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Survey study, 2023

Does PMS affect school performance and relationships in female medical students?

Yes, significantly. 73.6% of the 2080 students studied had premenstrual symptoms, and those with symptoms did worse in school and had more problems with relationships. The study shows a clear link, but only studied medical students.

Early or limited evidence 2080 female medical students in Baghdad, Iraq

What they did

Online questionnaire with 2080 female medical students in Baghdad, Iraq from February to May 2022. They reported premenstrual symptoms, period pain, and how it affected their schoolwork and relationships.

What they found

73.6% experienced premenstrual symptoms, most commonly depressed mood, anger, irritability, bloating, acne, and breast tenderness. 49% had period pain. 40% reported learning difficulties. Among students with symptoms, 39.5% had trouble concentrating and 34% had difficulty completing work. 59.4% took painkillers like ibuprofen. Students with premenstrual symptoms had significantly worse academic performance and interpersonal relationships (p<0.001).

What it means for you

Premenstrual symptoms seriously disrupt medical students' ability to study and maintain relationships. The main limits are that only medical students were studied (they may be especially stressed) and data relied on self-report.

73.6%

had premenstrual symptoms

39.5%

had trouble concentrating

59.4%

self-medicated with painkillers

About the study

Original title
The effect of premenstrual tension on academic performance and social interactions among Iraqi medical students
Authors
Israa Talib Hassan, Hala Saadi Issa, Ekhlas Hussein et al.
Journal
Cellular Molecular and Biomedical Reports
Year
2023
Study design
Survey study
What was tested
None
Open access
Yes
Original abstract

Premenstrual tension is a common public health problem that significantly affects the personal well-being, academics, and of adolescents’ life quality. Consequently, the purpose of the study is to ascertain the prevalence of premenstrual tensions and evaluate its academic and social impact on Iraqi female medical students. From February 2022 to May 2022, a cross-sectional study was carried out at several institutions in Baghdad/Iraq, including (the College of Medicine, Pharmacy, and Dentistry). An online self-questionnaire was used to gather information on the premenstrual tension symptoms, menstrual pain, and academic performance of 2080 Iraqi female medical students. Most respondents (73.6%) experienced various premenstrual symptoms with varying degrees of severity; the most frequent symptoms were depressed mood, anger, irritability, flatulence, acne, and breast tenderness. Approximately (49.0%) of the participants experienced menstrual pain, (78.1%) reported regular menstruation, and (40%) reported learning difficulties. The predominant impact on academic performance was lack of concentration (39.5%) and difficulty in work (34.0%). Among the participants, the majority of the students (59.4%) reported self-medicating with painkillers such as NSAIDs. Furthermore, the study shows that premenstrual symptoms were significantly linked with reduced academic performance and interpersonal relationships among Iraqi medical students (P<0.001). The current study found that premenstrual tension symptoms are associated with poor educational performance and poor interpersonal relationships among Iraqi female medical students. To close the gender gap in our society for a better future, more study is required to analyze and assess the cause of premenstrual tension symptoms and therapeutic interventions.

Reproduced under CC-BY.

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