Effect of Level of the Stress, Gonadotroph and Ovarian Hormone on Menstrual Cycle's Problems and Premenstrual Syndrome of Female Junior Students

Tuesday, 13 July 2010: 10:50 AM

Fusun Terzioglu, PhD, RN, BSc
Nursing Department, Hacettepe University Faculty of Health Science, Ankara, Turkey
Sukran Simsek, PhD, RN, BSc
School of Health, Gazi University, Ankara, Turkey

Learning Objective 1: The learner will be able to understand the effect of level of the stress on steroid and gonadotroph hormone on menstrual cycle’s problems in students

Learning Objective 2: The learner will be able to realize the effect of level of the strees on premenstrual syndrome of female junior students.

Aim: This experimental study was conducted for the purpose of determining the effect of level of the stress, gonadotroph and ovarian hormone on menstrual cycle’s problems and premenstrual syndrome of female junior students. The research sample comprised 200 female students which have menstrual cycles problems (132 students) and have not menstrual cycles problems (68 students), who have educated at the university.
Material and Method: The data was collected by using questionnaire and analysing of TSH, estradiol, FSH, LH, prolactine, testosterone, cortisone, ACTH, DHEAS-SO4 concentration level in the serum at 3rd day of cycles. Progesterone concentration was also analysed in the serum at 21st day of cycles. The questionnaire form was implemented to 200 female junior students who were selected by using strafied random method between 24.11.2006-20.03.2007 dates.  The data was analysed by using percentage, Pearson Chi-square, Fisher Exact Chi-square and student t test.
Findings: According to the results of this research, 50% of students had between19-20 ages, and had normal body mass index (p>0,05). About 66% of students have had a menstrual problems (such as oligomenorrhea, polymonerrhea, hypermonerrhea, dysmenorrhea) and 34% had premenstrual syndrome since menarche. The students’ TSH, LH, FSH, E2, progesterone, prolactine, free testosterone, DHEAS-SO4, and cortizol level had normal concentration in the two groups (P>0,05).  
Conclusion: As a results, mostly of university female students’ who had premenstrual syndrome and menstrual problems, had normal hormone level at serum and no any statistical difference between group (p>0,05). But most of students have described menstrual cycle problems. We recommended that follow up and educational interventions that reach all health professionals, further studies on the provision of menstrual problems would significantly improve the quality of reproductive health services.