The rationale of this study is despite the widespread belief that exercise can reduce dysmenorrhea, evidence-based studies are limited. Studies are therefore required to evaluate the association between quality of life and the primary dysmenorrheal females, the functional impact on the quality of life and primary dysmenorrhea females also it's a crucial time for females to focus on their studies and dysmenorrhea can add to the fatigue levels and cause distress in this age group thus the purpose of this study is to determine whether myokinetic active release of trigger points in the rectus abdominis, gluteus medius and quadratus lumborum is a more effective way to reduce dysmenorrhea than kegel exercises

Existing research may concentrate on specific interventions or populations, leaving a void in our knowledge of the possible synergistic effects of various exercises when done both alone and in combination, Studies have provided that dysmenorrhea is treated with pelvic floor strengthening however, there is little evidence that myokinetic involvement can lead to progressive outcomes. Given the interdependence of physiology, anatomy and dysfunction. Myokinetic trigger point release may be helpful in promoting the recovery of primary dysmenorrhea.

Inclusion Criteria:

• Age 17-25 years
• Diagnosed cases of dysmenorrhea
• Subject having trigger point in rectus abdominins, quadratus lumborum and gluteus medius
• With regular cycles 21-35 days lasting 3-7 days

Exclusion Criteria:

• Oral contraceptives used for menstrual irregularity
• Other gynecological disease like fibroids, endometriosis
• Who take analgesia
• Endometrial polyp, having pelvic infection using IUD, having venous congestion in internal genital organs.

Age 17-25 years Diagnosed cases of dysmenorrhea Subject having trigger point in rectus abdominins, quadratus lumborum and gluteus medius With regular cycles 21-35 days lasting 3-7 days