WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Raghad A. Ibrahim C.A.B.H.S_F.M, Nineveh D.O.H, Dr. Muhammad Attarbashi C.A.B.H.S_F.M Nineveh D.O.H, Dr. Shahad Waadallah Fadhil C.A.B.H.S_F.M, Nineveh D.O.H.

ABSTRACT

Menstruation is the monthly bleeding of a woman. This period extended between the first day of a bleeding and the first day of the next period. During this time, the woman experiences changes in her body, especially in the uterus and ovaries of her reproductive system, due to the action of the female sex hormones (FSH, LH, estradiol and progesterone) that are preparing the body for a possible pregnancy. Premenstrual syndrome (PMS) encompasses clinically significant somatic and psychological manifestations during the luteal phase of the menstrual cycle, leading to substantial distress and impairment in functional capacity. These symptoms disappear within a few days of the onset of menstruation. The pooled prevalence of reproductive age women affected with PMS worldwide amounts to 47.8%. Among these, about 20% of women experience symptoms severe enough to disrupt their daily activities. The aim of this study is to find the prevalence among different medical colleges & to study the premenstrual cycle Among them. Cross section analysis has been adopted by using anonymous self-completed questionnaires. A value of P <0.05 was considered statistically significant. The study included 600 students (450 have the symptoms of PMS & 150 don’t have symptoms). The overall prevalence was found to be 75%. The 450 participants (75%) suffered from some type of PMS symptoms. The most frequent PMS symptoms were abdominal Cramps (95.1%), lower Back pain (69.3%). Most frequent psychological symptoms were anxiety & loss of concentration (78.2%), tiredness & fatigue (67.8%). Huge part of the participants chooses laying down & sleep as their favorite way to deal with the symptoms (46.9%), (23.3%) uses analgesics, (0.4%) of the participants use IV fluid which reflect the severity of the symptoms. Most of participants (81.5%) think that symptoms appear during exams. Which mean that there is an obvious relation between exams stress and PMS syndrome. Most participants among University Students from Sharjah, UAE (88.9%) had experienced dietary changes during pre-menstruation, while in this study the sum of the dietary changes was (57.5%). Abdominal pain/discomfort is one of the most frequently reported physical symptoms among surveyed females. However, this finding disagrees with recent studies on relevant college students from China and India. “physiological symptoms” was dominant among the students unlike the subjects in this study and the Palestinian study. There was a significant relationship between menstrual cycle regularity and symptoms of PMS (The p-value is .000213. Significant at p < 0.05), also there was a significant relationship between marital states of the participants and their BMI (The p - value is.001689. Significant at p < 0.05.) For conclusion, PMS is common among medical college students and it is mostly due to psychological stress experienced by students especially during their exams.

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