To study the effectiveness of transcutaneous electrical nerve stimulator (Tens) and conditioning exercises in females with primary Dysmennorhea
Priyanka S Mehta, Dr. Deepali Hande
Dysmenorrhea is defined as difficult menstrual flow or painful menstruation. Primary dysmenorrhea is defined as menstrual pain not associated with macroscopic pelvic pathology (i.e. absence of pelvic disease). It typically occurs in the first few years after menarche  and affects up to 50% of postpubescent females. In obstetrics and gynecology, TENS has been found to be effective in alleviating labor pain. 8 Pain relief with TENS is postulated as involving two possible mechanisms, the gate-control theory as proposed by Wall and Melzak in 1965,  or endorphin-mediated pain relief. Conditioning exercise has been found to reduce menstrual discomfort through increase in vasodilatation, and decrease in ischemia. This reduces the pain. So, conditioning exercise helps in smoothing an aching back, relieving pain, improving flexibility, restoring mobility increasing circulation in the spinal tissues and joints, relaxing tense uterine muscles and maintaining good abdominal tone. In this study, 40 female Participants of age group 15 to 24 yrs. were divided into two groups each of 20 group A and group B Respective Group A received TENS (during menstrual cycle) and conditioning exercises thrice a week for a period of three months’ group B received only conditioning exercises for thrice a week for a period of three months the present study concludes that high frequency TENS and Conditioning exercises has symptomatic relief in reducing pain and improving the Quality of life in females with primary dysmenorrhea than only conditioning exercises.