Pain is an unpleasant sensation that negatively affects individual experiencing it, depending on its quality, intensity, location, and duration. One of the causes of pain among females is dysmenorrhea. Dysmenorrhea is defined as pain during menstruation. A significant population of females experience mild, moderate or severe pain during menstruation. Primary dysmenorrhea is defined as dysmenorrhea with the absence of any organic pathology starting 6-12 months after the menarche and frequently continuing till menopause, while secondary dysmenorrhea results from gynecologic problems such as adenomyosis, endometriosis, uterine fibroid and others.

In the world, the estimated prevalence of dysmenorrhea ranges from 45% to 93% of women of reproductive age, with adolescents having the highest rates of dysmenorrhea.

Studies suggest that approximately 140 million hours are lost annually from school or work owing to dysmenorrhea. It is a leading cause of recurrent short-term school absenteeism, lack of concentration, no active participation, inability to do homework, failure in an exam, and limitation of activity.

An estimated 15% of adolescent females describe their pain as severe, impacting their quality of life. These adolescents can miss 1 to 3 days of school per menstrual cycle.

Studies have noted that dysmenorrhea can lead to lower academic performance (AP) and poor quality of sleep, resulting in mood changes, such as anxiety and depression

Inclusion Criteria:

• • Undergraduate females from the 3 selected faculties in Sohag University

Exclusion Criteria:

• • Students who will refuse to participate in this study.

  • Pregnant females \ females with amenorrhea.
  • Females with gynecological problems as adenomyosis, uterine fibroids and others to exclude secondary dysmenorrhea

A cross-sectional survey will be conducted in three randomly chosen faculties' in Sohag University,

The sample will be selected as follow:

• 3 medical faculties were selected randomly. [Faculty of Medicine, and faculty of Nursing] medical female students are the study population
• Students will be selected by stratified random sampling technique.
• Students from each grade except the first grade will be selected by using random sampling technique after fulfilling the eligibility criteria.