Effleurage Massage: Alternative Non-Pharmacological Therapy in Decreasing Dysmenorrhea Pain

Main Article Content

Naning Puji Suryantini
Asirotul Ma rifah


Background: Dysmenorrhea is the most general gynecological problem experienced by women of various ages level. Dysmenorrhea is a pain in the lower abdomen, it felt centered in the suprapubic area and can spread to the lower back and the back of the legs. The actions that can be taken to manage menstrual pain include abdominal heat therapy, abdominal massage, exercise, rest and sleep, relaxation techniques and natural diuresis. Effleurage massage is a technique with calm rhythmic, gentle pressure distally or downwards. In this research, massage was carried out for 3 minutes. Dysmenorrhea prevalence in Indonesia is very high at 64.25%. Dysmenorrhea interferes with daily activities (14%), affecting the quality of life. Dysmenorrhea can be overcome by non-pharmacological therapy, one of which is Effleurage massage.

Purpose: The purpose of this research was to determine the effectiveness of Effleurage massage in decreasing dysmenorrhea in female students of Mojokerto district Junior High School, East Java.

Methods: This research used quasi-experimental design with one group pretest-posttest with total sample of 25 respondents. The sampling method used nonprobability sampling technique; purposive sampling. Data was collected using a demographic data questionnaire and numeric rating scale (NRS) pain scale sheet.

Results: Based on the statistical test, the Wilcoxon signed-rank test showed a value of p = 0.000, which means a difference in pain intensity before and after effleurage massage.

Conclusion: Effleurage massage is effective in reducing dysmenorrhea. The success of giving Effleurage massage in dysmenorrhea turned out to increased blood circulation and sensory nerves to prevent pain transmission. This massage also releases endorphins and enkephalins that can reduce pain, increase comfort, relaxation, relax muscles, and reduce anxiety in patients. Endorphin compounds will be released by the body as a natural pain reliever and create a feeling of comfort

Article Details

How to Cite
Suryantini, N. P., & Ma rifah, A. (2022). Effleurage Massage: Alternative Non-Pharmacological Therapy in Decreasing Dysmenorrhea Pain. Women, Midwives and Midwifery, 2(3), 41-50. Retrieved from http://wmmjournal.org/index.php/wmm/article/view/71


Akiyama. (1979). Students on the influence of the menstrual cycle upon the physical and mental condition by means of MDT. Journal of Japan Society of Nursing Research, 2(2), 61–66. https://doi.org/10.15065/jjsnr.19790601007

Aktan, N. M., Tracy, J., & Bareford, C. (2011). Computerized documentation and community health nursing students. 1(1), 25–31. https://doi.org/10.5430/jnep.v1n1p25

Ali, & Rizvi. (2010). Menstrual knowledge and practices of female adolescents in urban Karachi, Pakistan. Journal of Adolescence, 33(4), 531–541.

Appiah, F., Seidu, A.-A., Ahinkorah, B. O., Baatiema, L., & Ameyaw, E. K. (2020). Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys. SSM - Population Health, 10, 100554. https://doi.org/https://doi.org/10.1016/j.ssmph.2020.100554

Bernardi, M., Lazzeri, L., Perelli, F., Reis, F. M., & Petraglia, F. (2017). Dysmenorrhea and related disorders. F1000Research, 6, 1645. https://doi.org/10.12688/f1000research.11682.1

Czech, I., Fuchs, P., Fuchs, A., Lorek, M., Tobolska-Lorek, D., Drosdzol-Cop, A., & Sikora, J. (2018). Pharmacological and non-pharmacological methods of labour pain relief—establishment of effectiveness and comparison. International Journal of Environmental Research and Public Health, 15(12), 2792.

Dawood. (2016). Primary dysmenorrhea: advances in pathogenesis and management. Obstetrics & Gynecology, 108(2), 428–441.

Dawood, M. Y. (2006). Primary dysmenorrhea: advances in pathogenesis and management. Obstetrics & Gynecology, 108(2), 428–441.

Depkes, R. I. (2009). Profil kesehatan indonesia. Jakarta: Depkes RI, 200.

Elden, H., Gutke, A., Kjellby-Wendt, G., Fagevik-Olsen, M., & Ostgaard, H. C. (2016). Predictors and consequences of long-term pregnancy-related pelvic girdle pain: A longitudinal follow-up study. BMC Musculoskeletal Disorders, 17(1), 1–13. https://doi.org/10.1186/s12891-016-1154-0

Frawley. (2015). Women’s use of complementary and alternative medicine products and services during pregnancy: Insights for safe, informed maternity care (Doctoral dissertation, University of Technology).

Gebeyehu, M. B., Mekuria, A. B., Tefera, Y. G., Andarge, D. A., Debay, Y. B., Bejiga, G. S., & Gebresillassie, B. M. (2017). Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine, 2017, 1–8. https://doi.org/10.1155/2017/3208276

Geethanjali, S., Venugopal, V., Poonguzhali, S., & Maheshkumar, K. (2020). Effect of clary sage oil as an aromatherapy on cardiac autonomic function among patients with premenstrual syndrome – A randomized controlled study. Obesity Medicine, 18, 100193. https://doi.org/10.1016/j.obmed.2020.100193

Hur, M.-H., Lee, M. S., Seong, K.-Y., & Lee, M.-K. (2012). Aromatherapy massage on the abdomen for alleviating menstrual pain in high school girls: a preliminary controlled clinical study. Evidence-Based Complementary and Alternative Medicine, 2012.

Kulkarni, & Deb. (2019). Dysmenorrhoea. Obstetrics, Gynaecology & Reproductive Medicine, 29(10), 286–291.

Li, Ju, Jiang, Chen, & Wu. (2017). Menstrual pattern after abdominal radical trachelectomy. Oncotarget, 8(32). https://doi.org/10.18632/oncotarget.17943

Mahmudah, Yaunin, & Lestari. (2016). Factors related to the Adolescent Sexual Attitude in Padang City. Jurnal Kesehatan Andalas, 5(2), 448–455. https://doi.org/https://doi.org/10.25077/jka.v5i2.538

Prameswari, Ma’rifah, Suryantini, & Kusmindarti. (2018). INTELLECTUAL DISTRACTION FOR DYSMENORRHEA: AN ALTERNATIVE NON-PHARMACOLOGICAL TREATMENT FOR PAIN. International Journal Of Nursing and Midwifery Science (IJNMS).

Racz, G., & Noe, C. E. (2012a). Pain Management: Current Issues and Opinions. BoD–Books on Demand.

Racz, & Noe. (2012b). Pain Management: Current Issues and Opinions. BoD–Books on Demand.

Raju, J. (2014). Effectiveness of Aromatherapy in Reducing Labour Pain and Duration of Labour among Primigravidas: A Pilot Study. International Journal of Health Sciences and Research, 4(2), 124–128.

Sakurai, M., Miura, K., Takamura, T., Ota, T., Ishizaki, M., Morikawa, Y., Kido, T., Naruse, Y., & Nakagawa, H. (2006). Gender differences in the association between anthropometric indices of obesity and blood presssure in Japanese. Hypertension Research, 29(2), 75–80. https://doi.org/10.1291/hypres.29.75

Shirvani, M. A., Motahari-Tabari, N., & Alipour, A. (2017). Use of ginger versus stretching exercises for the treatment of primary dysmenorrhea: a randomized controlled trial. Journal of Integrative Medicine, 15(4), 295–301.

Wong, & Khoo. (2020). Dysmenorrhea in a multiethnic population of adolescent Asian girls. International Journal of Gynecology & Obstetrics, 108(2), 139–142.