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Survey study, 2026

Is premenstrual syndrome more common in women with higher body weight?

PMS was most common in normal weight women (33%) and overweight women (30%), not clearly linked to obesity (22%). The study cannot explain why.

Early or limited evidence 100 women aged 16-35 in Hyderabad (students, housewives, working women)

What they did

In a cross-sectional survey, 100 women aged 16-35 in Hyderabad (students, housewives, and working women) completed a questionnaire about PMS symptoms and their weight category.

What they found

Emotional symptoms dominated: mood swings in 96%, emotional instability or tearfulness in 96%, overeating in 84%. Physical symptoms included breast tenderness in 88%, bloating in 74%, weight gain in 74%, and acne in 52%. Among the sample, 24% were normal weight, 30% were underweight, 24% were overweight, and 22% were obese. PMS was highly prevalent in 33% of normal weight women and 30% of overweight women.

What it means for you

Body weight categories were not consistently linked to PMS in this small survey, as rates were similar in normal weight and overweight women, and lower in obese women. The study cannot explain the connection. No control group means we cannot know if these rates are typical.

96%

mood swings and emotional instability/tearfulness

88%

breast tenderness

33%

PMS in normal weight women

About the study

Original title
PREVALENCE OF PREMENSTRUAL SYNDROME IN RELATION TO BODY MASS INDEX (BMI) IN WOMEN OF HYDERABAD, SINDH
Authors
Nuzhat Shams Memon*Dr. Tahira Jabeen Ursani
Journal
Annual Methodological Archive Research Review
Year
2026
Study design
Survey study
Participants
100
What was tested
None - observational survey comparing BMI groups
Open access
Yes
Original abstract

Premenstrual syndrome (PMS) is described as a cyclical process which starts in the luteal phase of reproductive cycle and ends approximately 4 days after menstruation. Premenstrual syndrome, is a common reproductive disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle. The main aim of this research study is to find out the prevalence of premenstrual syndrome (PMS) and its association with body mass index in women of Hyderabad. In this regard a total of 100 female participants with regular menstrual cycle were surveyed through a designed questionnaire. The participants of this data collection were students, house wives and working women. The age range of female participants was 16 to 35 years and the mean age is 21.2 years. Physical symptoms of PMS reported in data as, breast tenderness 88%, Headache 56%, Joint/muscle pain 32%, bloating 74%, weight gain 74%, acne 52% and diarrhea/constipation 22%. Emotional or behavioral symptoms of PMS reported in data as, depression/anxiety 52%, mood swings 96%, irritation 74%, lack of interest in daily activities 64%, insomnia 60%, low energy 56%, overwhelmed 14%, emotional instability/tearfulness 96%, overeating 84% and lack of appetite 26%. 24% normal weight, 30% underweight, 24% overweight and 22% obese women were reported. PMS is highly prevailing 33% and 30% in women with normal weight and overweight respectively. KEY WORDS: Premenstrual syndrome (PMS), Body mass index (BMI), Reproductive disorder, Mood swings, Underweight, overweight, Obese.

Reproduced under CC-BY.

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