Inclusion criteria: the presence of moderate to severe dysmenorrhea in most menstrual cycles, being bachelor, the fertility age (18-45 years), residence in the dormitories of Qazvin University of Medical Sciences, and willingness to participate in the study. Exclusion criteria are secondary dysmenorrhea and its underlying causes including the history of endometriosis, adenomyosis, sub-acute endometritis, pelvic inflammatory diseases, copper intrauterine devices, ovarian cysts, congenital anomalies of the pelvis and cervix, history of known psychological illnesses, addiction to drugs, history of seizure, having strabismus and vision problems, history of pelvic or abdominal surgery, cardiovascular and pulmonary respiratory disease, and the graduation during the follow-up period.