Pilates exercises and TENS Acupuncture

Conservative treatment

All performed Pilates exercises for 24 session, 3 sessions per week for (2 consecutive menstrual cycle), each session lasted for 30 minutes in addition to application of TENS acupuncture therapy for 30 minutes, 3 sessions in the first 3 days for (2 consecutive menstrual cycle).

Visual Analogue scale for assessing pain level, a score ranging from 0 to 100 mm.

• Grade 0: The menstrual cycle causes no pain and has no effect on day-to-day activities.
• Grade 1: Although uncomfortable menstruation never gets in the way of a woman's regular activities, and analgesics are rarely needed.
• Grade 2 : daily activities are disrupted and analgesics have a poor effect .
• Grade 3: Activity is obviously impeded, analgesics have a poor effect and symptoms such as headache, fatigue, nausea, vomiting, and diarrhea is present