Dysmenorrhea (painful menstrual period) is a most common medical condition in reproductive age group women. It may be Primary or spasmodic type without any specific organic disease and Secondary type with underlying uterine/ pelvic pathology. Other least possible causes could be Pelvic or vaginal infection, Pelvic Inflammatory Disease, Using IUD (if any) etc. Here, you need to undergo some investigation like pelvic ultrasound scan and Urine examination- routine & culture, blood sugar, complete blood count etc to pinpoint the diagnosis. Proper treatment depends on diagnosis of the case. COMBINED HORMONAL PILL (like FEMILON, OVRAL-G etc) is the BEST treatment in resistance case of Dysmenorrhea. Kindly, consult with gynecologist for proper prescription. Some general guidelines should be followed to get effective result from current condition: 1) Improvement of general health and simple psychotherapy with explanation of the fact and assurance which helps to increase the pain threshold. 2) Bowel should be kept empty. Drink plenty of fluid/ water/ juice. Take healthy diet with more vegetables in small amount at least 6 times. 3) Total avoidance of tea/ coffee/ fast food/ salt from the second half of the cycle (after day 14) till period is over. 4) Try to avoid mental stress, depression or upset by meditation or yoga. Light exercise is also useful in this condition. Maintain genital hygiene properly. 5) You can start with anti spasmodic medicine like combined Mefenamic acid and Drotaverine 2 to 3 times daily till pain subsides. Alternate hot and cold compression around back region is also useful. Good luck.