For proper management of dysmenorrhea, it must be established whether it's primary or secondary. From this, we will determine if certain natural remedies are helpful. Currently, there are several treatments that help alleviate dysmenorrhea. consistent with a publication within the American Family Physician (1), options for managing it include nonsteroidal anti-inflammatory drugs and hormonal contraceptives. Also, other options like applying heat, exercise, and massages can help. However, before choosing between one treatment or another, it's important to determine whether it's dysmenorrhea, that is, menstrual pain within the absence of pelvic pathology. If there are signs of dysmenorrhea, like abnormal bleeding, noncyclical pain, changes in pain intensity and duration, etc., then further studies are going to be necessary.