Connective Tissue Massage and Music-Based Progressive Muscle Relaxation in Primary Dysmenorrhea

This randomized controlled clinical trial aims to investigate the effects of ConnectiveTissue Massage (CTM) and music‐based Progressive Muscle Relaxation Training (PMRT) onpain intensity, pressure pain threshold, analgesic use, and menstruation‐related symptomsin women with primary dysmenorrhea. Participants will be randomly assigned to one ofthree groups: CTM, music‐based PMRT, or control. Baseline assessment will be conductedduring menstrual days 1‐2 of Cycle 0. The interventions will be applied during thepremenstrual intervention window of Cycle 0, from the estimated ovulation day, calculatedas cycle length minus 14 days, until Cycle 1 Day 1. Post‐intervention assessment will beconducted during menstrual days 1‐2 of Cycle 1. No intervention will be applied after thepost‐intervention assessment, and follow‐up assessment will be conducted during menstrualdays 1‐2 of Cycle 2. Outcomes including pain intensity, pressure pain threshold,analgesic use, menstrual symptoms, attitudes toward menstruation, functional andemotional impact of dysmenorrhea, and pain catastrophizing will be evaluated acrossmenstrual cycles. Participant satisfaction and adherence to the interventions will alsobe assessed.