Nonpharmacologic Therapy

Several nonpharmacologic interventions exist for the management of dysmenorrhea. Among these, topical heat therapy, exercise, and following a low-fat vegetarian diet all have been shown to reduce the intensity of the dysmenorrhea.11,14 Dietary changes also may shorten the duration of dysmenorrhea. These interventions require little time and minimal cost and are associated with little risk. Other nonpharmacologic options that may be considered before or, in most cases, after a trial of pharmacologic interventions include the use of transcutaneous electrical nerve stimulation (TENS), acupressure, and acupuncture.11

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