Impact of Aerobic exercises and Pilates for Premenstrual syndrome and Quality of life: Insights into Cortisol Dynamics among young Women

This study will be conducted to assess the effectiveness of different exercise interventions in managing Premenstrual Syndrome (PMS) symptoms, reducing stress hormone (cortisol) levels, and improving quality of life in women of reproductive age of 18 to 25 years. Participants will be screened using a standardized Premenstrual Syndrome Questionnaire to confirm the presence and severity of PMS symptoms. Eligible participants will then be randomly assigned to different exercise protocols and will participate in a structured exercise program for three months, with sessions held three times per week.

The types of exercises will include aerobic workouts, Pilates-based movements, and general stretching routines. Each form of exercise will be selected for its potential physiological and psychological benefits, such as hormone regulation, muscular relaxation, and mood enhancement.

To evaluate the outcomes, three validated tools will be used.

* cortisol levels – to measure the biological stress response,

* Premenstrual Syndrome Questionnaire – to assess changes in PMS symptoms,

* Quality of Life Questionnaire – to determine the overall impact on participants’ physical and mental well-being.

Assessments will be conducted at baseline and after the three-month intervention. The results aims to identify which type of exercise will be most effective in alleviating PMS symptoms, regulating cortisol, and enhancing the quality of life. This study will highlight the potential of non-pharmacological, exercise-based approaches in the holistic management of PMS.