The prevalence of menstrual disorders and their association with psychological stress in Syrian students enrolled at health-related schools: A cross-sectional study

Int J Gynaecol Obstet. 2024 Mar;164(3):1086-1093. doi: 10.1002/ijgo.15152. Epub 2023 Sep 25.

Abstract

Objectives: Menstrual disorders are among the most prevalent health issues among young female students studying in health science faculties. This study aimed to provide insights into the menstrual patterns among medical faculty students and determine whether stress can be a risk factor for its various disorders.

Methods: This cross-sectional study was conducted in the Faculties of Medicine, Dentistry, and Pharmacy at the Syrian Private University, Damascus, Syria, between October and November 2022. A total of 980 female students anonymously completed the identification of menstrual problems and the perceived stress scale (PSS) questionnaire. The data were analyzed using SPSS-25.

Results: The mean age of students was 21.52 ± 2.06 years. The most common menstrual disorders in this study were dysmenorrhea (88%), and premenstrual syndrome (87%). A total of 82% had mild to moderate stress, 10% had high stress, and 8% had low stress. Moderate to high perceived stress was associated with an increased risk of PMS (OR = 1.79, P = 0.0037).

Conclusion: These findings stress the importance of universities, especially health science faculties, establishing protocols for early detection and intervention in students with stress and menstrual disorders. Implementing stress reduction education and timely counseling, along with preventive measures, is crucial for students' well-being. Further research is needed to refine interventions for this group.

Keywords: Damascus; Syria; dysmenorrhea; gynecology; medical faculties; menstrual disorders; perceived stress; premenstrual disorder.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Menstruation Disturbances / complications
  • Menstruation Disturbances / epidemiology
  • Premenstrual Syndrome*
  • Prevalence
  • Psychological Tests*
  • Schools
  • Self Report*
  • Stress, Psychological / epidemiology
  • Students, Medical*
  • Surveys and Questionnaires
  • Syria / epidemiology
  • Universities
  • Young Adult

Supplementary concepts

  • Perceived Stress Scale