Author(s): C. Vijayalakshmi1
Premenstrual syndrome is a common problem in young girls which adversely affects their educational performance and emotional well-being. PMS is associated with reductions in health-related quality of life and work productivity impairment regardless of the criteria used. We evaluated the loss the work productivity and functional impairment adolescent girls associated with premenstrual symptoms and dysphoric disorder (PMDD). METHODS: A total of 100 unmarried girls who had regular cycles for last 6 months, between the age group of 13-19 years, having dysmenorrhic symptoms and having a menstrual cycle length 0f 21-35 days were enrolled. Data was collected on Socio economic profile menstrual profile, PMS symptoms ACOG, DSM-IV (PMDD) & Work productivity loss & Impairment. Symptoms were recorded. RESULTS: Physical symptoms, the highest % of symptoms are with Abdominal Bloating (95.81%); Breast Discomfort (94.72%); Acne (93.44%); Body ache (90.71%); Increased appetite (87.43%). Psychological symptoms - Angry (94.35%) >Anxiety (92.71%) >Irritability (91.44%) >Feeling depressed (90.35%) >Feeling Stress (85.97%). Behavioral Symptoms: - Personality Change (85.6%) >Abstinence from Work (80.5%) >Violent Outburst (77.9%) Work Productivity Loss and Functional Impairment: - 27.1% have reported to have a loss of more than 2 days; 12% have reported to have loss of more than 5 days; 2% have reported to have a loss of more than 14 days. CONCLUSION: In the present study, 41% had academic/ work loss. 24% of PMS patients who missed more than 5 days per month with 50% reduction in work productivity and 2% missed more than 14 days per month with impairment in work/social activities/relationships.