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Pramenstrual syndrome (PMS) is a collection of physical, psychological and emotional symptoms associated with a womans menstrual cycle; symptoms usually occur 6-10 days before menstruation and disappear when menstruation begins. Generally the impact of the STDs is the disruption of daily activities. Especially for young women who attend school, STDs can interfere with the quality of health, concentration, achievement and active learning activities in schools. This research was conducted in October 2017 until December 2017 at SMAN 1 Blahbatuh. This research is descriptive research using cross sectional approach. The sample in this study amounted to 105 students of class X which was obtained by simple random sampling method. Based on sampling result, got sample 105 people, with sampling method using lottery. The result of the research shows that female students experienced PMS 71,8%. The severity of PMS symptoms in moderate to severe levels is 69.5%. Most girls experienced their first menstruation at the age of 12-13 years as much as 65.7%. Based on the results of this study, the researchers suggested to the school to be able to provide health promotion either directly through counseling, or indirectly through health media associated with premenstrual syndrome.