When Stress Disrupts the Cycle: Menstrual Health Challenges among Female Healthcare Students

Objectives Menstrual problems are common among young women and can significantly affect physical health, psychological well-being, and academic performance. Healthcare students may be particularly vulnerable due to demanding academic schedules and clinical responsibilities. Evidence on the relationship between menstrual problems and perceived stress among this group in the Indian context remains limited. Therefore, this study aims to assess menstrual problems and examine their association with perceived stress among healthcare students at a selected university in Mangalore. Material and Methods A cross-sectional survey was conducted among 786 female healthcare students aged 18–25 years using purposive sampling. Data were collected using a demographic proforma, a structured menstrual problems questionnaire, and the Perceived Stress Scale (PSS-10). Statistical analysis included descriptive statistics, Spearman’s correlation, and multiple regression analysis. Results The mean age of participants was 19.7 ± 1.46 years. A high prevalence of menstrual problems was observed, with 74.1% reporting dysmenorrhea affecting their daily routine, 42.7% heavy menstrual bleeding, and 41.3% intermenstrual bleeding. Psychological symptoms such as mood changes, anxiety, or depression were reported by 87.4% of participants. A majority (85.5%) experienced high perceived stress. Spearman’s correlation showed a significant positive relationship between menstrual problems and perceived stress (ρ = 0.161, p <0.001). Regression analysis identified age, body mass index (BMI), and difficulty attending classes during menstruation as significant predictors of perceived stress. Conclusion Menstrual problems and perceived stress were highly prevalent and significantly associated among healthcare students. The findings highlight the need for integrated institutional interventions, including stress management programs, menstrual health education, and supportive academic policies to improve student well-being.