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Survey study, 2025

How much does PMS interfere with medical students' studies?

PMS is very common in medical students (65.4%) and causes significant disruption. Most students (85.9%) report some impairment during the premenstrual period, including worse exam performance, missed classes, and difficulty concentrating.

Early or limited evidence 78 medical students in Brazil, mostly aged 18-24

What they did

Cross-sectional survey of 78 medical students in Brazil, mostly aged 18 to 24. Data were collected from August 2024 to June 2025 using an electronic form asking about symptoms, lifestyle, and academic performance.

What they found

65.4% report having or having had PMS. The most frequent symptoms were irritability (91%), fatigue (84.6%), and food cravings (75.6%). 85.9% of students reported some degree of impairment during the premenstrual period, including decreased exam performance, class absences, difficulty concentrating, and strained relationships with colleagues and family.

What it means for you

PMS significantly impacts medical students' academic performance and wellbeing. The study was small and in one university in Brazil, so results may not apply to all students. There was no comparison group to see how students without PMS perform.

65.4%

Report having or having had PMS

91%

Reported irritability

85.9%

Reported some degree of impairment

About the study

Original title
The Impacts of Premenstrual Syndromes on the Academic Performance of Medical
Authors
Caroline de Fátima Born Muniz Garcia, Marcelli Anália Dâmaso Lisboa Costa, Jaim Simões de Oliveira et al.
Journal
Advances in social sciences and management.
Year
2025
Study design
Survey study
Participants
78
What was tested
None (observational study)
Open access
Yes
Original abstract

Premenstrual Syndrome (PMS) is a multifactorial condition that affects a large proportion of women of reproductive age, impacting their quality of life and academic performance. This cross-sectional study, with a quantitative approach, evaluated the prevalence and impacts of PMS in 78 medical students from the University Center of Maceió (UNIMA), between August 2024 and June 2025. Data were collected through a structured electronic form, covering sociodemographic aspects, physical and emotional symptoms, lifestyle habits, gynecological history, and academic performance. Most participants (75.6%) are in the age range between 18 and 24 years, and 65.4% report having or having been hired with PMS. The most frequent symptoms were irritability (91%), fatigue (84.6%), and cravings for specific foods (75.6%). Globally,85.9% of female students reported some degree of impairment during the premenstrual period, with particular emphasis on decreased academic and exam performance, as well as absences from classes and difficulty concentrating. Interpersonal relationships were also impacted, especially with colleagues and family. Despite the use of contraceptive methods by the participants, the symptoms of PMS are significant, indicating the need for broader and more multidimensional approaches. The study reinforces the importance of implementing institutional strategies external to the mental health and well being of students, considering the emotional, financial, and academic impacts of PMS during medical training.

Reproduced under CC-BY.

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