieved after the start of menstruation.

Objectives: To assess the severity of premenstrual syndrome and its effect on academic and social performance. The secondary objective was to describe severity of physical and psychological symptoms of PMS. 

Methodology: A cross-sectional, analytical study investigating PMS in undergraduate female students, aged 16-26 years from different institutions in Peshawar, Pakistan with a random sampling of 339 participants. A self-administered questionnaire was used to collect data. Inferential statistical analysis assessed the association between PMS severity and academic and social outcomes.

Results: Of the total 339 participants, 200 (58.9%) met the criteria for PMS. Among them, 80 (40.0%) had mild, 77 (38.5%) moderate, and 43 (21.5%) severe PMS. PMS significantly affected academic performance, with difficulty concentrating reported by 79 (39.5%), disinterest/absent-mindedness by 62 (31.0%), and absenteeism by 18 (9.0%) students (p>0.05). Effects on social functioning included disruption of daily routine (30.5%), trouble dealing with others (27.5%), and relationships (23.5%) (p>0.05) while planning activities (27.0%) was statistically significant (p=0.024). The most frequent psychological symptoms were mood swings (91.8%), irritability (88.2%), and anger (86.4%), while fatigue (89.1%), dizziness (71.4%), and abdominal bloating (67.8%) were the common physical symptoms. Paired t-test showed positive correlation stating that academic performance(r=0.229) and social performance(r=0.422) were slightly better during non-PMS days.

Conclusion: The study demonstrates an influence of PMS on the social and academic performance of female students in Hayatabad, Peshawar.

Author Biography

Raheelah Amin, Khyber Girls Medical College, Khyber Medical University, Peshawar

Professor & Chairperson, Public Health Department

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Published

2026-09-24