Materials and Methods: This cross-sectional analytical study was conducted in Northern Cyprus between January and June 2024. The final analysis included 218 young adult women aged 18-30 years with regular menstrual cycles. Data were collected using a sociodemographic and menstrual characteristics form, the Premenstrual Syndrome Scale (PMSS), the Body Image Scale, and the Rosenberg Self-Esteem Scale. Scale-based PMS positivity was defined as a PMSS total score greater than 110 and was not interpreted as a clinical diagnosis. Premenstrual pain was considered present when participants reported pain before menstruation or marked at least one pain location on the body diagram. Associations were analyzed using Spearman correlation analysis.

Results: The mean age of the participants was 22.58 ± 2.18 years, and the mean body mass index was 23.11 ± 4.51 kg/m². Scale-based PMS positivity was identified in 152 participants (69.7%), and premenstrual pain was reported by 204 participants (93.6%). Premenstrual symptom severity was positively associated with premenstrual pain intensity (ρ = 0.288, P<0.001). Significant associations were also found between premenstrual symptom severity and body satisfaction (ρ = -0.343, P<0.001), as well as self-esteem (ρ = -0.209, P<0.002).

Conclusions: Premenstrual symptom severity was significantly associated with pain, body image, and self-esteem. These findings suggest that the premenstrual experience should be evaluated as a multidimensional condition involving physical and psychosocial components.