Effect of Lifestyle Modification on Obese Females With Primary Dysmenorrhea

Inclusion Criteria: * Young females with moderate to severe primary dysmenorrhea (Visual analogue scale \> 4). * Virgin, nonsmokers. * Young female aged from 18-25 years with BMI more than 30 kg/m². * They have regular menstrual cycles (a menstrual flow of 38 days, with 21-35 days between menstrual flows) * They have not practiced sports for at least one year before entering the study. * They have not engaged in diet for at least one year before entering the study. Exclusion Criteria: * Any participant having Secondary dysmenorrhea (associated with identifiable pelvic pathology). * Any participant with a history of pelvic inflammatory disease, myoma and tumors, pelvic infection, ovarian cyst, any gynecological disease. * Any participant with a history of previous spinal surgeries. * Any participant with a history of Anemia, diabetes, hypertension, cardiovascular disease, thyroid disease, neurological disorder, rheumatoid arthritis, bariatric surgery, or taking weight loss medication.