The Relationship Between Menstrual Health and Absenteeism in College Students at a Mid-Sized University

International Journal of Nursing and Health Science
© 2023 by SSRG - IJNHS Journal
Volume 9 Issue 1
Year of Publication : 2023
Authors : Nicole A. Webb, Bonnie K. Slavych
How to Cite?

Nicole A. Webb, Bonnie K. Slavych, "The Relationship Between Menstrual Health and Absenteeism in College Students at a Mid-Sized University," SSRG International Journal of Nursing and Health Science, vol. 9,  no. 1, pp. 9-16, 2023. Crossref,


Menstruation is an event that signifies females’ official entry into puberty. An alarming number of females experience pain and other uncomfortable symptoms. Most females do not report their symptoms, as most believe this is an expected part of menstruation. This study examined whether menstrual distress contributed to absenteeism in females at a mid-sized university, the average number of class days missed due to dysmenorrhea, and the specific type of symptoms experienced. The Menstrual Distress Questionnaire (MDQ)-Form C was utilized to obtain information regarding symptoms experienced during the menstrual cycle at three intervals: most recent flow, four days before, and for the remainder of the cycle. Findings revealed a statistically significant small positive correlation between class absence and four days for the most recent flow and a small positive correlation between class absence for the beginning of the cycle and for the remainder of the cycle.


Menstruation, Dysmenorrhea, Absenteeism, College female student, Reproductive health.


[1] Elizabeth Ferries-Rowe, Elizabeth Corey, and Johanna.S. Archer, “Primary Dysmenorrhea: Diagnosis and Therapy,” Obstetrics & Gynecology, vol. 135, no. 5, pp. 1047-1058, 2020. Crossref,
[2] ACOG Committee Opinion Number 760: “Dysmenorrhea and Endometriosis in the Adolescent, Obstetrics & Gynecology, vol. 132, no. 6, pp. e249-e258, 2018. Crossref,
[3] Dharshini et al., “Primary Dysmenorrhea and its Impact on Academic Performance Among Adolescent Females – A Cross Sectional Study,” Annals of the Romanian Society for Cell Biology, vol. 25, no. 4, pp. 13681-13689, 2021. [Online]. Available:
[4] Mark E. Schoep et al., “Productivity Loss Due to Menstruation-Related Symptoms: A Nationwide Cross-Sectional Survey Among 32748 Women,” Obstetrics and gynaecology Research, vol. 9, no. 6, pp. 1-10, 2019. Crossref,
[5] Claire Hardy and Myra S. Hunter, “Premenstrual Symptoms and Work: Exploring Female Staff Experiences and Recommendations for Workplaces,” International Journal of Environmental Research and Public Health, vol. 18, p. 3647, 2021. Crossref,
[6] Vibha Gangwar et al., “Prevalence of Primary Dysmenorrhea among the Undergraduate Medical Students and its Impact on their Performance in Study,” International Journal of Physiology, vol. 2, no. 1, pp.14-18, 2014. Crossref, 608X.2.1.004
[7] Rudolf H. Moos, Menstrual Distress Questionnaire: Manual, Instrument, and Scoring Guide, 4th edition, Palo Alto, California: Center for Health Care Evaluation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Mind Garden, Inc., [Online].
[8] Erik Von Elm et al., “The Strengthening the Reporting Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies, J Clin Epidemiol, vol. 61, no. 4, pp.344-349, 2008. Crossref,
[9] Elia Fernandez-Martinez et al., “Living with Restrictions. The Perspective of Nursing Students with Primary Dysmenorrhea, International Journal of Environmental Research and Public Health, vol. 17, no. 22, pp. 8527-8540,2020. Crossref, https://doi:10.3390/ijerph17228527
[10] M. Rodriguez Bofill, Anne Lethaby, and Cindy Farquhar, “Non-Steroidal Anti-Inflammatory Drugs for Heavy Menstrual Bleeding,” Cochrane Database of Systematic Reviews, vol. 9, 2019. Crossref,
[11] Folabomi A. Oladosu, Frank F. Tu, and Kevin, M. Hellman, “Nonsteroidal anti-inflammatory drug resistance in dysmenorrhea: epidemiology, causes, and treatment,” American Journal of Obstetrics and Gynecology, vol. 218, no. 4, pp. 390-400, 2018. Crossref,
[12] ZahraMohebbi Dehnavi, Farzaneh Jafarnejad, Zahra Kamali, “The effect of aerobic exercise on primary dysmenorrhea: A clinical trial study,” Journal of Education and Health Promotion, vol. 7, no. 1, pp. 3-9, 2018. Crossref,
[13] Ahmed Samy et al., “The Effect of Zumba Exercise on Reducing Menstrual Pain in Young Women with Primary Dysmenorrhea: A Randomized Controlled Trial,” Journal of Pediatric and Adolescent Gynecology, vol. 32, pp. 541-545, 2019. Crossref,
[14] Priya Kannan, Kwok-Kuen Cheung, and Benson W-M Lau, “Does Aerobic Exercise Induced-Analgesia Occur Through Hormone and Inflammatory Cytokine-Mediated Mechanisms in Primary Dysmenorrhea,” Medical Hypotheses, vol. 123, pp. 50-54, 2019. Crossref,
[15] Usman Abubakar et al., “Use of Complementary and Alternative Therapies for the Treatment of Dysmenorrhea Among Undergraduate Pharmacy Students in Malaysia: A Cross Sectional Study,” BMC Complementary Medicine and Therapies, vol. 20, no. 1, pp. 285- 293, 2020. Crossref,
[16] Sonia Ponzo et al., “Menstrual-Cycle Associated Symptoms and Workplace Productivity in US Employees: A Cross-Sectional Survey of Users of the Flo Mobile Phone App,” Digital Health, vol. 8, pp. 1-12, 2022. Crossref,
[17] Kusuma Neela Bolla and Santhi Sri K.V, "Impact of Hormone Balancing Diet Therapy on Serum Estrogen and Menstural Cycle Length of Menopause Women," SSRG International Journal of Pharmacy and Biomedical Engineering, vol. 5, no. 3, pp. 1-5, 2018. Crossref,
[18] Mario Ortiz et al., “Effect of a Physiotherapy Program in Women with Primary Dysmenorrhea,” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 194, pp. 24-29, 2015. Crossref,
[19] Rojina Azim, Asish Paul, and Badshah Ghosh, “Evaluating the Effect of Physical Exercise Therapy on The Mental Stress Of Dysmenorrhea Patients,” Webology, vol. 19, no. 3, pp. 604-607, 2022.
[20] Pin-Yi Lin et al., “Bian Zheng Lun Zhi as a Complementary and Alternative Treatment for Menstrual Cramps in Women with Dysmenorrhea: A Prospective Clinical Observation,” Evidence -Based Complementary and Alternative Medicine, vol. 2014, pp. 1-12, 2014. Crossref,
[21] Roshan Sutar, Suresh Yadav, and Geetha Desai, “Yoga Intervention and Functional Pain Syndromes: A Selective Review,” International Review of Psychiatry, vol. 28, no. 3, pp. 316-322, 2016. Crossref,
[22] Ponlapat Yonglitthipagon et al., “Effect of Yoga on Menstrual Pain, Physical Fitness, and Quality of Life of Young Women with Primary Dysmenorrhea,” Journal of Bodywork & Movement Therapies, vol. 21, pp. 840-846, 2017. Crossref,
[23] M.N. Najafi et al., “Aromatherapy with Iranian Herbal Medicines for Premenstrual Syndrome and Primary Dysmenorrhea: A Systematic Review and Meta-Analysis,” International Journal of Pediatrics, vol. 7, no. 9, pp. 10155-101166, 2019 
[24] N. Subramanian, and K. Sudhalakshmi, "A Study On Self-Efficacy Of Student Teachers: Gender And Residence Wise Analysis," SSRG International Journal of Humanities and Social Science, vol. 6, no. 3, pp. 56-57, 2019. Crossref,
[25] Sylvester Emeka Igwea, Chidinma Samatha Tabansi-Ochuogu, and Ukachukwu Okoroafor Abaraogu, “TENS and Heat Therapy for Pain Relief and Quality of Life Improvement in Individuals with Primary Dysmenorrhea: A Systematic Review,” Complementary Therapies in Clinical Practice, vol. 24, pp. 86-91, 2016. Crossref,
[26] Gurkan Kiran et al., “A Randomized Pilot Study of Acupuncture Treatment for Primary Dysmenorrhea,” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 169, pp. 292-295, 2013. Crossref,
[27] Michael Armour, Hannah G. Dahlen, and Caroline A. Smith, “More Than Needles: The Importance of Explanations and Self-Care Advice in Treating Primary Dysmenorrhea with Acupuncture,” Evidence-Based Complementary and Alternative Medicine, vol. 2016, pp. 3467067-11. 2016. Crossref,
[28] Barbara N. Sanchez, and Carl M. Maresh, “Role of Nurses in Managing Menstrual Health Using Mobile Tracking,” Nursing, vol. 51, no. n11, pp. 45-50, 2021. Crossref,
[29] Allison Casola et al., “Menstrual Health: Taking Action Against Period Poverty,” American Journal of Public Health, vol. 112, no. 3, pp. 374-377, 2022. Crossref,
[30] [Online]. Available:
[31] Evans Paul Kwame Ameade, Anthony Amalba, and Baba Sulemana Mohammed, “Prevalence of Dysmenorrhea Among University Students in Northern Ghana; Its Impact and Management Strategies,” BMC Women’s Health, vol. 18, no. 1, pp. 39-39, 2018. Crossref,