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Updated: Jan 19, 2026

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Exercise for dysmenorrhoea.

Mike Armour1, Carolyn C Ee, Dhevaksha Naidoo

  • 1NICM Health Research Institute, Western Sydney University, Building J, Westmead Campus, Penrith, NSW, Australia, 2751.

The Cochrane Database of Systematic Reviews
|September 21, 2019
PubMed
Summary
This summary is machine-generated.

Regular exercise may significantly reduce period pain intensity, offering a clinically meaningful benefit for women with primary dysmenorrhoea. While evidence quality is low, exercise is a viable option for pain management.

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Area of Science:

  • Gynecology
  • Sports Medicine
  • Pain Management

Background:

  • Primary dysmenorrhoea (period pain) affects many women, with exercise recommended but evidence on its effectiveness unclear.
  • This review synthesizes current evidence on exercise for primary dysmenorrhoea treatment.

Purpose of the Study:

  • To evaluate the effectiveness and safety of exercise for women experiencing primary dysmenorrhoea.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) comparing exercise to no treatment or NSAIDs.
  • Included 12 trials with 854 women; 10 trials (754 women) were included in the meta-analysis.
  • Assessed pain intensity, adverse events, menstrual symptoms, and quality of life using GRADE criteria.

Main Results:

  • Exercise may significantly reduce menstrual pain intensity (SMD -1.86) compared to no treatment, a likely clinically significant reduction.
  • Evidence is uncertain regarding exercise's effect on adverse events, overall menstrual symptoms, or quality of life compared to no treatment.
  • Uncertainty exists regarding exercise's effectiveness against NSAIDs for pain intensity or absence from work/school.

Conclusions:

  • Low-quality evidence suggests regular exercise (45-60 min, ≥3 times/week) may significantly reduce period pain.
  • Women may consider exercise alone or with NSAIDs for managing menstrual pain, given its general health benefits and low risk.
  • Further high-quality research is needed to confirm benefits and explore long-term effects and optimal protocols.