The effect of occupational stress on menstrual cycle length was studie
d prospectively. The hypothesis that occupational stress has a direct
or indirect effect on cycle length was tested using path analysis. Twi
ce the number of women involved in active farm, craft, or household wo
rk had significantly longer cycle lengths than sedentary beedi workers
and clerks. We conclude that occupational stress has a direct effect
on menstrual cycle length and that that effect is similar to the effec
t of exercise on cycle length. The impact of longer cycles on fertilit
y, fertility regulation, and natural family planning methods are also
discussed.