“…In an early study, Klein and Litt (1981) found that only 14.5% American adolescents had ever consulted their physicians for help with their cramps. Current treatments for dysmenorrhea include analgesic medication (Campbell & McGrath, 1997;Lethaby, Augood, & Duckett, 1999), oral contraceptives (Milsom, Hedner, & Mannheimer, 1994), topical heat patches (Akin et al, 2001), acupressure (Chang & Jun, 2003;Chen & Chen, 2004), acupuncture (Helms, 1987), spinal manipulation (Kokjohn, Schmid, Triano, & Brennan,1992), transcutaneous electrical nerve stimulation (TENS) (Kaplan, Rabinerson, Lurie, Peled, Royburt, & Neri, 1997;Lewers, Clelland, Jackson, Varner, & Bergman, 1998), herbal medicine (Kotani et al, 1997), and exercise (Golomb et al, 1998).…”