Knowledge, attitude, experience and management on premenstrual syndrome among secondary level adolescence girl students of Kirtipur Municipality, Kathmandu, Nepal


  • Elina Poudel Hope International College, Lalitpur, Nepal
  • Amrit Bist Nepali Technical Assistance Group, Kathmandu, Nepal
  • Amita K. C. Department of Public Health, Hope International College, Lalitpur, Nepal



Adolescence girl, Attitude, Experience, Knowledge, Premenstrual syndrome


Background: Premenstrual syndrome (PMS) is a common menstrual disorder that affects the quality of life of women. The objective of this study is to identify the knowledge, attitude, experience and management on pre-menstrual syndrome among higher secondary level adolescence girls’ students of Kirtipur Municipality of Kathmandu district.

Methods: A descriptive cross-sectional study was conducted among 322 adolescence girl students of higher secondary school of Kritipur Municipality using pre-tested self-administered questionnaire.

Results: The mean age of the respondents was 17 years. It was found that 90.2% of the respondent had very poor knowledge on premenstrual syndrome and 9.2% of the respondent had fair /below average knowledge regarding PMS. The level of knowledge among the study participants was found statistically significant with education status of mother (p=0.002) and that of father (p=0.013). The prevalence of PMS among the female students of higher secondary level was found to be high (77%). Considerably high proportion of the participants reported having at least one somatic and one affective symptoms of premenstrual syndrome. The most frequent affective symptoms experienced by the respondents were mood swings, headache, irritability and somatic symptom was acnes in this study.

Conclusions: Majority of the respondents had poor knowledge and extremely negative attitude towards PMS. High proportion of the participants reported having at least one somatic and one affective symptom of PMS. Comprehensive education on menstrual health and PMS can be suggested for the adolescence girl in school level.


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Sapkota D, Sharma D, Pokharel H, Budhathoki SS, Khanal VKJJoKmc. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med College. 2013;2(3):122-8.

Balaha M, Amr M, Moghannum M, Muhaida NJPAMJ. The phenomenology of premenstrual syndrome in female medical students: a cross sectional study. Pan Afr Med J. 2010;5(1).

Silva CMLd, Gigante DP, Carret MLV, Fassa AGJRdsp. Population study of premenstrual syndrome. Rev Saude Publica. 2006;40:47-56.

Aryal S, Thapa B, Pant SBJNJoO, Gynaecology. Premenstrual syndrome and premenstrual dysphoric disorder in medical and nursing students of a tertiary care teaching hospital in Nepal. 2017;12(1):12-6.

Arslantaş H, Abacigil F, Çinakli ŞJSPMJ. Relationship between premenstrual syndrome and basic personality traits: a cross-sectional study. Sao Paulo Med J. 2018;136:339-45.

Houston AM, Abraham A, Huang Z, D'Angelo LJJJop. Knowledge, attitudes, and consequences of menstrual health in urban adolescent females. J Pediatr Adolesc Gynecol. 2006;19(4):271-5.

Mumtaz T, Roohi N, Iqbal MAJMR, Studies C. A census of premenstrual syndrome in young adolescent girls: Facts about women health in developing country. Med Rep Case Stud. 2018;3(2):1-5.

Shamnani G, Gupta V, Jiwane R, Singh S, Tiwari S, Bhartiy SSJNJoP, Pharmacy et al. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder among medical students and its impact on their academic and social performance. National J Physiol Pharmacy Pharmacol. 2018;8(8):1205-8.

Henshaw CAJA. PMS: diagnosis, aetiology, assessment and management: revisiting premenstrual syndrome. Eur J Obstet Gynecol Reprod Biol. 2007;13(2):139-46.

Sushil K, Kumar KP, Mandira M, Rani G. Prevalence of Premenstrual Syndrome (PMS) including insomnia in some undergraduate medical students of Nepal. Researchgate. 2017.

Dadi Givshad R, Nourani Saadoldin S, Esmaily HJJoM, Health R. The relationship of perceived severity of premenstrual syndrome with knowledge, attitude and recorded severity of syndrom by a daily calendar among university students in Iran. J Midwifery Reproduct Health. 2016;4(1):522-9.

Chayachinda C, Rattanachaiyanont M, Phattharayuttawat S, Kooptiwoot SJJoPO, Gynecology. Premenstrual syndrome in Thai nurses. J Psychosom Obstet Gynaecol. 2008;29(3):203-9.

Iman B, Hanan S EEA. Prevalence of premenstrual syndrome and the effect of its severity on the quality of life among medical students. Researchgate. 2010.

Tenkir A, Fisseha N, Ayele BJEJoHD. Premenstrual syndrom: prevalence and effect on academic and social performances of students in Jimma University, Ethiopia. Researchgate. 2003;17(3):181-8.

Rizk DE, Mosallam M, Alyan S, Nagelkerke NJAoegS. Prevalence and impact of premenstrual syndrome in adolescent schoolgirls in the United Arab Emirates. Researchgate. 2006;85(5):589-98.






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