<![CDATA[Introduction: Dysmenorrhea is a common gynecological problem experienced by adolescent girls and is characterized by menstrual pain that can interfere with daily activities and quality of life. This condition is mainly caused by increased prostaglandin production and hormonal imbalance, particularly progesterone, and may also be influenced by psychological factors such as stress and emotional instability. This study aimed to determine the effect of endorphin massage on the level of dysmenorrhea pain among female students at SMP Negeri 3 Abang. Method: This study employed a pre-experimental design with a one-group pretest-posttest approach. The population and sample consisted of 58 female students from grades VII, VIII, and IX who experienced dysmenorrhea. Pain levels were measured using a standardized pain scale before and after the endorphin massage intervention. The intervention was given to reduce menstrual pain through relaxation and stimulation of endorphin release in the body. Result: The results of the Wilcoxon signed-rank test showed a p-value of 0.001 (< 0.05), indicating a statistically significant effect of endorphin massage on reducing dysmenorrhea pain in adolescent girls. Conclusion: endorphin massage is effective in reducing menstrual pain and can be recommended as a non-pharmacological nursing intervention for managing dysmenorrhea in adolescents.]]>
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