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Abstract Adolescence is main period in human development. During this period, teenage girls may experience physical and psychological changes. The main change in puberty that occurs in girls is menstruation. It is considered one of the most important milestones in the process of growth and maturity, which prepares them for motherhood, because yesterday’s girl is today’s teenager and tomorrow’s mother. In general, PMS symptoms can be categorized into PMSrelated diagnoses such as dysmenorrhea or premenstrual syndrome (PMS). Dysmenorrhea, or painful menstruation, is one of the most common gynecological disorders among adolescent girls and young adult women. It is defined as pelvic pain directly related to menstruation that interferes with activities of daily living and contributes to school and work absenteeism. It is classified into two main categories: primary and secondary dysmenorrhea. Primary dysmenorrhea is a painful menstruation that occurs in the absence of recognizable pelvic pathology and commonly begins when the beginning of ovulatory menstrual cycle. It can be treated pharmacological or through complementary therapy. Pharmacological treatment includes the use of prescribed medication as Non- steroidal antiinflammatory drugs. Today, there is a great tendency to use complementary and alternative medicine (CAM), and one of the applications of the CAM is the treatment of primary dysmenorrhea. Because of recent concerns about pharmacological therapy, several studies investigated the efficacy of numerous non pharmacological therapies for the relief of dysmenorrhea such as transcutaneous electrical nerve stimulation (TENS). This study aimed to: Determine the effect of Transcutaneous electrical nerve stimulation on menstrual symptoms among adolescent girls. Research hypothesis: Adolescent girls who receive Transcutaneous Electrical Nerve Stimulation (TENS) on menstrual symptoms exhibit less menstrual symptoms than those who receive sham TENS (placebo) intervention. Materials and method: The study was conducted at the Technical Institute of Nursing called ”Dar Ismail” affiliated to the Ministry of Health and Population in Alexandria. Subjects: A purposeful sample of 100 female students in the first and second years at the Technical Institute of Nursing. They identify those with moderate to severe primary dysmenorrhea (PD). The 100 participants were randomly divided into two equal groups, study and control (50 for each). Tools Three tools were used: Tool I- Students’ Basic Data Structured interview Schedule: It was developed by the researcher to collect the necessary data from female students. It will include three parts. |