Evaluation of the Effectiveness of Manual Lymphatic Drainage in Young Women With Primary Dysmenorrhea

This pilot clinical trial aims to evaluate the effectiveness of manual lymphatic drainage (MLD) in reducing symptoms associated with primary dysmenorrhea in young women. Primary dysmenorrhea is a common gynecological condition characterized by intense pelvic pain during menstruation, often accompanied by fatigue, headache, and sleep disturbances. Despite its high prevalence, it is frequently underestimated, negatively impacting quality of life and daily activities. The intervention consists of three monthly sessions of MLD performed during the late luteal phase, prior to menstruation. Outcome measures include pain intensity, abdominal circumference, pressure pain threshold, sleep quality, and health-related quality of life.

Inclusion Criteria: * Female participants aged 18-25 years * Confirmed diagnosis of primary dysmenorrhea * Regular menstrual cycles * Ability to provide informed consent Exclusion Criteria: * Secondary dysmenorrhea * Use of hormonal contraceptives * Presence of pelvic pathology (endometriosis, polycystic ovary syndrome, fibroids) * Irritable bowel syndrome * Use of analgesics or anti-inflammatory drugs within 12 hours prior to intervention * Any therapy for dysmenorrhea in the previous month * Pregnancy or suspected pregnancy * Irregular menstrual cycles