ClinicalTrials.gg
CompletedNCT07817628Updated Sep 16, 2026

Pain Neuroscience Education Added to Exercise for Primary Dysmenorrhea

An interventional study of Pain Neuroscience Education and Standardized Exercise Program in Primary Dysmenorrhea, sponsored by Harran University. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Primary conditionDysmenorrheaRegistry: Motor ActivityReclassifiedWhy we changed it
Registry
Motor Activity — the first condition term the registry derived for this study.
ClinicalTrials.gg
Dysmenorrhea
Why
  1. Motor Activity is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Dysmenorrhea.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Harran University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jul 2025, registered Sep 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 81 studies in Dysmenorrhea with a site in Turkey — 19 open to participants now, 23 under way, none of them phase 3. Dysmenorrhea · Turkey.

Enrollment
33rd of 72
62 · median 60
Started
2025
with 12 others
No phase
70 of 81
16 open now
Registered
79th of 81
by date

Among the 81 studies in Dysmenorrhea with a site in Turkey, this one is the 33rd largest by enrollment of the 72 interventional ones that give a count, is one of 13 that started in 2025, is one of 70 with no phase, and was the 79th registered.

Dysmenorrhea

430 studies on the registry are indexed under Dysmenorrhea; 107 are open to participants now.

Browse Dysmenorrhea studies →

Open to participants now

19 of the 81 studies in Dysmenorrhea with a site in Turkey are open now. Recruiting first, the newest first:

14 more — sign in →

All 19 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 57 Dysmenorrhea studies recruiting now, 7 (12%) set no upper age limit and 49 (86%) stop at 75 or younger; 11 take children under 18; 20 take healthy volunteers.

This study: 18 Years to 35 Years · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 81 studies in Dysmenorrhea with a site in Turkey, or all of them as a file.
02

Study summary

This assessor-blinded, two-arm randomized controlled trial evaluates the additional effects of pain neuroscience education (PNE) when combined with a standardized exercise program in women with primary dysmenorrhea. Sixty-two participants are randomly allocated in a 1:1 ratio to either PNE plus exercise or time-matched routine menstrual-health education plus the same exercise program. Both groups complete a six-week exercise program performed three times weekly, while education is delivered once weekly for six weeks. Outcomes are assessed at baseline, during the first menstrual cycle after the intervention, and approximately three months after intervention completion. The primary outcome is menstrual pain intensity during the first 48 hours of menstruation. Secondary outcomes include activity interference, analgesic use, pain catastrophizing, pressure pain thresholds, conditioned pain modulation, and dynamic pelvic floor ultrasound measures.

03

Conditions studied

  • Primary Dysmenorrhea

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Keywords

  • Primary dysmenorrhea
  • Pain neuroscience education
  • Exercise
  • Menstrual pain
  • Pain catastrophizing
  • Pelvic floor ultrasound
04

In context

Dysmenorrhea Reclassified

430 studies on the registry are indexed under Dysmenorrhea; 107 are open to participants now.

This study's enrollment of 62 is close to the median of 62 across 363 interventional studies indexed under Dysmenorrhea.

Browse Dysmenorrhea studies →

Lead sponsor

Harran University is the lead sponsor of 63 studies on the registry; 22 are open to participants now.

Compared within Dysmenorrhea, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Motor Activity. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women aged 18-35 years
  • Menstrual cycles of 21-35 days
  • Symptoms consistent with primary dysmenorrhea for at least 6 months
  • At least 2 years since menarche
  • Recurrent menstrual pain during at least 2 menstrual cycles
  • Menstrual pain intensity of at least 4/10 on the Numerical Rating Scale during menstruation
  • Willingness to participate
  • Provision of written

Exclusion criteria

Exclusion Criteria:

  • Endometriosis, adenomyosis, pelvic inflammatory disease, uterine fibroids, or another gynecological pathology capable of explaining menstrual pain
  • Use of hormonal or other hormonal treatment
  • Regular analgesic or antidepressant use
  • Severe orthopedic, neurological, gynecological, chronic, or systemic disease
  • Any health condition preventing participation in the exercise program
  • Previous structured pain neuroscience education
  • Pregnancy or lactation
  • Menstrual irregularity outside the predefined cycle criteria
  • Failure to meet the predefined menstrual pain-severity criterion
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    Pain Neuroscience Education + Exercise

    Participants receive pain neuroscience education in addition to the standardized exercise program.

    Behavioral: Pain Neuroscience Education · Behavioral: Standardized Exercise Program

  • Active comparator
    Routine Menstrual Health Education + Exercise

    Participants receive routine menstrual health education in addition to the same standardized exercise program.

    Behavioral: Standardized Exercise Program · Behavioral: Routine Menstrual Health Education

Interventions

  • BehavioralPain Neuroscience Education

    Six weekly 35-45-minute structured educational sessions addressing the protective function of pain, uterine nociception, peripheral and central sensitization, pain modulation, neuroplasticity, attention, expectations, stress, sleep, contextual influences, safe movement, and self-management.

  • BehavioralStandardized Exercise Program

    A six-week program performed three times weekly for 18 planned sessions, including aerobic activity, lumbopelvic mobility, trunk and hip strengthening, stretching, diaphragmatic breathing, and relaxation/down-training strategies.

  • BehavioralRoutine Menstrual Health Education

    Participants received six weekly 35-45-minute time-matched educational sessions providing routine information about menstruation, menstrual health, lifestyle, and general self-management, without pain neuroscience education content.

07

What researchers measure

Primary outcomes

  1. Change in Mean Menstrual Pain Intensity During the First 48 Hours of Menstruation

    Menstrual pain intensity is recorded using an 11-point Numerical Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain), three times daily (morning, afternoon, and evening) during menstrual days 1 and 2. The mean of the six ratings is calculated when at least four valid ratings are available. The primary treatment effect compares change from baseline to the first menstrual cycle following completion of the six-week intervention.

    Time frame: Baseline and the first menstrual cycle following completion of the 6-week intervention (T1)

Secondary outcomes

  1. Activity Interference Due to Menstrual Pain

    Interference of menstrual pain with daily activities was assessed using an 11-point Numerical Rating Scale (NRS), ranging from 0 (no interference) to 10 (maximum interference), with higher scores indicating greater interference.

    Time frame: Baseline, first menstrual cycle following the 6-week intervention (T1), and menstrual cycle closest to 3 months post-intervention

  2. Duration of Menstrual Pain

    Interference of menstrual pain with daily activities was assessed using an 11-point Numerical Rating Scale (NRS), ranging from 0 (no interference) to 10 (maximum interference), with higher scores indicating greater interference.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention

  3. Analgesic Use Occasions

    The number of occasions on which analgesic medication was used for menstrual pain was recorded during each assessment cycle.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention

  4. Any Analgesic Use

    Whether the participant used any analgesic medication for menstrual pain during the assessment cycle was recorded as a dichotomous outcome.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention

  5. School or Work Absence Due to Menstrual Pain

    The number of days of absence from school or work attributable to menstrual pain was recorded during each assessment cycle. Higher values indicate greater absenteeism.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention

  6. Pain Catastrophizing Scale Score

    Pain-related catastrophic thinking was assessed using the Pain Catastrophizing Scale (PCS), a 13-item self-report measure. Each item is scored from 0 to 4, yielding a total score ranging from 0 to 52. Higher scores indicate greater pain catastrophizing and therefore a worse outcome.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention

  7. Pressure Pain Threshold (PPT)

    Pressure pain threshold was assessed using a Commander Echo Algometer (JTECH Medical, Midvale, UT, USA) equipped with a 1 cm² probe at standardized suprapubic, lumbopelvic, and tibialis anterior sites. Higher values indicate lower mechanical pain sensitivity.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention; assessments were performed during both painful and pain-free phases of the menstrual cycle.

  8. Pelvic Floor Mobility Assessed by Transperineal Ultrasound Description:

    Pelvic floor mobility was assessed using two-dimensional transperineal ultrasound. Outcomes included cranial excursion during voluntary pelvic floor contraction, caudal excursion during bearing down, and return-to-rest time following the maneuver. Each maneuver was performed three times, and the mean value was used for analysis.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention; assessments were performed during both painful and pain-free phases of the menstrual cycle.

  9. Conditioned Pain Modulation

    onditioned pain modulation was assessed using tibialis anterior pressure pain threshold as the test stimulus and contralateral hand immersion in cold water (10 ± 1 °C, maximum 120 seconds) as the conditioning stimulus. The CPM response was calculated from the change in pressure pain threshold during conditioning.

    Time frame: Baseline, first menstrual cycle following completion of the 6-week intervention, and menstrual cycle closest to 3 months post-intervention; assessments were performed during both painful and pain-free phases of the menstrual cycle.

08

Study locations

1 site
  • Harran University Faculty of Medicine Training and Research Hospital
    Sanliurfa, Şanlıurfa 63000, Turkey (Türkiye)
09

References and documents

Individual participant data

Plan to share: No — Individual participant data are not planned to be publicly shared.

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2025 to primary completion in Jun 2026, 11 months.

Of 178 non-industry interventional studies with no phase under Dysmenorrhea, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 16. This study's 11 months is above that.

Counting every sponsor, half of 188 studies reached it within 8 months; a quarter within 3 and three quarters within 16.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 1, 2026
First posted
Sep 14, 2026
StartActual
Jul 11, 2025
Primary completionActual
Jun 25, 2026
CompletionActual
Jul 5, 2026
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT07817628
Lead sponsor
Harran University
Responsible party
İsmail Palalı (Assistant Professor, Harran University) — Principal investigator
First posted
Sep 14, 2026
Start date
Jul 11, 2025
Primary completion
Jun 25, 2026
Completion
Jul 5, 2026
Last update
Sep 16, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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