OBJECTIVES: This study aims to gather robust evidence in relation to the effectiveness of exercise interventions in reducing pain and improving quality of life in individuals with primary dysmenorrhea. MATERIALS AND METHODS: A systematic review of experimental studies was executed with a meta-analysis of randomized trials. Using the PEDro guideline for quality appraisal, 12 electronic databases were accessed that recorded studies on exercise interventions in women with primary dysmenorrhea using menstrual pain intensity and quality of life as primary and secondary outcomes, respectively. Data unsuitable for meta-analysis were reported as descriptive data in the systematic review. RESULTS: The search yielded 32 citations, from which eight studies were systematically reviewed, with four of the eight being eligible for meta-analysis. The systematic review showed moderate methodological quality with the mean of 5.65 out of 10 on the PEDro quality scale. Exercise therapy showed some evidence of pain reduction in primary dysmenorrhea. CONCLUSION: Exercise therapy can be considered as a non-pharmacological option in the management of primary dysmenorrhea pain.

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