Indian Journal of Forensic Medicine & Toxicology, July-September 2020, Vol. 14, No. 3 2039 Effect of Bosu Pilates on Primary Dysmenorrhea in Adolescent Girls Mayuri T. Gotpagar 1 , Poovishnu Devi 2 1 Intern, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India, 2 Associate Professor, Department of Cardiopulmonary health science, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India Abstract Background: Dysmenorrhea is a painful menstruation or a cramp labor like pain in the lower abdomen that radiates to upper abdomen, waist and thighs and sometimes accompanied by systemic symptoms like nausea, vomiting, diarrhea and dizziness. Dysmenorrhea can be treated by various pharmacological and non-pharmacological remedies. Incidence rate of dysmenorrhea among Indian girls is found to be 79.67%. It complicates the lives among adolescents females and affect the quality of life of many women. Pilates exercises is safe, non invasive treatment modality to relief pain of primary dysmenorrhea. Objectives: To study the effect of Bosu Pilates on primary dysmenorrhea in adolescent girls. Method: Ethical clearance was obtained from the institute committee. 25 women were screen from KARAD aged between 18 to 30 years. They were selected according to the inclusion and exclusion criteria. They were allowed to fll the form given which included the scale which rated the working, location, intensity, days of pain in dysmenorrhea. According to which conclusion was made. Result: After analyzing the data there was signifcant effect of exercises like stretching and core strengthening exercises performed on bosu ball which helped to reduce pain status in primary dysmenorrheal adolescent girls seen on Wong Baker scale (p=<0.0001). Conclusion: The study concludes that there was signifcant effect of bosu pilates on primary dysmenorrhea in adolescent girls. Key Words: primary dysmenorrhea, adolescent girls, bosu pilates, menstruation pain. Introduction Dysmenorrhea is a painful menstruation or a cramp labor like pain in the lower abdomen that radiates to upper abdomen, waist and thighs and sometimes accompanied by systemic symptoms like nausea, vomiting, diarrhea and dizziness. 1 This disease affects 60% of females with systemic symptoms 60% suffer from headache, 80% from low back pain, nausea and vomiting ,50% from diarrhea ,30% from irritability and 45% dynamic. Dysmenorrhea can be classifed into 2 types: 1)primary dysmenorrhea 2)secondary dysmenorrhea Primary dysmenorrhea: it’s a cramping like pain with menstruation and physical examination is completely normal. 2 Physiological cause for dysmenorrhea include excessive production of uterine prostaglandin and overall production of vasopressin, a hormone which stimulate uterine muscular contraction. Primary dysmenorrhea usually presents during adolescence within 3years of menarche. It is usually for symptoms to start within the frst 6months after menarche. 3 Affected women experience sharp, intermittent spasms of pain, usually centered in the suprapubic area. Pain may have radiated to back of legs or lower back. Systemic symptoms of nausea, vomiting, diarrhea,