Objective: To determine menstrual distress among school and college students. Methodology: This was a cross sectional survey conducted in different government and private schools and colleges in Lahore city of Pakistan between October 2020 and November 2020. Three hundred and eighty-two (382) female students aged between 13 years-20 years were included and completed menstrual distress questionnaire. The data was analyzed through SPSS-24. Results: Result of this study showed that almost 307 (77.9%) female were under moderate menstrual distress. 29 (7.4%) were with minor distress, 56 (14.2%) were associated with acute distress, 2 (0.5%) with very acute distress. In this study, we also compared menstrual distress with Body Mass Index (BMI) and we found that there was no strong relationship between BMI and menstrual distress because those females who are under moderate menstrual distress are normal weight. Conclusion: Menstrual distress was moderate among school and college students. Also, a strong positive association between menstrual distress and pre-menstrual symptoms was identified.