Evaluation of the Effect of a Structured Yoga Exercise in Young Women With Primary Dysmenorrhea

July 18, 2026 updated by: Aysegul Atli, Ankara University

Evaluation of the Effect of a Structured Yoga Exercise Program on Pain, Menstrual Symptoms, and Quality of Life in Young Women With Primary Dysmenorrhea

Abstract

Primary dysmenorrhea is a common gynecological condition affecting women of reproductive age and negatively impacting quality of life. It is characterized by cramping pain in the lower abdomen that may radiate to the lower back and thighs, leading to decreased daily functioning, academic performance, and psychological well-being. In addition to pharmacological treatments, complementary approaches are increasingly used in the management of dysmenorrhea. Yoga, a mind-body exercise that combines physical movement with mental focus, has been suggested as an effective method for reducing stress and pain associated with dysmenorrhea.

The aim of this study is to evaluate the level of awareness about dysmenorrhea in young women with primary dysmenorrhea and to investigate the effects of a yoga program on pain, quality of life, and menstrual attitudes following an educational session provided to all participants. Pain severity, quality of life, and menstrual attitudes will be assessed using validated questionnaires and scales, including the Visual Analog Scale (VAS), awareness questionnaire, functional and emotional dysmenorrhea scale, Menstrual Attitude Scale, and quality of life questionnaire.

This study aims to determine whether yoga exercises reduce dysmenorrhea symptoms and improve quality of life in young women with primary dysmenorrhea. Additionally, the study is expected to increase awareness about dysmenorrhea and provide evidence for the effectiveness of yoga as a non-pharmacological intervention.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This study aims to evaluate the effects of yoga exercise on dysmenorrhea symptoms in young women with primary dysmenorrhea. Additionally, the study aims to examine the effects of yoga exercises on participants' quality of life. Although dysmenorrhea is highly prevalent among young women, the use of non-pharmacological approaches for its management is considered limited. Therefore, a structured yoga exercise program will be applied to the participants in this study.

Pain intensity, quality of life, and menstrual attitudes of the participants will be evaluated. During the data collection process, Personal Information Form, Visual Analog Scale (VAS), Functional and Emotional Dysmenorrhea Scale, Menstrual Attitude Scale, and quality of life questionnaire will be used. Assessments will be performed before and after the exercise program.

This study aims to determine whether a yoga exercise program is effective in reducing pain and improving quality of life in young women with primary dysmenorrhea.

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Healthy young women with primary dysmenorrhea
  • Aged between 18-25 years
  • Having a regular menstrual cycle (30-35 days)
  • Menstrual bleeding duration of 3-10 days

Exclusion Criteria:

  • Having secondary dysmenorrhea
  • Participation in regular physical activity or other exercise programs
  • Use of medication
  • Diagnosed with polycystic ovary syndrome
  • Having bleeding disorders
  • Positive pregnancy test
  • Being in the breastfeeding period
  • Primary dysmenorrhea attributed to medical disorders or other causes
  • Participants who miss three consecutive sessions or four alternating sessions during the study will be excluded from the research

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: control grup
Experimental: Yoga Group
Participants in the intervention group will receive a structured yoga exercise program. The yoga program will include breathing exercises, relaxation techniques, and selected yoga postures targeting the pelvic region. The exercises will be performed regularly for the duration of the study. Pain intensity, quality of life, and menstrual attitudes will be evaluated before and after the intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain intensity (VAS)
Time Frame: Baseline and immediately after the 8-week intervention
The Visual Analog Scale (VAS) was used to assess menstrual pain intensity. Participants rated their pain on a 10-cm horizontal line ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain severity.
Baseline and immediately after the 8-week intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Secondary Outcome Measure: Participant Experiences
Time Frame: after 8 weeks of intervention
A subset of participants from the yoga group participated in semi-structured interviews after the intervention to explore their perceptions and experiences related to therapeutic yoga.
after 8 weeks of intervention
Functional and Emotional Dysmenorrhea Scale
Time Frame: baseline and after 8 weeks of intervention
The Functional and Emotional Dysmenorrhea Scale (FEDS) is a 14-item self-report questionnaire designed to assess the functional and emotional impact of primary dysmenorrhea. Each item is scored on a 5-point Likert scale, with total scores ranging from 14 to 70. Higher scores indicate greater functional and emotional impairment associated with dysmenorrhea.
baseline and after 8 weeks of intervention
Health-Related Quality of Life
Time Frame: Baseline and Week 8
Assessed using the 36-Item Short Form Health Survey (SF-36).Each domain is scored from 0 to 100, with higher scores indicating better health-related quality of life.
Baseline and Week 8
Menstrual Attitudes
Time Frame: Baseline and Week 8
The Menstrual Attitude Questionnaire (MAQ) is a self-report questionnaire that assesses attitudes toward menstruation across multiple dimensions. The questionnaire consists of 33 items rated on a 7-point Likert scale, with total scores ranging from 33 to 231. Higher scores indicate stronger endorsement of menstrual attitudes represented by the questionnaire. Because the MAQ includes both positively and negatively worded subscales, higher scores should be interpreted according to the direction of each subscale rather than as uniformly better or worse attitudes.
Baseline and Week 8

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 15, 2026

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

August 1, 2026

Study Registration Dates

First Submitted

March 30, 2026

First Submitted That Met QC Criteria

April 2, 2026

First Posted (Actual)

April 9, 2026

Study Record Updates

Last Update Posted (Actual)

July 21, 2026

Last Update Submitted That Met QC Criteria

July 18, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • YOGA52U

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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