Abstract
Introduction: The regularity of the menstrual cycle is one of the key indicators of procreation health. The frequency of menstruation disorders in young women, including students, may result from various socio-demographic and lifestyle-related factors. The aim of the study was to examine whether the regularity of Polish female students’ menstrual cycles depended on selected socio-demographic variables and their lifestyle. Material and method: The study involved 490 Polish female university students over the age of 18, representing various fields of study. The study was carried out in the form of an anonymous online questionnaire from November 2022 to March 2023. A diagnostic survey method was used, employing a bespoke questionnaire. Socio-demographic data, lifestyle (for example, sleep, physical activity, stress, drugs), characteristics of the menstrual cycle and the occurrence of accompanying symptoms were analysed. Statistical analysis was performed (chi-square test, p < 0.05). Results: 30% of participants reported irregular menstrual cycles. Among the analysed variables, only the year of studies (p = 0.024), smoking (p = 0.006) and eating breakfast every day (p = 0.014) showed a statistically significant relationship with the cycle regularity. Students in higher years of their studies, non-smokers and those who ate breakfast every day were more likely to report regular menstruation. Conclusions: Nearly one in three students had irregular menstruation cycles, which may indicate actual and potential health problems. Therefore, it is necessary to identify factors related to irregular menstruation to determine appropriate preventive and remedial strategies. Irregular menstrual cycles were significantly more common among respondents who were in their first years of studies. The rest analysed socio-demographic variables did not differentiate the group of study participants. Smoking tobacco and skipping breakfast were strongly associated with irregular menstruation, which highlights the importance of modifiable lifestyle factors in the prevention and promotion of procreation health.
References
Aber, A. (2018). Prevalence of menstrual disturbances among female students of fourth and fifth classes of curative medicine faculty. IJRDO–Journal of Health Sciences and Nursing, 3(4), 1-14. https://doi.org/10.53555/hsn.v3i4.1989
Abreu-Sánchez, A., Parra-Fernández, M. L., Onieva-Zafra, M. D., Ramos-Pichardo, J. D., & Fernández-Martínez, E. (2020). Type of dysmenorrhea, menstrual characteristics and symptoms in nursing students in southern Spain. Healthcare, 8(3), 302. https://doi.org/10.3390/healthcare8030302
Alhammadi, M. H., Albogmi, A. M., Alzahrani, M. K., Shalabi, B. H., Fatta, F. A., & AlBasri, S. F. (2022). Menstrual cycle irregularity during examination among female medical students at King Abdulaziz University, Jeddah, Saudi Arabia. BMC Women’s Health, 22(1), 367. https://doi.org/10.1186/s12905-022-01952-2
Ansong, E., Arhin, S. K., Cai, Y., Xu, X., & Wu, X. (2019). Menstrual characteristics, disorders and associated risk factors among female international students in Zhejiang Province, China: A cross-sectional survey. BMC Women’s Health, 19(1), 35. https://doi.org/10.1186/s12905-019-0730-5
Bae, J., Park, S., & Kwon, J. W. (2018). Factors associated with menstrual cycle irregularity and menopause. BMC Women’s Health, 18(1), 36. https://doi.org/10.1186/s12905-018-0528-x
Carlson, L. J., & Shaw, N. D. (2019). Development of ovulatory menstrual cycles in adolescent girls. Journal of Pediatric and Adolescent Gynecology, 32(3), 249-253. https://doi.org/10.1016/j.jpag.2019.02.119
Deborah, S. G., Priya, S. D., & Swamy, R. C. (2017). Prevalence of menstrual irregularities in correlation with body fat among students of selected colleges in a district of Tamil Nadu, India. National Journal of Physiology, Pharmacy and Pharmacology, 7(7), 740-743. https://doi.org/10.5455/njppp.2017.7.0307422032017
Demeke, E., Zeru, A. B., Tesfahun, E., & Mohammed, W. B. (2023). Effect of menstrual irregularity on academic performance of undergraduate students of Debre Berhan University: A comparative cross-sectional study. PLoS ONE, 18(1), e0280356. https://doi.org/10.1371/journal.pone.0280356
Drosdzol-Cop, A., & Orszulak, D., & Wilk, K. (2017). Ginekologia dziecięca i dziewczęca – wybrane zagadnienia [Pediatric and adolescent gynecology – selected issues]. In G. H. Bręborowicz (Ed.), Ginekologia [Gynecology] (Vol. 2, pp. 254-264). Warszawa: Wydawnictwo Lekarskie PZWL.
Fernández-Martínez, E., Fernández-Villa, T., Amezcua-Prieto, C., Suárez-Varela, M. M., Mateos-Campos, R., Ayán-Pérez, C., … Alguacil, J. (2020). Menstrual problems and lifestyle among Spanish university women. International Journal of Environmental Research and Public Health, 17(20), 7425. https://doi.org/10.3390/ijerph17207425
Fernández-Martínez, E., Onieva-Zafra, M. D., Abreu-Sánchez, A., Fernández-Muñoz, J. J., & Parra-Fernández, M. L. (2020). Absenteeism during menstruation among nursing students in Spain. International Journal of Environmental Research and Public Health, 17(1), 53. https://doi.org/10.3390/ijerph17010053
Fujiwara, T., Ono, M., Iizuka, T., Sekizuka-Kagami, N., Maida, Y., Adachi, Y., … Yoshikawa, H. (2020). Breakfast skipping in female college students is a potential and preventable predictor of gynecologic disorders at health service centers. Diagnostics, 10(7), 476. https://doi.org/10.3390/diagnostics10070476
Jarząbek-Bielecka, G., Sowińska-Przepiera, E., Kędzia, A., & Kędzia, W. (2019). Problem zaburzeń miesiączkowania u dziewcząt [The problem of menstrual disorders in girls]. Endokrynologia Pediatryczna, 18(1), 23-28. https://doi.org/10.18544/EP-01.18.01.1713
Jeon, B., & Baek, J. (2023). Menstrual disturbances and its association with sleep disturbances: A systematic review. BMC Women’s Health, 23(1), 470. https://doi.org/10.1186/s12905-023-02629-0
Jha, N., Bhadoria, A. S., Bahurupi, Y., Gawande, K., Jain, B., Chaturvedi, J., & Kishore, S. (2020). Psychosocial and stress-related risk factors for abnormal menstrual cycle pattern among adolescent girls: A case-control study. Journal of Education and Health Promotion, 9, 313. https://doi.org/10.4103/jehp.jehp_419_20
Kim, T., Nam, G. E., Han, B., Cho, S. J., Kim, J., Eum, D. H., … Park, Y. G. (2018). Associations of mental health and sleep duration with menstrual cycle irregularity: A population-based study. Archives of Women’s Mental Health, 21(6), 619-626. https://doi.org/10.1007/s00737-018-0872-8
Kumar, A., Seshadri, J. G., & Murthy, N. (2018). Correlation of anthropometry and nutritional assessment with menstrual cycle patterns. Journal of South Asian Federation of Obstetrics and Gynecology, 10(4), 263-269. https://doi.org/10.5005/jp-journals-10006-1603
Kwak, Y., Kim, Y., & Baek, K. A. (2019). Prevalence of irregular menstruation according to socioeconomic status: A population-based nationwide cross-sectional study. PLoS ONE, 14(3), e0214071. https://doi.org/10.1371/journal.pone.0214071
Maekawa, M., Miyamoto, A., Ariyoshi, H., & Miura, K. A. (2023). Survey of the menstrual status of female college students. Healthcare, 11(8), 1108. https://doi.org/10.3390/healthcare11081108
Mittiku, Y. M., Mekonen, H., Wogie, G., & Tizazu, M. A., & Wake, G. E. (2022). Menstrual irregularity and its associated factors among college students in Ethiopia, 2021. Frontiers in Global Women’s Health, 3, 917643. https://doi.org/10.3389/fgwh.2022.917643
Miyamoto, M., Hanatani, Y., & Shibuya, K. (2021). Dietary intake and menstrual cycle changes in international level young athletes. The Journal of Sports Medicine and Physical Fitness, 61(6), 851-856. https://doi.org/10.23736/S0022-4707.20.11392-6
Miyamoto, M., & Shibuya, K. (2024). Sleep duration has a limited impact on the prevalence of menstrual irregularities in athletes: A cross-sectional study. PeerJ, 12, e16976. https://doi.org/10.7717/peerj.16976
Munro, M. G., Critchley, H. O., Fraser, I. S., et al. (2018). 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. International Journal of Gynecology & Obstetrics, 143, 393-408. https://doi.org/10.1002/ijgo.12666
Nam, G. E., Han, K., & Lee, G. (2017). Association between sleep duration and menstrual cycle irregularity in Korean female adolescents. Sleep Medicine, 35, 62-66. https://doi.org/10.1016/j.sleep.2017.04.009
Natt, A. M., Khalid, F., & Sial, S. S. (2018). Relationship between examination stress and menstrual irregularities among medical students of Rawalpindi Medical University. Journal of Rawalpindi Medical College, 22(S-1), 44-47. https://doaj.org/article/fd66fc7e21a6467cb054b93fab153cd3
Negi, P., Mishra, A., & Lakhera, P. (2018). Menstrual abnormalities and their association with lifestyle pattern in adolescent girls of Garhwal, India. Journal of Family Medicine and Primary Care, 7(4), 804-808. https://doi.org/10.4103/jfmpc.jfmpc_159_17
Nguyen, N. T., & Le, T. T. M. (2024). Factors predicting menstrual irregularity among university students in Ho Chi Minh City, Vietnam: A cross-sectional study. Belitung Nursing Journal, 10(4), 424-429. https://doi.org/10.33546/bnj.3303
Pawelczyk, L., & Banaszewska, B. (2020). Cykl miesiączkowy [Menstrual cycle]. In G. H. Bręborowicz (Ed.), Ginekologia [Gynecology] (Vol. 2, pp. 17-35). Warszawa: Wydawnictwo Lekarskie PZWL.
Piasecka, K., Łyszczarz, P., Pytka, M., Ślizień-Kuczapska, E., & Kanadys, K. (2021). Analysis of cycle observation sheets in a group of women of reproductive age. Kwartalnik Naukowy Fides et Ratio, 51(3), 41–51. https://doi.org/10.34766/fetr.v3i51.1115
Podfigurna, A., & Męczekalski, B. (2020). Zaburzenia miesiączkowania [Menstrual disorders]. In G. H. Bręborowicz (Ed.), Ginekologia [Gynecology] (Vol. 2, pp. 177-179). Warszawa: Wydawnictwo Lekarskie PZWL.
Rostami Dovom, M., Ramezani Tehrani, F., Djalalinia, S., Cheraghi, L., Behboudi Gandavani, S., & Azizi, F. (2016). Menstrual cycle irregularity and metabolic disorders: A population-based prospective study. PLoS ONE, 11(12), e0168402. https://doi.org/10.1371/journal.pone.0168402
Saei Ghare Naz, M., Farahmand, M., Dashti, S., & Ramezani Tehrani, F. (2022). Factors affecting menstrual cycle developmental trajectory in adolescents: A narrative review. International Journal of Endocrinology and Metabolism, 20(1), e120438. https://doi.org/10.5812/ijem.120438
Sen, L. C., Annee, I. J., Akter, N., Fatha, F., Mali, S. K., & Debnath, S. (2018). Study on relationship between obesity and menstrual disorders. Asian Journal of Medical and Biological Research, 4(3), 259-266. https://doi.org/10.3329/ajmbr.v4i3.38464
Shantha, A., Roselin, V., & Srisanthanakrishnan, V. (2020). Problems associated with menstruation among medical students: A cross-sectional study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(3), 952-955. https://doi.org/10.18203/2320-1770.ijrcog20200514
Shimamoto, K., Hirano, M., Wada-Hiraike, O., Goto, R., & Osuga, Y. (2021). Examining the association between menstrual symptoms and health-related quality of life among working women in Japan using the EQ-5D. BMC Women’s Health, 21(1), 325. https://doi.org/10.1186/s12905-021-01462-7
Singh, M., Rajoura, O. P., & Honnakamble, R. A. (2019). Menstrual patterns and problems in association with body mass index among adolescent school girls. Journal of Family Medicine and Primary Care, 8(9), 2855-2858. https://doi.org/10.4103/jfmpc.jfmpc_474_19
Zafar, M. (2020). Risk factors associated with irregular menstrual cycle among young women. Fertility Science and Research, 7(1), 54. https://doi.org/10.4103/2394-4285.288716
Zeru, A. B., Gebeyaw, E. D., & Ayele, E. T. (2021). Magnitude and associated factors of menstrual irregularity among undergraduate students of Debre Berhan University, Ethiopia. Reproductive Health, 18, 101. https://doi.org/10.1186/s12978-021-01156-1

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Quarterly Journal Fides et Ratio