Menstrual Irregularities and Lifestyle Factors in Young Women: A Cross-Sectional Analysis

Authors

  • Maria Javaid Fatima Memorial Hospital, Lahore, Pakistan
  • Naheed Mumtaz University of Poonch Rawalakot Azad Jammu Kashmir
  • Saba Irshad Lady Atchison Hospital, Lahore, Pakistan
  • Fouzia Rasool Bilawal Medical College, LUMHS
  • Zahid Azam Chaudry Nazwaz Sharif Medical College, Gujrat.
  • Fatima Anjum Khan Services Institute of Medical Sciences, Lahore
  • Tanzeel Shafique ul Rehman Tübingen University, Germany

DOI:

https://doi.org/10.36283/ziun-pjmd14-4/077

Keywords:

Menstruation Disturbances, Stress, Psychological, Exercise, Sleep Deprivation, Menstrual Cycle

Abstract

Background: Menstrual irregularities are common among young women and are affected by modifiable lifestyle factors, including diet, physical activity, stress, and sleep quality. These disorders can indicate underlying endocrine dysregulation and affect reproductive and overall health. The purpose of this study was to estimate the prevalence of menstrual irregularities and their association with important lifestyle factors in young women. Materials and Methods: In this cross-sectional study (January and June 2022) stratified random sampling was used to recruit 400 female students. Menstrual irregularity was a cycle length of <21 days, >35 days, or >7 days change in the preceding six months. Sociodemographic, menstrual history, eating patterns, physical activity, sleep, and perceived stress data were recorded through a validated structured questionnaire. Independent t-test, chi-square, and multivariate logistic regression were used for data analysis. P< 0.05 was considered statistically significant. Results: Menstrual irregularities were observed at the rate of 146 (36.5%). Disrupted cycles had a significant relation with increased stress (68 (46.6%) vs. 62 (24.4%), p < 0.001; AOR = 2.16, CI: 1.46-3.19), lack of physical activity (85 (58.2%) vs. 98 (38.6%), p < 0.001; AOR = 1.73, CI: 1.16-2.58), and inadequate sleep (72 (49.3%) vs. 89 (35.0%), p = 0.006; AOR = 1.61, CI:1.07-2.43). There was no significant association of breakfast skipping, fast-food intake, BMI, and chronic illness. Conclusion: Menstrual irregularities are common in young women and are linked to stress, physical inactivity, and sleep disturbances. Addressing these factors may improve menstrual and reproductive outcomes.

Author Biographies

  • Maria Javaid, Fatima Memorial Hospital, Lahore, Pakistan

    Department of Obstetrics & Gynecology

  • Naheed Mumtaz, University of Poonch Rawalakot Azad Jammu Kashmir

    Department of Medical and Health Sciences

  • Saba Irshad , Lady Atchison Hospital, Lahore, Pakistan

    Department of Obstetrics and Gynaecology

  • Fouzia Rasool, Bilawal Medical College, LUMHS

    Department of Obstetrics and Gynaecology

  • Zahid Azam Chaudry, Nazwaz Sharif Medical College, Gujrat.

    Department of Community Medicine 

  • Fatima Anjum Khan, Services Institute of Medical Sciences, Lahore

    Department of Pathology

References

1. Pogodina A, Dolgikh O, Astakhova T, Klimkina J, Khramova E, Rychkova L. Health-related quality of life and menstrual problems in adolescents. J Paediatr Child Health. 2022 Jun;58(6):1028-1032. doi: 10.1111/jpc.15895.

2. Attia GM, Alharbi OA, Aljohani RM. The Impact of Irregular Menstruation on Health: A Review of the Literature. Cureus. 2023 Nov 20;15(11):e49146. doi: 10.7759/cureus.49146.

3. Vigil P, Meléndez J, Soto H, Petkovic G, Bernal YA, Molina S. Chronic Stress and Ovulatory Dysfunction: Implications in Times of COVID-19. Front Glob Womens Health. 2022 May 23;3:866104. doi: 10.3389/fgwh.2022.866104.

4. Passoni P, Inzoli A, De Ponti E, Polizzi S, Ceccherelli A, Fantauzzi M, et al. Association between Physical Activity and Menstrual Cycle Disorders in Young Athletes. Int J Sports Med. 2024 Jun;45(7):543-548. doi: 10.1055/a-2278-3253.

5. Miyamoto M, Shibuya K. Sleep duration has a limited impact on the prevalence of menstrual irregularities in athletes: a cross-sectional study. PeerJ. 2024 Feb 16;12:e16976. doi: 10.7717/peerj.16976.

6. Itriyeva K. The effects of obesity on the menstrual cycle. Curr Probl Pediatr Adolesc Health Care. 2022 Aug;52(8):101241. doi: 10.1016/j.cppeds.2022.101241.

7. Mittiku YM, Mekonen H, Wogie G, Tizazu MA, Wake GE. Menstrual irregularity and its associated factors among college students in Ethiopia, 2021. Front Glob Womens Health. 2022 Aug 23;3:917643. doi: 10.3389/fgwh.2022.917643.

8. Dar M, Khan A, Shah SS, Aleem A, Jaber AAS, Hussain M, et al. Evaluation of health-related quality of life of female students suffering from primary dysmenorrhea: findings of a cross-sectional study from Pakistan. Front Public Health. 2025 Apr 24;13:1467377. doi: 10.3389/fpubh.2025.1467377.

9. Dhar S, Mondal KK, Bhattacharjee P. Influence of lifestyle factors with the outcome of menstrual disorders among adolescents and young women in West Bengal, India. Sci Rep. 2023 Aug 1;13(1):12476. doi: 10.1038/s41598-023-35858-2.

10. van Hooff MHA, Caanen MR, Peters HE, Laven JSE, Lambalk CB. Adolescent menstrual cycle pattern, body mass index, endocrine and ovarian ultrasound characteristics of PCOS and future fertility, cardiovascular-, and metabolic health: a 25-year longitudinal follow-up study. Hum Reprod. 2025 Jan 1;40(1):138-147. doi: 10.1093/humrep/deae262.

11. Bhardwaj R, Agrawal U, Vashist P, Manna S. Determination of sample size for various study designs in medical research: A practical primer. J Family Med Prim Care. 2024 Jul;13(7):2555-2561. doi: 10.4103/jfmpc.jfmpc_1675_23.

12. Munro MG, Critchley HOD, Fraser IS. FIGO Menstrual Disorders Committee. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018 Dec;143(3):393-408. doi: 10.1002/ijgo.12666. Epub 2018 Oct 10. Erratum in: Int J Gynaecol Obstet. 2019 Feb;144(2):237. doi: 10.1002/ijgo.12709.

13. Shim J, Han S, Baek J. Factors influencing menstrual regularity among female workers: a cross-sectional analysis study. BMC Womens Health. 2024 May 20;24(1):299. doi: 10.1186/s12905-024-03142-8.

14. Park YJ, Shin H, Jeon S, Cho I, Park HJ. Development and Effects of College-Based Lifestyle Modification Program for Menstrual Health of Young Adult Women with Irregular Menses: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020 Dec 30;18(1):233. doi: 10.3390/ijerph18010233.

15. Jain P, Chauhan AK, Singh K, Garg R, Jain N, Singh R. Correlation of perceived stress with monthly cyclical changes in the female body. J Family Med Prim Care. 2023 Nov;12(11):2927-2933. doi: 10.4103/jfmpc.jfmpc_874_23. Epub 2023 Nov 21.

16. Ozimek N, Velez K, Anvari H, Butler L, Goldman KN, Woitowich NC. Impact of Stress on Menstrual Cyclicity During the Coronavirus Disease 2019 Pandemic: A Survey Study. J Womens Health (Larchmt). 2022 Jan;31(1):84-90. doi: 10.1089/jwh.2021.0158.

17. Harvey J, Western MJ, Townsend NP, Francombe-Webb J, Sebire S, Malkowski OS, et al. Adolescents, menstruation, and physical activity: insights from a global scoping review. BMC Womens Health. 2025 Jun 6;25(1):281. doi: 10.1186/s12905-025-03825-w.

18. Shi Y, Shi M, Liu C, Sui L, Zhao Y, Fan X. Associations with physical activity, sedentary behavior, and premenstrual syndrome among Chinese female college students. BMC Womens Health. 2023 Apr 11;23(1):173. doi: 10.1186/s12905-023-02262-x.

19. Jeong D, Lee H, Kim J. Effects of sleep pattern, duration, and quality on premenstrual syndrome and primary dysmenorrhea in korean high school girls. BMC Womens Health. 2023 Aug 28;23(1):456. doi: 10.1186/s12905-023-02600-z.

20. Jeon B, Baek J. Menstrual disturbances and its association with sleep disturbances: a systematic review. BMC Womens Health. 2023 Sep 1;23(1):470. doi: 10.1186/s12905-023-02629-0.

21. Rijal S, Shrestha G. Factors associated with premenstrual symptoms: a study among graduate-level students of the institute of science and technology, Tribhuvan university. BMC Womens Health. 2025 Jul 28;25(1):373. doi: 10.1186/s12905-025-03925-7.

22. Güzeldere HKB, Efendioğlu EH, Mutlu S, Esen HN, Karaca GN, Çağırdar B. The relationship between dietary habits and menstruation problems in women: a cross-sectional study. BMC Womens Health. 2024 Jul 12;24(1):397. doi: 10.1186/s12905-024-03235-4.

23. Chao M, Menon C, Elgendi M. Menstrual cycles during COVID-19 lockdowns: A systematic review and meta-analysis. Front Reprod Health. 2022 Aug 9;4:949365. doi: 10.3389/frph.2022.949365.

24. Ciołek A, Kostecka M, Kostecka J, Kawecka P, Popik-Samborska M. An Assessment of Women's Knowledge of the Menstrual Cycle and the Influence of Diet and Adherence to Dietary Patterns on the Alleviation or Exacerbation of Menstrual Distress. Nutrients. 2023 Dec 25;16(1):69. doi: 10.3390/nu16010069.

25. Kennedy KER, Onyeonwu C, Nowakowski S, Hale L, Branas CC, Killgore WDS, et al. Menstrual regularity and bleeding is associated with sleep duration, sleep quality and fatigue in a community sample. J Sleep Res. 2022 Feb;31(1):e13434. doi: 10.1111/jsr.13434.

26. Bruinvels G, Goldsmith E, Blagrove R, Simpkin A, Lewis N, Morton K, et al. Prevalence and frequency of menstrual cycle symptoms are associated with availability to train and compete: a study of 6812 exercising women recruited using the Strava exercise app. Br J Sports Med. 2021 Apr;55(8):438-443. doi: 10.1136/bjsports-2020-102792.

Downloads

Published

2025-09-29

Metrics

How to Cite

1.
Javaid M, Mumtaz N, Irshad S, Rasool F, Chaudry ZA, Khan FA, et al. Menstrual Irregularities and Lifestyle Factors in Young Women: A Cross-Sectional Analysis. PJMD [Internet]. 2025 Sep. 29 [cited 2026 Jun. 13];14(4). Available from: https://ojs.zu.edu.pk/pjmd/article/view/4226

Similar Articles

11-20 of 126

You may also start an advanced similarity search for this article.