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This research aims to evaluate the impact of Transcutaneous Electrical Nerve Stimulation TENS on pain and menstrual symptoms in women with primary dysmenorrhea, a condition characterized by severe menstrual pain and related symptoms that affect daily life and well-being. The study investigates whether TENS, a non-invasive and drug-free method, can relieve menstrual pain by stimulating nerves through electrical impulses, offering a potential alternative or complementary treatment to traditional therapies. Participants are randomly assigned to one of three groups one group receives TENS treatment, another uses a placebo device without active stimulation, and the control group receives no intervention or standard treatment. The study evaluates treatment effects over a three-month period, monitoring the intensity of menstrual pain and additional symptoms to compare the benefits of TENS against placebo and no treatment. During the study, participants will be assessed for menstrual pain severity and symptom changes using standardized tools. Researchers will collect data on pain levels and menstrual symptoms at regular intervals throughout the three months. Safety and adherence will also be monitored to understand the role of TENS in managing primary dysmenorrhea and its potential to improve quality of life during menstrual periods.