|Year : 2013 | Volume
| Issue : 1 | Page : 47-49
Prevalence of psychological and physical symptoms of pre-menstrual syndrome in female students
Awanish Kumar Pandey1, Poonam Tripathi1, Shambaditya Goswami1, Rishabh Dev Pandey2
1 Department of Pharmacy, I.T.M., Gorakhpur, U.P., India
2 Scientist, Global Medical Information & Scientific Affairs, Inventiv International Health Services, Gurgaon, India
|Date of Web Publication||9-May-2013|
Awanish Kumar Pandey
Department of Pharmacy, I. T. M., Gorakhpur, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
Pre-menstrual syndrome is a group of physical and psychological symptoms that appears before the menstrual bleeding. The study was designed to evaluate the prevalence of physical and psychological symptoms of pre-menstrual syndrome among female students of technical institution in Gorakhpur. Two hundred students aged between 15 to 30 years participated in the study and revealed that all the participants of study experienced at least 1 symptom of PMS. The most common physical symptom was joint\muscle pain (77.5%). Lethargy (83%) was reported as most common psychological symptom in the study. The study concluded that prevalence of PMS is 100%, and most of the participants (42.5%) have more than 5 symptoms of PMS.
Keywords: Lethargy, pre-menstrual syndrome, prevalence, physical symptom, psychological symptom
|How to cite this article:|
Pandey AK, Tripathi P, Goswami S, Pandey RD. Prevalence of psychological and physical symptoms of pre-menstrual syndrome in female students. Arch Pharma Pract 2013;4:47-9
|How to cite this URL:|
Pandey AK, Tripathi P, Goswami S, Pandey RD. Prevalence of psychological and physical symptoms of pre-menstrual syndrome in female students. Arch Pharma Pract [serial online] 2013 [cited 2019 Mar 19];4:47-9. Available from: http://www.archivepp.com/text.asp?2013/4/1/47/111582
| Introduction|| |
Menstruation is a physiological phenomenon occurring among females from the age of menarche until menopause. Pubertal events are important for adolescents with the most characteristic event of puberty in girls being menarche (beginning of menstrual cycles). The mean age of menarche in Indian girls is 12.5 ± 1.52 years, with a range of 10-15 years.  The most common problems in menstruation are dysmenorrhea, pre-menstrual syndrome, menorrhagia, and irregular cycles.
The pre-menstrual syndrome (PMS) was first described in 1931 by Frank and Horney, who speculated on the possible physiopathological origins of the condition and on some forms of treatment.  The World Health Organization's (WHO) International Classification of Disease, 10 th edition includes pre-menstrual tension syndrome in its section of gynecologic disorders, as a disorder of the female genital organs. 
Pre-menstrual syndrome (PMS) is a collection of physical, psychological, and emotional symptoms occurring during the luteal phase of the menstrual cycle, followed by resolution within a few days after the onset of bleeding. 
Over 150 symptoms have been attributed to PMS. Common symptoms include breast tenderness, headache, backache, lack of energy, clumsiness, tension, anxiety, irritability, depression, food cravings, bloating, and changes in sexual drive [Table 1]. Although surveys have suggested that over 80% of women report pre-menstrual symptoms, when strict diagnostic criteria are applied, the prevalence of severe PMS is estimated to be about 2-6% in women of reproductive age. 
So far, there have been no studies of prevalence of PMS in Gorakhpur. The objective of the present study, therefore, was to assess the prevalence of PMS in female students of technical institution situated in Gorakhpur.
| Materials and Methods|| |
Source of data
Female student studying in technical institution situated in Gorakhpur.
1 month (Feb 2012-March 2012).
Students who were willing to participate in the study.
A questionnaire was developed with the help of existing literature of PMS. The questionnaire elicited information regarding socio-demographic profile as well as details of PMS. The symptoms included were anger, irritability, tension, depression, abdominal pain, backache, insomnia.
Data obtained from the study was complied and analyzed. Graphs were plotted using Excel 2007.
| Results|| |
Two hundred girls were participated in the study, in which 103 (51.5%) girls were from 21-25 yr age group, 87 (43.5%) girls from 15-20 yr age group, and 10 (5%) girls from 26-30 yr age group. The most common psychological symptoms were lethargy (83%), anger and hypersomnia (74%), decreased in-home activity (71.5%), anxiety (68.5%), decreased in-work activity (68%), feeling overwhelmed (62.5%), hopelessness (50%), difficulty in concentrating (33.5%), tearfulness (26.5%), and insomnia (26%) [Figure 1].
|Figure 1: Prevalence of psychological symptoms of PMS in different age group. [Ang = Anger/Irritability, Anx = Anxiety, T = Tearfulness/ Depressed Mood, H = Hopelessness, WA = Decreased interest in work activity, DC = Difficulty in concentrating, I = Insomnia, HY = Hypersomnia, FO = Feeling overwhelmed/Out of control, L = Lethargy]|
Click here to view
The most common physical symptoms were joint\muscle pain (77.5%) followed by headache (67%), weight gain (58%), backache (57.5%), bloating (41%), breast tenderness (31%), and acne (16.5%) [Figure 2].
|Figure 2: Prevalence of physical symptoms of PMS in different age group. [BT = Breast tenderness, HE = Headache, JMP = Joint/muscles pain, BL = Bloating, WG = Weight gain, BA = Backache, AC = Acne]|
Click here to view
Result of study showed that all the participants of the study have at least one pre-menstrual symptom. Result showed that 18% girls were having 1-3 symptoms, 39.5% girls having 3-5 symptoms, and 42.5% girls having more than 5 symptoms.
| Discussion|| |
Many women experience physical or mood symptoms associated with the menstrual cycle.  Pre-menstrual syndrome (PMS) is a generic term, which includes a broad group of emotional, behavioral, and physical symptoms that occur for several days to weeks before menses and subside following the menstrual period.  The etiology of the syndrome is controversial and has been extensively reviewed. , These include a combination of low zinc and copper retention,  abnormal serotonin function,  deficiency of progesterone, some neurotransmitters, nutrients such as vitamin E, B vitamins, calcium, linolenic acid, magnesium manganese etc. ,
The present study conducted on female students reported that 100% participants have at least one pre-menstrual symptom. Similar result was shown in the study performed by Clecker Smith et al.  They reported that all the participants had at least one pre-menstrual symptom. Thus found more than 98% of their respondents suffered from one or more pre-menstrual symptom. 
In our study, lethargy (83%) was the most common psychological symptom. Similar result was shown in the study done by Nour Mohammad Bakhshani et al. 
The most common physical symptom was joint\muscle pain (77.5%) in our study while Nour Mohammad Bakhshani et al. reported backache is most common physical symptom. This difference may be due to different cultural and socio-demographic variables. Grant stated that individuals in low social ladder may not cope with the stress of the increasingly more challenging environment that may negatively impact physical and psychological well-being. 
In conclusion, the study reports a prevalence of PMS of 100% in female undergraduate and post-graduate students of technical institution in Gorakhpur. Lethargy was the most frequently psychological symptom while joint\ muscle pain was most common physical symptom.
| References|| |
|1.||Singh A, Kiran D, Singh H. Prevalence and severity of dysmenorrhea: A problem related to menstruation, among 1 st and 2 nd year female medical students. Indian J Physiol Pharmacol 2008;52:389-97. |
|2.||Edilberto AR, José CL, João SP, Ulisses M. Essential fatty acids for premenstrual syndrome and their effect on prolactin and total cholesterol levels: A randomized, double blind, placebo-controlled study. Reprod Health 2011;8:1742-4755. |
|3.||Lisa M, Alice D, Vittorio K, Fabrizio J, Eduardo F, Maurizio T. Perimenstrual Symptom Prevalence Rates: An Italian-American Comparison. Am J Epidemiol 1993;138:1070-81. |
|4.||Mortola JF, Girton L, Beck L, Yen SS. Diagnosis of premenstrual syndrome by a simple, prospective, and reliable instrument: The calendar of premenstrual experiences. Obstet Gynecol 1990;76:302-7. |
|5.||Soares CN, Cohen LS, Otto MW, Harlow BL. Characteristics of women with premenstrual dysphoric disorder (PMDD) who did or did not report history of depression: A preliminary report from the Harvard Study of Moods and Cycles. J Womens Health Gend Based Med 2001;10:873-8. |
|6.||Clayton AH. Symptoms related to the menstrual cycle: Diagnosis, prevalence, and treatment. J Psychiatr Pract 2008;14:13-21. |
|7.||Freeman EW. Premenstrual syndrome and premenstrual dysphoric disorder: Definitions and diagnosis. Psychoneuroendocrinology 2003;28(Suppl. 3):25-37. |
|8.||Wyatt KM, Dormick PW, Jones PW, O'Brien PMS Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: Systematic review. BMJ 2001;318:1375-81. |
|9.||Frackiewicz EJ, Shiovitz TM. Evaluation and management of premenstrual syndrome and premenstrualdysphoric disorder. J Am Pharm Assoc 2001;41:437-47. |
|10.||Chuong CJ, Dawson EB. Zinc and copper levels in premenstrual syndrome. Fertil Steril 1994;62:313-20. |
|11.||Eriksson E. Serotonin reuptake inhibitors for the treatment of premenstrual dysphoria. Int Clin Psychopharmacol 1999;14(Suppl 2):s27-31. |
|12.||Wyatt KM, Dimmock P, Jones P, Obhrai M. Efficacy of progesterone and progestogens in management of premenstrual syndrome: Systematic review. BMJ 2001;323:776-91. |
|13.||Cleckner-Smith CS, Doughty AS, Grossman JA. Premenstrual symptoms. Prevalence and severity in an adolescent sample. J Adolesc Health 1998;22:403-8. |
|14.||Thu M, Diaz EO, Sawhsarkapaw. Premenstrual Syndrome among Female University Students in Thailand. AU JT 2006;9:158-62. |
|15.||Bakhshani NM, Mousavi MN, Khodabandeh G. Prevalence and severity of premenstrual symptoms among Iranian female university students. J Pak Med Assoc 2009;59:205-8. |
|16.||Grant KE, Compas BE, Thurm AE, McMahon SD, Gipson PY, Campbell AJ. Stressors and child and adolescent psychopathology: Evidence of moderating and mediating effects. Clin Psychol Rev 2006;26:257-83. |
[Figure 1], [Figure 2]