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Background: Adolescence is a transitional phase marked by biological changes, one of which is menstruation. A common problem during menstruation is dysmenorrhea or lower abdominal pain, which can interfere with quality of life and daily activities. One non-pharmacological effort to address this is consuming dark chocolate, which contains magnesium and triggers the release of endorphins as a natural pain reliever. Methods: This study used a quantitative method with a pre-experimental design through a one-group pretest-posttest design. The research population and sample consisted of 30 adolescent girls experiencing menstrual pain, selected using total sampling technique. Data analysis used the Wilcoxon Test to examine the effect before and after the intervention. Results: Before consuming dark chocolate, the majority of respondents experienced moderate pain (76.7%) and severe pain (16.7%). After the intervention, a significant reduction in pain level occurred, with 90% of respondents falling into the mild pain category and no respondents experiencing severe pain. The mean pain level decreased from 2.07 to 1.20 with a p-value = 0.000. Conclusion: The administration of dark chocolate has a significant effect on reducing the level of dysmenorrhea pain in adolescents at Puskesmas Ibu.

Dysmenorrhea is pain during menstruation in the lower abdomen and waist caused by an increase in prostaglandins, which cause the uterus to contract rapidly. In Indonesia, the incidence of primary dysmenorrhea is 55%. Primary dysmenorrhea causes many young women to be unable to participate in learning. One way to treat primary dysmenorrhea is by consuming dark chocolate. Dark chocolate contains magnesium, calcium, potassium, theobromine, which can block the production of prostaglandins so that it can reduce pain during menstruation. This researcher aims to determine the effect of consuming dark chocolate on the level of primary dysmenorrhea pain in young women at the Tanwiryyah Islamic boarding school, Cianjur Regency. This research uses a quasi-experimental design with a one group pretest-posttest design. The population in the study was 70 people with a sample of 20 people. The results of the study showed that there was an influence of dark chocolate consumption on the level of primary dysmenorrhea pain with a 2-tailed significant value of 0.000 <0.005, so it was concluded that there was an influence of dark chocolate consumption on the level of primary dysmenorrhea pain in young women at the Tanwiryyah Islamic boarding school, Cianjur district. It is hoped that teenagers can use alternative dark chocolate consumption to reduce the level of dysmenorrhea.

Efforts to reduce pain in primary dysmenorrhea include using warm compresses, consuming analgesic medication, regular exercise, using aromatherapy, relaxing, drinking hot tea and dark chocolate (Rofiqoh, 2021:2). The content of dark chocolate such as caffeine, theobromine, methyl-xanthine, and phenylethylalanine is believed to improve mood and reduce fatigue so it can be used as a therapy to relieve primary dysmenorrhea because it has various ingredients that have anti-pain properties.

Background: According to the Indonesian Ministry of Health in 2016, the prevalence of adolescent girls in Indonesia who experienced menstrual pain was around 55% (Susanti, et al, 2018). Based on a preliminary study conducted by researchers on December 5 2022 at MTS Al Mukmin Cemani Grogol Sukoharjo. Information obtained was that 6 out of 10 students said they experienced menstrual pain at the beginning of menstruation as well as feeling lazy to move, weak body and easily felt tired. So from the results of the information obtained, it is necessary to reduce menstrual pain by giving chocolate to find out its effect. Objective: To determine whether there is an effect of giving chocolate on reducing menstrual pain in class VII MTS Al Mukmin Cemani Grogol Sukoharjo. Research method: this research uses a pre-experiment with a one group pretest posttest design. The sample of this research is 20 respondents. Results and discussion: This research uses the Wilcoxon statistical test with a pre-test mean of 3.10 and a post-test mean of 1.10 so that a p-value (asymp.sig 2-tailed) is 0.000 < 0.05, this means H0 is rejected and H1 is accepted. H1 is accepted, meaning there is a significant effect before and after being given chocolate on changes in pain reduction. Conclusion: There is an effect of giving chocolate on reducing the intensity of menstrual pain as proven by the analysis results of p value (0.000) < α value (0.05).