ABSTRACT Dysmenorrhea is lower abdominal pain that is felt just before or during menstruation that can interfere with daily activities. The prevalence of dysmenorrhea in Indonesia in 2008 was 64.25%. The purpose of this research was to determine the factors associated with the incidence of dysmenorrhea in female students of SMAN 2 in 2014. This research is an observational study with cross sectional approach. Sample was many 128 students were taken by simple random sampling. The research instrument used was a questionnaire as well as the scales of measuring instruments and gauges. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi-square test with 95% confidence level (α = 0.05). The results of the research shown that proportion prevalence of dysmenorrhea in SMAN 2 in January to August 2014 was 85.90% with mild pain intensity 79.10%, moderate pain 8.20%, and severe pain 12.70%. The highest proportion of the dysmenorrhea of the respondent at category ages 14-15 years olds (86.00%), age of menarche ≤ 12 years old (87.70%), longer menstrual <7 days (86.30%), normal menstrual cycles (87 , 40%), frequency of exercise (96.90%), overweight (100.00%), and no family history (90.50%). The result of bivariate analysis, there is a significant association between exercise habits (p = 0.040) and family history (p = 0.001). There was no significant correlation between age,, age of menarche, duration of menstruation, the menstrual cycle, and nutritional status. It is suggested to SMA Negeri 2 field for exercise regularly. For those girls who have a history of dysmenorrhea and dysmenorrhea in a family to see a doctor to prevent other endometris. Keywords: Dysmenorrhea, Risk Factors