The Relationship Between Stress Levels and Menstrual Cycle in Undergraduate Midwifery Students at Megarezky University Makassar

Abstract

Background: Stress is a common psychological factor that can disrupt hormonal balance and potentially affect the menstrual cycle. Midwifery students are considered a high-risk group for stress due to academic and clinical demands, which may influence their reproductive health. Objective: This study aimed to analyze the relationship between stress levels and menstrual cycle patterns among midwifery students at Megarezky University Makassar. Methods: This cross-sectional study involved 40 female students selected through purposive sampling from a total population of 82 students enrolled in the 2024 academic year. Stress levels were measured using the validated Perceived Stress Scale (PSS-10), while menstrual cycle regularity was assessed both retrospectively and prospectively. Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: Of the 40 respondents, 52.5% experienced irregular menstrual cycles, while 47.5% reported regular cycles. Students with mild stress mostly had regular cycles (27.5%), whereas those with moderate stress were more likely to experience irregular cycles (30%). All respondents with severe stress (10%) reported irregular menstrual cycles. Statistical analysis revealed a significant relationship between stress levels and menstrual cycle regularity (p = 0.03). Conclusion: Higher stress levels were significantly associated with an increased likelihood of menstrual cycle irregularities among midwifery students. These findings underscore the importance of stress management interventions and mental health support to maintain reproductive health in academic settings.