Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Mar;9(3):QC01-3.
doi: 10.7860/JCDR/2015/6906.5611. Epub 2015 Mar 1.

To evaluate the effect of perceived stress on menstrual function

Affiliations

To evaluate the effect of perceived stress on menstrual function

Shahida Nagma et al. J Clin Diagn Res. 2015 Mar.

Abstract

Introduction: Menstrual irregularities affect 2-5% of childbearing women, a number that is considerably higher among females under constant stress during a cycle.

Aim: To study the effect of perceived stress on cycle length, regularity and dysmenorrhoea.

Materials and methods: A cross-sectional study was conducted on 100 female undergraduate students of a medical college. A questionnaire along with the Perceived Stress Scale (PSS) and Pictorial Blood Assessment Chart (PBAC) was provided to the students. The menstrual pattern was then correlated with the PSS using the chi- square test and the Fisher's Exact test for statistical analysis.

Observations and results: Out of the 100 undergraduate medical students, 30 students had a PSS score >20 while 70 had a score ≤20. An association was established between high stress levels (PSS >20) and menstrual irregularity. No association was found in students with PSS >20 with hypomenorrhoea, menorrhagia, dysmenorrhoea, long cycle length and short cycle length.

Conclusion: High stress levels (PSS >20) was associated with only menstrual irregularities and not with duration, amount of flow or dysmenorrhoea. Hence, other causes should be looked for in young women complaining of menstrual problems before stress is assumed to be the cause.

Keywords: Dysmenorrhoea; Irregular menstrual cycle; Menstrual irregularities.

PubMed Disclaimer

References

    1. H. Beers, MD Mark, R Berkow. 17th Edition. Merck Publishers; The Merck Manual of Diagnosis and Therapy: Menstrual Abnormalities and Abnormal Uterine Bleeding. Chapter 235.
    1. V Bianco, AM Cestari, D Casati, S Cipriani, G Radici, I Valente. Premenstrual syndrome and beyond: lifestyle, nutrition, and personal facts. Minerva Ginecol. 2014;66(4):365–75. - PubMed
    1. IS Poromaa. Physiological Correlates of Premenstrual Dysphoric Disorder (PMDD) Curr Top Behav Neurosci. 2014;21:229–43. - PubMed
    1. S Cohen, T Kamarck, R Mermelstein. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96. - PubMed
    1. JM Higham, PM O'Brien, RW Shaw. Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol. 1990;97(8):734–39. - PubMed

LinkOut - more resources