Academic Strain under Hormonal Stress: Premenstrual Syndrome and Premenstrual Dysphoric Disorder among Female Medical Students - Prevalence and Academic Impact

Authors

  • Sadia Shoukat Suleman Roshan Medical College, Tando Adam
  • Azra Ahmed Suleman Roshan Medical College , Tando Adam
  • Sakeena Ahmed Suleman Roshan Medical College, Tando Adam
  • Nusrat Jameel Suleman Roshan Medical College, Tando Adam
  • Nazia Azam Yousfani Suleman Roshan Medical College, Tando Adam

DOI:

https://doi.org/10.37762/jgmds.13-2.803

Keywords:

Premenstrual Syndrome, Premenstrual Dysphoric Disorder, Academic Performance, Students, Medical

Abstract

ABSTRACT

OBJECTIVES

The study aims to determine the prevalence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) among female medical students and evaluate the impact these conditions have on the students’ academic performance.

METHODOLOGY

This cross-sectional study was conducted over two months at Suleman Roshan Medical College, using a census to include all female medical students with regular cycles and no major health conditions. Data were collected via a structured questionnaire based on ICD-10 and DSM-5 criteria to diagnose PMS and PMDD, and to assess academic impact. Participation was voluntary, anonymous, and required informed consent. Data were analyzed using SPSS version 23, employing both descriptive and inferential statistics. A p-value of less than 0.05 was considered statistically significant.

RESULTS
Study found high prevalence of premenstrual disorders among the 182 participants, with 90.1% meeting the criteria for PMS and 26.4% for PMDD. The most common moderate-to-severe symptoms were fatigue 61.0%, irritability 52.2%, and depressed mood 50.5%. Symptoms were strongly associated with academic impairment, with over 70% of students reporting negative effects on exam performance and concentration. A direct dose-response relationship was observed, with increased symptom severity associated with greater academic performance difficulties.

CONCLUSION

This study concludes that premenstrual syndrome and premenstrual dysphoric disorder are highly prevalent among female medical students and are significantly associated with substantial academic impairment.

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Author Biographies

Sadia Shoukat, Suleman Roshan Medical College, Tando Adam

Assistant Professor and Consultant,
Department of  Gynecology and Obstetrics,
Suleman Roshan Medical College, Tando Adam

Azra Ahmed, Suleman Roshan Medical College , Tando Adam

Associate Professor and Consultant,
Department of Gynecology and Obstetrics,
Suleman Roshan Medical College , Tando Adam

Sakeena Ahmed, Suleman Roshan Medical College, Tando Adam

Assistant Professor and Consultant,
Department of  Gynecology and Obstetrics,
Suleman Roshan Medical College, Tando Adam

Nusrat Jameel, Suleman Roshan Medical College, Tando Adam

Senior Registrar and Consultant,
Department of Gynecology and Obstetrics ,
Suleman Roshan Medical College, Tando Adam

Nazia Azam Yousfani, Suleman Roshan Medical College, Tando Adam

Associate Professor,
Department of Public Health,
Suleman Roshan Medical College, Tando Adam

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Published

2026-04-01

How to Cite

Sadia Shoukat, Azra Ahmed, Sakeena Ahmed, Nusrat Jameel, & Nazia Azam Yousfani. (2026). Academic Strain under Hormonal Stress: Premenstrual Syndrome and Premenstrual Dysphoric Disorder among Female Medical Students - Prevalence and Academic Impact . Journal of Gandhara Medical and Dental Science, 13(2), 18–23. https://doi.org/10.37762/jgmds.13-2.803