Pain in the lower abdomen and sometimes at the menstrual periods. The complain of dysmenorrhoea is very common and may be due to various causes. Menses are early, heavy and prolonged, violent pain extending from the sacrum to the pubic like false labour pains. Continues discharge of blackish brown blood, severe pain which causes the patient to feel as if the pelvic bones are broken. Spasmodic intermittent pain, cramp like pain, tendency to faint and collapse. Pain with primary dysmenorrhoea usually starts within 24 hours of menses and may last for 48-72 hours. In secondary dysmenorrhea the patient may have onset of pain a week or more prior to the onset of menses and pain may continue for few days after cessation of flow. Estrogen deficiency or excess along with bloated feeling in the lower abdomen and breasts may also cause of dysmenorrhea. Some other important symptoms are headache, suprapubic cramping backache and pain radiating to anterior thigh, nausea and vomiting.