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Primary dysmenorrhea is a common reproductive health problem among adolescents and women of reproductive age, significantly affecting quality of life and academic productivity. Psychological stress and dietary patterns are considered important contributing factors influencing the incidence and severity of menstrual pain. This study aimed to analyze the relationship between stress levels and dietary intake with the occurrence of primary dysmenorrhea in adolescents and women of reproductive age. A literature review was conducted using articles published between 2015 and 2025 retrieved from Scopus, PubMed, and Google Scholar. Studies meeting the inclusion criteria were analyzed descriptively and narratively. The findings showed that the prevalence of primary dysmenorrhea ranged from 54.4% to 90.6%. Higher stress levels were significantly associated with increased risk and intensity of menstrual pain (OR up to 4.03). Frequent consumption of sugary foods, fast food, and pro-inflammatory dietary patterns was linked to higher incidence and severity of dysmenorrhea (OR up to 4.8), whereas adequate intake of fruits, vegetables, iron, calcium, and magnesium demonstrated protective effects. Primary dysmenorrhea is multifactorial and significantly associated with stress and dietary intake; therefore, integrated stress management and nutritional education interventions are recommended in adolescent reproductive health programs.

Dysmenorrhea or menstrual pain, is a common health issue among adolescent girls, often disrupting daily activities and quality of life. Effective management of dysmenorrhea is strongly influenced by the level of knowledge and attitudes of adolescent girls toward this condition. This literature review aims to analyze the relationship between knowledge and attitudes regarding the management of menstrual pain among adolescent girls. Various studies indicate that while adequate knowledge about dysmenorrhea is important, the correlation between knowledge and attitude is not always significant. Some research finds that good knowledge does not necessarily translate into a positive attitude towards pain management, as other factors such as stress, anxiety, and reluctance to take action also play a role. However, there are studies that show a positive relationship between increased knowledge and better attitudes toward dysmenorrhea management,  although the strength of this association is very weak. Most adolescents tend to choose non-pharmacological management, such as rest and warm compresses, but many still ignore menstrual pain due to a lack of knowledge and information. Therefore, educational interventions and counseling in schools are essential to improve knowledge and foster positive attitudes in managing dysmenorrhea among adolescent girls. These efforts are expected to help adolescent girls manage menstrual pain more effectively and enhance their quality of life.

Adolescent girls represent a population that commonly experiences primary dysmenorrhea. Inadequate dietary habits may contribute to inflammatory responses, while low levels of physical activity can reduce the body’s natural pain regulation, both of which may intensify menstrual pain. This study aimed to analyze the association between dietary habits and physical activity with the severity of primary dysmenorrhea among adolescent girls. A quantitative correlational study with a cross-sectional design was conducted. Participants were selected using proportional random sampling, involving 71 eleventh-grade students at SMAN 6 Malang. Dietary intake was assessed using a FFQ, physical activity levels were measured through the PAL indicator, and dysmenorrhea severity was evaluated using the WaLIDD score. The results showed that nearly half of the respondents had adequate dietary habits (49.3%) and moderate physical activity levels (47.9%), while most participants experienced moderate primary dysmenorrhea (53.5%). Statistical analysis using Somers’ d and Gamma tests yielded p-values of 0.039 and <0.001, indicating significant associations between dietary habits, physical activity, and dysmenorrhea severity. Correlation analysis demonstrated a moderate inverse relationship between dietary habits and dysmenorrhea severity (r = −0.301) and a strong association between physical activity and dysmenorrhea severity (r = 0.690).

Dysmenorrhea atau dismenore didefinisikan sebagai menstruasi yang menyakitkan serta keluhan ginekologi paling umum terjadi pada wanita usia muda yaitu usia remaja. Keluhan yang dirasakan yaitu nyeri atau kram di perut bagian bawah yang muncul sebelum atau saat menstruasi. Dismenore berpengaruh terhadap gangguan psikologis seperti depresi, kecemasan dan somatisati yang dapat menghambat perkembangan pada remaja. Tujuan penelitian ini untuk mengetahui pengaruh kejadian dysmenorrhea terhadap perkembangan remaja putri. Jenis penelitian ini survei analitik observasional melalui pendekatan cross seictional stuidy. Populasi adalah seluruh siswi sebanyak 42 orang serta teknik pengambilan sampel total sampling. Instrumen pengumpulan data menggunakan lembar kuesioner. Analisis data yaitu analisa univariat dan bivariat dengan menggunakan uji chi-square. Hasil penelitian terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan sosial remaja putri dengan nilai p = 0,032, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan emosional remaja putri dengan nilai p = 0,014, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan kognitif remaja putri dengan nilai p = 0,047, terdapat pengaruh kejadian dysmenorrhea terhadap perkembangan moral remaja putri dengan nilai p = 0,029. Kesimpulan penelitian ini yaitu ada pengaruh kejadian dysmenorrhea terhadap perkembangan remaja putri.

Dysmenorrhea is a painful cramping or aching sensation in the lower abdomen, often radiating to the lower back, hips, and thighs. This condition significantly affects daily activities, limiting women’s physical and academic performance, particularly among female students who frequently experience dysmenorrhea during menstruation. Various interventions can help prevent or reduce the prevalence and severity of dysmenorrhea, including specific physical exercises such as McKenzie exercises and Kegel exercises. McKenzie exercises focus on strengthening and mobilizing the lower back and abdominal muscles, whereas Kegel exercises target the pelvic floor muscles to enhance circulation and reduce uterine tension. The purpose of this study was to determine the difference in effectiveness between Kegel exercises and McKenzie exercises in alleviating dysmenorrhea pain among adolescents aged 12–15 years at SMP Negeri 28 Semarang. The study employed an experimental two-group pre-posttest design with a total sample of 22 female students who met the inclusion criteria. The Randomized Controlled Trial (RCT) technique was used to assign participants to the intervention groups. Pain intensity was measured using the Quadruple Visual Analog Scale (QVAS) both before and after the interventions, which were administered three times per week over a three-week period. The results showed a statistically significant reduction in pain for both groups, with a p-value of 0.001 (p < 0.05), indicating that both McKenzie and Kegel exercises effectively decreased dysmenorrhea pain. The study concluded that there is a measurable difference in the effectiveness of these two exercise interventions, emphasizing the importance of selecting appropriate physical exercises tailored to adolescent students for dysmenorrhea management. These findings provide evidence-based guidance for educators, healthcare providers, and adolescents seeking non-pharmacological strategies to reduce menstrual pain and improve quality of life.

Background: Dysmenorrhea, characterized by pain around the abdomen, waist, and lower back, arises due to increased prostaglandin hormone levels during menstruation. If left untreated, this pain will disrupt the daily activities and academic performance of adolescent girls. Management can be achieved through the use of acupressure and listening to the recitation of the Qur'an, both of which are safe and effective in alleviating pain, promoting relaxation, and obtaining the blessings of Allah SWT. The objectives of the research: This study aims to evaluate the impact of acupressure therapy with Ar-Rahman murottal on the reduction of dysmenorrheic pain in students of SMP Negeri 2 Giriwoyo Methods: This research employs a quasi-experimental design with a pretest-posttest non-equivalent control group approach. The study sample consists of 36 respondents selected through a purposive sampling technique. Data analysis was performed using the Mann-Whitney test to compare the treatment and control groups. Results: he dysmenorrhea pain scale in the treatment group significantly decreased compared to the control group, with a P-value of 0.016 < α 0.05. Acupressure therapy combined with the recitation of Surah Ar-Rahman was effective in reducing dysmenorrhea pain in female students at SMP Negeri 2 Giriwoyo. Summary: This study concludes that acupressure therapy combined with the recitation of Surah Ar-Rahman can be an effective alternative for alleviating dysmenorrhea pain in adolescent girls.

Dysmenorrhea, or menstrual pain, is a common gynecological problem among adolescent girls and often interferes with their daily activities, school performance, and overall quality of life. Conventional pharmacological treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used but may cause side effects with long-term consumption. Therefore, safe and natural alternatives are needed to manage menstrual pain effectively. Carrot juice, which is rich in beta-carotene, vitamin E, and other antioxidants, has been reported to possess anti-inflammatory and analgesic properties that could potentially reduce the severity of dysmenorrhea. This study aimed to determine the effect of carrot juice on reducing menstrual pain in female students at SMAN 1 Trimurjo. A pre-experimental study with a one-group pretest–posttest design was conducted involving 27 students who experienced dysmenorrhea. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon signed-rank test. The results showed that before the intervention, the majority of respondents (85.2%) reported moderate pain, while after consuming carrot juice, 92.6% reported mild pain and 7.4% reported no pain. Statistical analysis revealed a significant difference in pain levels before and after the intervention (p = 0.000, p < 0.05). These findings indicate that carrot juice is effective in reducing dysmenorrhea intensity among adolescent girls. As a safe, affordable, and easy-to-implement non-pharmacological therapy, carrot juice has the potential to be recommended as a complementary approach to menstrual pain management, especially for adolescents who seek natural remedies. Further research with larger samples and control groups is recommended to strengthen the evidence and explore the long-term benefits of carrot juice in menstrual health.

Dysmenorrhea is one of the most common menstrual disorders, but it often receives little attention. The purpose of this study was to determine the relationship between nutritional status, fat intake, and iron intake with the incidence of dysmenorrhea in female Nutrition students at Surabaya State University. The method in this study was quantitative with a cross-sectional study design. The sample consisted of 92 female Nutrition students at Surabaya State University using a purposive sampling technique. The instruments used were the NRS questionnaire to measure the level of dysmenorrhea pain and the SQ-FFQ form to measure fat and iron intake. Data analysis used the Spearman Rank correlation test which showed that there was a significant relationship between excess nutritional status of 33.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.832), there was a significant relationship between excess fat intake of 58.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.793), and there was a significant relationship between insufficient iron intake of 94.6% with the incidence of dysmenorrhea (p = 0.000, r = 0.610).

Dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, significantly affecting daily activities and academic performance. Non-pharmacological approaches such as abdominal stretching offer a safe, simple, and cost-effective alternative for reducing menstrual pain. This community service activity was conducted at SMPN 8 Lubuklinggau from April 11 to 17, 2022, aiming to enhance students’ knowledge and skills in managing dysmenorrhea through abdominal stretching exercises. The program included education, demonstration, independent practice, and pre- and post-test evaluations. The results showed that most participants experienced a reduction in menstrual pain intensity and improved understanding of dysmenorrhea management. The intervention proved to be effective and feasible to be integrated into regular school health programs. Additionally, the activity empowered adolescents to take a more active role in maintaining their reproductive health. Further research is recommended to evaluate the effectiveness of abdominal stretching on a broader scale.

Non-pharmacological therapies for managing dysmenorrhea include yoga exercises and clary sage aromatherapy. This pre-experimental research determined the effect of yoga exercises and clary sage aromatherapy to relieve dysmenorrhea pain scale among 11th and 12th-graders at Advanced High School Nurul Islami Semarang with a one-group pretest-posttest design. The population in this study consists of students from the XI and XII grades of Advanced High School Nurul Islami Semarang, 70 students, with a research sample of 42 respondents. The data collection technique for this research was purposive sampling. The numeric rating scale serves as the measuring tool. The statistical test conducted before and after yoga exercises and clary sage aromatherapy in this study is the Wilcoxon test, obtaining a p-value of 0.000 < 0.05. The result accepts the alternative hypothesis (Ha). This indicates that yoga exercises and clary sage aromatherapy relieve dysmenorrhea pain in 11th and 12th graders at Advanced High School Nurul Islami Semarang. The conclusion is that yoga exercises and clary sage aromatherapy have an impact on reducing dysmenorrhea.  

Primary dysmenorrhoea is a reproductive health problem that is often experienced by adolescent girls. Primary dysmenorrhoea causes discomfort (pain) and other problems. If not treated immediately, it will interfere with learning, daily activities, and school performance. Efforts to treat primary dysmenorrhoea that can be done nonpharmacologically using SEFT therapy. This therapy combines spiritual, physical, and psychological. The purpose of this study was to determine the effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls. The method used was quasi experiment with non-equivalent control group design approach. Samples were selected using purposive sampling as many as 32 adolescents who were divided into intervention groups and control groups. The instruments used were pictorial SEFT therapy procedure, observation sheet, and Numeric Rating Scale (NRS). Data analysis used paired t-test and independent t-test. The results of the analysis showed a decrease in the pain scale in the intervention group with an average of 5.87 to 2.37 and bivariate analysis with a p-value of 0.000 (<0.05). So it can be concluded that there is an effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls.

Background: Menstruation is the process of shedding of the uterine wall (the inner layer of the endometrium) which is accompanied by bleeding that occurs repeatedly every month, except during pregnancy. Dysmenorrhea consists of primary and secondary dysmenorrhea. This study aims to determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea. Giving tamarind turmeric infusion on changes in desmenorrhea in female students at SMPN 19 Bandar Lampung. Research Objective: To determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea in female students at SMPN 19 Bandar Lampung Research Method: The type of research used is quantitative with a cross sectional approach. Pre-experimental research design with a one group pretest-posttest design without a control group. The sampling technique uses the Accidental Sampling technique. The data analysis technique used is the Wilcoxon test. Research result : Giving tamarind turmeric is a feasible intervention given to reduce dysmenorrhea pain experienced by young women. Suggestion for health workers to provide knowledge about treatment non-pharmacological dysmenorrhoea by administering tamarind turmeric drink. Conclusion : Giving tamarind turmeric is a suitable intervention to reduce dysmenorrhea pain experienced by young women. Suggestions for health workers to provide knowledge about non-pharmacological treatment of dysmenorrhoea by giving tamarind turmeric drinks

This study examines the factors influencing dysmenorrhea in female adolescents at MTS Al-Hidayah, Garut, in 2024. Among 20 participants, the results show that knowledge, physical activity, and diet are significantly related to the level of discomfort from dysmenorrhea. Adolescents with better knowledge, higher physical activity, and healthier diets experienced less severe dysmenorrhea. However, personal hygiene did not show a significant impact. The study emphasizes the importance of education, promoting physical activity, and improving nutrition to alleviate dysmenorrhea in adolescents.

During menstruation one of the most common complaints experienced by adolescents during menstruation caused by severe contractions of the uterine muscles is called dysmenorrhea. Almost all teenage daughters experience menstrual pain with levels of pain ranging from mild to severe. The absence of teenagers at school is one of the consequences of dysmenorrhea. Abdominal Stretching Exercise is an alternative non-pharmacological therapy option that can reduce dysmenorrhea. During exercise, there will be an increase in the levels of endorphins produced in the brain and also in the spinal cord nerve structure. To find out the impact of abdominal stretching exercises on decreased dysmenorrhea in teenage girls. This type of research is pre-experimental with the design of one group pretest posttest with a sample of 26 respondents. The research tools used in this data collection are the numeric rating scale questionnaire sheet and the observation sheet. The abdominal stretching exercise is performed on the first day of menstruation twice with a duration of 15 minutes. Data analysis using the Wilcoxon test. Before performing abdominal stretching exercises some respondents experienced severe to moderate pain. The Wilcoxon test results showed an Asymp. Sig. (2-tailed) value of <0.05 which means there is an effect of Abdominal Stretching Exercise on Dismenorean Pain Reduction in Teenage Girls. The abdominal stretching exercises have an effect on dismenoreal pain reduction in teenage girls.

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.

Dysmenorrhea is a gynecological complaint resulting from an imbalance of the hormone progesterone in the blood, resulting in pain. The impact of menstrual pain is very diverse, including young women being unable to walk, having difficulty sleeping, being in a bad mood, losing concentration in doing something, and so on. Gymnastics is a relaxation technique for experiencing dysmenorrhea. To find out nursing care for adolescents with reproductive disorders, dysmenorrhea, the design used in this scientific report is a case study. This case study results from the application of Evidence Based Practice (EBP), client K experienced moderate dysmenorrhea pain on a scale of 4 after being given the intervention, decreasing to mild pain on a scale of 2, client R experienced mild dysmenorrhea pain with a pain scale of 3 after being given the intervention, decreasing to mild pain on a scale of 1 and client S experienced mild dysmenorrhea pain with a pain level of 3 after being given the intervention, decreasing to no pain on a scale of 0. Applying Evidence Based Practice (EBP) it can be concluded that dysmenorrhea exercises can reduce the dysmenorrhea pain experienced by young women during menstruation.

Coffee is a widely consumed beverage especially for Indonesian. Its consumption continues to increase. There is not much information and researches on the relationship between coffee consumption and dysmenorrhea. This literature study was conducted to find out more about the relationship between coffee consumption and the incidence of dysmenorrhea. This literature study is a narrative literature review, delves into the literature with an analytical observational design regarding the relationship between coffee consumption and the incidence of dysmenorrhea. The literature search was carried out through the PubMed, Proquest and ScienceDirect electronic databases based on predetermined inclusion and exclusion criteria. A total of 12 literatures were reviewed. From the results of the literature review, there are six literatures which state that coffee consumption is associated with dysmenorrhea and six other literatures state that coffee consumption is not associated with dysmenorrhea. The conclusion of this literature study is that the relationship between coffee consumption and the incidence of dysmenorrhea is still debatable .

Dysmenorrhea is one of the problems experienced by female students during menstruation and causes pain in the lower abdomen, thus disrupting learning activities on campus. The purpose of this study was to determine the relationship between physical activity, nutritional status, and stress levels on the incidence of dysmenorrhea in Nutrition students at Surabaya State University. The method in this study was quantitative analytical observational with cross sectional research design. The sample of this study was 80 female nutrition students of Surabaya State University who were selected by purposive sampling technique. The instruments used were physical activity questionnaire (International Physical Activity Questionnaire), stress level questionnaire (Depression Anxiety Stress Scale 42), and dysmenorrhea questionnaire (Verbal Descriptor Scale). Data were analyzed using Spearman Rank test. The results showed that most of the Nutrition students of Surabaya State University experienced moderate physical activity (63.7%), normal nutritional status (55%), mild stress (57.5%), and mild dysmenorrhea (47.5%). The results showed that there was no significant relationship between physical activity and the incidence of dysmenorrhea (p>0.05). There is no significant relationship between nutritional status and the incidence of dysmenorrhea (p>0.05). There is a significant relationship between stress level and the incidence of dysmenorrhea (p<0.05). In conclusion, physical activity and nutritional status were not associated with the incidence of dysmenorrhea. On the other hand, there is a significant relationship between stress level and the incidence of dysmenorrhea in Nutrition students of Surabaya State University. Suggestions for future researchers to examine other variables such as the relationship between food intake and the incidence of dysmenorrhea and use the measurement of academic stress questionnaire to measure the stress level of students so that the results can be more specific.      

Dysmenorrhea is menstrual pain that occurs in the lower abdomen and spreads to the back, waist, pelvis, upper thighs, and calves. The cause of dysmenorrhea is an increase in prostaglandin levels so that the contractility of the uterine muscle is ischemic as a result of the vasoconstrictive effect produced by prostaglandins. According to data from the World Health Organization (WHO) the prevalence of dysmenorrhea in adolescents is 90% consisting of  75% -80% primary dysmenorrhea and 10% - 15% experiencing secondary dysmenorrhea, while data from the Association of Southeast Asian Nations (ASEAN) prevalence of primary dysmenorrhea in Malaysia (69.4%), Thailand (84.2%), and Indonesia (65%). The prevalence of dysmenorrhea in Indonesia in 2018 was 64.25% consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. This study aims to determine the effectiveness of administering avocado juice (Persea americana Mill) on reducing the rate of primary dysmenorrhea in first-level students of applied undergraduate study programs at the Indonesian Ministry of Health Polytechnic in Medan in 2023.The type of research used was Quasi Experiment with One Group Pretest and Posttest design. The sample in the study amounted to 30 people. The results of the research on the experimental group obtained a decrease in menstrual pain scale with an average of 2.66. The results of the analysis using the Wilcoxon test with a 95% level of confidence show a Sig (2-tailed) value of <0.05, which means that there is an effect of giving avocado juice on a decrease in primary dysmenorrhea in first level female students of the Bachelor of Applied Midwifery Study Program, Poltekkes Kemenkes Medan in 2023. It is expected that Poltekkes Kemenkes Medan to be able to utilize avocado fruit which is processed into juice in reducing menstrual pain in female students and for future researchers to be able to use my thesis as a reference.

Based on adolescent report from Pandeglang Regency Health Office, there are 1178 cases of menstrual disorders in adolescents. Based on adolescent program report at UPTD Puskesmas Cikeusik until November 2022, 43.5% of adolescents experience dysmenorrhea or menstrual disorders. The impact of dysmenorrhea causes discomfort, difficulty concentrating in learning and decreased motivation to learn because of the pain felt, can limit women to carry out daily activities so that the need for handling dysmenorrhea in adolescents. The aim is to determine the effectiveness of green coconut water on reducing primary dysmenorrhea pain in adolescent girls in 2023. The sample population in this study were 2 respondents, namely adolescents who experienced primary dysmenorrhea by comparing directly to the response of green coconut water and warm water compresses. The research time was carried out on February 6, 2024 to February 10, 2024 and February 9 to February 11, 2024. Methods Data collection methods by means of assessment, namely interviews to explore the data needed related to the research to be carried out on adolescent girls with primary dysmenorrhea. The results showed a reduction in the pain scale after being given green coconut water. Conclusion In the results of the study, significant results were obtained in reducing primary dysmenorrhea, namely drinking green coconut water 1-3 days of menstruation, because the results obtained reduced pain from scale 4 to scale 2. Suggestions It is expected to apply the green coconut water method and warm water compresses on reducing dysmenorrhea pain.