Effectiveness of Yoga Exercise in Reducing Dysmenorrhea Pain Among Adolescent Girls at SMA Islam Al Azhar 14 Semarang

Nur Alfiani(1), Sherkia Ichtiarsi Prakasiwi(2*), Erna Kusumawati(3), Dian Nintyasari Mustika(4)


(1) Department of Midwifery, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia
(2) Department of Midwifery, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia
(3) Department of Midwifery, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia
(4) Department of Midwifery, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia
(*) Corresponding Author

Abstract


Background: Dysmenorrhea is a reproductive health problem commonly experienced by adolescent girls and can interfere with daily activities. One non-pharmacological approach that can be taken to reduce dysmenorrhea pain is yoga. Objective: This study aims to determine the effectiveness of yoga exercises in reducing dysmenorrhea pain in adolescent girls at Al Azhar 14 Islamic High School in Semarang. Method: This study used a pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 45 female students in grade XI who experienced primary dysmenorrhea, selected using purposive sampling. Pain levels were measured before and after the intervention using the Visual Analog Scale (VAS). The yoga exercise intervention was given once a week for two months (8 weeks). The data were analyzed using the Paired Sample T-Test after meeting the Shapiro–Wilk normality test. Results: The average dysmenorrhea pain score before yoga exercise was 5.58 ± 1.865, while after yoga exercise it decreased to 3.93 ± 1.321. The results of the Paired Sample T-Test showed a p-value of 0.001 (p < 0.05), which means that there was a significant difference between the pain levels before and after the intervention. Conclusion: Yoga exercises are effective in reducing dysmenorrhea pain in adolescent girls. Yoga exercises can be recommended as an alternative non-pharmacological therapy for treating dysmenorrhea in adolescents.


Keywords


Yoga Exercises, Teenage Girls, Dysmenorrhea, Non-Pharmacological Therapy.

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References


Abdelrahman, A. Y., El-Kosery, S. M., Abbassy, A. H., & Botla, A. M. (2024). Effect of aquatic exercise versus aerobic exercise on primary dysmenorrhea and quality of life in adolescent females: A randomized controlled trial. Physiotherapy Research International, 29(3), e2095. https://doi.org/10.1002/pri.2095

Burnett, M., & Lemyre, M. (2017). No. 345—Primary dysmenorrhea consensus guideline. Journal of Obstetrics and Gynaecology Canada, 39(7), 585–595. https://doi.org/10.1016/j.jogc.2016.12.023

Carolin, B. T., Maesari, I., & Hisni, D. (2022). Yoga exercise on reduction of menstrual pain among adolescent girls. Nursing and Health Sciences Journal, 2(1), 29–33. https://doi.org/10.53713/nhs.v2i2.86

Carroquino-Garcia, P., Jiménez-Rejano, J. J., Medrano-Sanchez, E., De La Casa-Almeida, M., Diaz-Mohedo, E., & Suarez-Serrano, C. (2019). Therapeutic exercise in the treatment of primary dysmenorrhea: A systematic review and meta-analysis. Physical Therapy, 99(10), 1371–1380. https://doi.org/10.1093/ptj/pzz101

Chhikara, A., Jain, M., Vats, S., Kashoo, F. Z., Chahal, A., Guliya, S., Vajrala, K. R., Sidiq, M., & Rai, R. H. (2023). Role of yoga in minimizing stress and anxiety in women experiencing dysmenorrhea. Journal of Lifestyle Medicine, 13(2), 90–96. https://doi.org/10.15280/jlm.2023.13.2.90

De Sanctis, V., Soliman, A., Bernasconi, S., Bianchin, L., Bona, G., Bozzola, M., Buzi, F., De Sanctis, C., Tonini, G., Rigon, F., & Perissinotto, E. (2015). Primary dysmenorrhea in adolescents: Prevalence, impact and recent knowledge. Pediatric Endocrinology Reviews, 13(2), 512–520.

Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The impact of dysmenorrhea on quality of life among Spanish female university students. International Journal of Environmental Research and Public Health, 16(5), 713. https://doi.org/10.3390/ijerph16050713

Ferries-Rowe, E., Corey, E., & Archer, J. S. (2020). Primary dysmenorrhea: Diagnosis and therapy. Obstetrics & Gynecology, 136(5), 1047–1058. https://doi.org/10.1097/AOG.0000000000004096

Gravdahl, O. F., Svenningsen, R., Majak, P., & Majak, G. B. (2025). Menstrual-related symptoms as red flags for school absenteeism among Norwegian adolescents (MINA): A cross-sectional study. Acta Obstetricia et Gynecologica Scandinavica, 104(4), 746–754. https://doi.org/10.1111/aogs.15062

Hadianti, D. N., & Ferina, F. (2021). Yoga gymnastics reduces dysmenorrhea in adolescents. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 13(1), 239–245. https://doi.org/10.34011/juriskesbdg.v13i1.1910

Handayani, S. G., Ayubi, N., Komaini, A., Lesmana, H. S., Kusnanik, N. W., Herawati, L., Ardha, M. A. Al, Nurhasan, Kafrawi, F. R., Putri, D. R. S., Kusuma, D. A., & Putra, A. Y. (2023). N-3 polyunsaturated fatty acids (PUFAs) and physical exercise have the potential to reduce pain intensity in women with primary dysmenorrhea: Systematic review. Retos, 48, 106–112. https://doi.org/10.47197/retos.v48.96629

Hashemi, N., Babakhani, F., & Sheikhhoseini, R. (2022). The effect of water yoga exercises on the intensity and pain duration in girls with primary dysmenorrhea. Women’s Health Bulletin, 9(2), 61–69. https://doi.org/10.30476/whb.2022.92560.1144.1

Hu, Z., Tang, L., Chen, L., Kaminga, A. C., & Xu, H. (2020). Prevalence and risk factors associated with primary dysmenorrhea among Chinese female university students: A cross-sectional study. Journal of Pediatric and Adolescent Gynecology, 33(1), 15–22. https://doi.org/10.1016/j.jpag.2019.09.004

Iacovides, S., Avidon, I., & Baker, F. C. (2015). What we know about primary dysmenorrhea today: A critical review. Human Reproduction Update, 21(6), 762–778. https://doi.org/10.1093/humupd/dmv039

Kim, S. D. (2019). Yoga for menstrual pain in primary dysmenorrhea: A meta-analysis of randomized controlled trials. Complementary Therapies in Clinical Practice, 36, 94–99. https://doi.org/10.1016/j.ctcp.2019.06.006

Kirca, N., & Celik, A. S. (2023). The effect of yoga on pain level in primary dysmenorrhea. Health Care for Women International, 44(5), 601–620. https://doi.org/10.1080/07399332.2021.1958818

Matthewman, G., Lee, A., Kaur, J. G., & Daley, A. J. (2018). Physical activity for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. American Journal of Obstetrics and Gynecology, 219(3), 255.e1–255.e20. https://doi.org/10.1016/j.ajog.2018.04.001

McGovern, C. E., & Cheung, C. (2018). Yoga and quality of life in women with primary dysmenorrhea: A systematic review. Journal of Midwifery & Women’s Health, 63(4), 470–482. https://doi.org/10.1111/jmwh.12729

Mohamed, H. A., Habib, F. M., Gamal, R. A., & Abu Setta, S. (2024). Comparison between the effect of rocking, stretching, and Kegel exercises on pain intensity of primary dysmenorrhea among university female students. Egyptian Journal of Health Care, 15(2), 735–752. https://doi.org/10.21608/ejhc.2024.356777

Rakhshaee, Z. (2011). Effect of three yoga poses (cobra, cat and fish poses) in women with primary dysmenorrhea: A randomized clinical trial. Journal of Pediatric and Adolescent Gynecology, 24(4), 192–196. https://doi.org/10.1016/j.jpag.2011.01.059

Sharma, S., Ali, K., Narula, H., Malhotra, N., Rai, R. H., Bansal, N., Balasubramanian, K., Kalra, S., Sanjeevi, R. R., & Chahal, A. (2023). Exercise therapy and electrotherapy as an intervention for primary dysmenorrhea: A systematic review and meta-analysis. Journal of Lifestyle Medicine, 13(1), 16–26. https://doi.org/10.15280/jlm.2023.13.1.16

Sultan, C., Gaspari, L., & Paris, F. (2012). Adolescent dysmenorrhea. Endocrine Development, 22, 171–180. https://doi.org/10.1159/000331775

Söderman, L., Edlund, M., & Marions, L. (2019). Prevalence and impact of dysmenorrhea in Swedish adolescents. Acta Obstetricia et Gynecologica Scandinavica, 98(2), 215–221. https://doi.org/10.1111/aogs.13480

Tsai, I.-C., Hsu, C.-W., Chang, C.-H., Lei, W.-T., Tseng, P.-T., & Chang, K.-V. (2024). Comparative effectiveness of different exercises for reducing pain intensity in primary dysmenorrhea: A systematic review and network meta-analysis of randomized controlled trials. Sports Medicine - Open, 10(1), 63. https://doi.org/10.1186/s40798-024-00718-4

Utarini, G. A. E., Dewi, N. L. P. S., Erawati, N. L. P. S., & Ningtyas, L. A. W. (2025). Effectiveness of yoga in reducing menstrual pain intensity among adolescents: A comparative study before and after intervention. Jurnal Ilmiah Kebidanan (The Journal of Midwifery), 13(1), 81–88.

Xiang, Y., Li, Q., Lu, Z., Yu, Z., Ma, G., Liu, S., & Li, Y. (2025). Efficacy and safety of therapeutic exercise for primary dysmenorrhea: A systematic review and meta-analysis. Frontiers in Medicine, 12, 1540557. https://doi.org/10.3389/fmed.2025.1540557

Yang, N.-Y., & Kim, S.-D. (2016). Effects of a yoga program on menstrual cramps and menstrual distress in undergraduate students with primary dysmenorrhea: A single-blind, randomized controlled trial. Journal of Alternative and Complementary Medicine, 22(9), 732–738. https://doi.org/10.1089/acm.2016.0058

Yonglitthipagon, P., Muansiangsai, S., Wongkhumngern, W., Donpunha, W., Chanavirut, R., Siritaratiwat, W., Mato, L., Eungpinichpong, W., & Janyacharoen, T. (2017). Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. Journal of Bodywork and Movement Therapies, 21(4), 840–846. https://doi.org/10.1016/j.jbmt.2017.01.014

Zheng, Q., Huang, G., Cao, W., & Zhao, Y. (2024). Comparative effectiveness of exercise interventions for primary dysmenorrhea: A systematic review and network meta-analysis. BMC Women’s Health, 24(1), 610. https://doi.org/10.1186/s12905-024-03453-w


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DOI: https://doi.org/10.26714/jk.15.2.2026.117-124

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