Menstrual disorders such as dysmenorrhea, menorrhagia, and premenstrual syndrome (PMS) can significantly affect productivity. Dysmenorrhea, or painful periods, can result in severe pain that limits a woman's ability to perform daily tasks. Menorrhagia, characterized by heavy menstrual bleeding, often leads to fatigue and anemia, further decreasing productivity. PMS can affect mood, energy levels, and concentration, impacting work performance.