Clinical efficacy of Trigonella foenum graecum (Fenugreek) and dry cupping therapy on intensity of pain in patients with primary dysmenorrhea

  • Wajida Inanmdar
  • Arshiya SultanaEmail author
  • Umraz Mubeen
  • Khaleequr Rahman
Original Article



To determine the effificacy and safety of fenugreek seed and dry cupping on intensity of pain in primary dysmenorrhea.


Sixty patients with primary dysmenorrhea were enrolled in this prospective, open-labeled, randomized, standard-controlled study, conducted in the National Institute of Unani Medicine Hospital between February 2010 and April 2011. In group A (20 cases), 3 g powder of fenugreek seed (3 capsules, 1 g each) was given orally twice daily from day 1 to 3 of menstrual cycle. Group B (20 cases) received the same dose of fenugreek seed as group A along with dry cupping therapy [two 4.2-cm and one 2.5-cm cups (internal diameter)], which was applied below the umbilicus for 15 min on day 1 and day 3 of menstrual cycle for 3 consecutive months. The control group C (20 cases) was given mefenamic acid, 500 mg twice daily, on the same protocol. The reduction in menstrual pain intensity was measured with well validated Visual Analogue Scale and safety of fenugreek seed was evaluated by clinical examination and laboratory investigations.


Baseline characteristics and biochemical parameters were comparable and homogenous among all groups (P>0.05). The percentage reduction in lower abdominal pain was 66.89%, 66.49%, and 62.88% in A, B and C groups respectively at the end of the treatment. No adverse drug effects were noticed.


The fenugreek seed and dry cupping are effificacious, safe, cost effective, and well tolerated.


randomized standard-controlled trial Fenugreek (Hulba) Hijamat bila shurt (dry cupping) primary dysmenorrhea Visual Analogue Scale for pain intensity 


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Copyright information

© Chinese Association of the Integration of Traditional and Western Medicine and Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Wajida Inanmdar
    • 1
  • Arshiya Sultana
    • 1
    Email author
  • Umraz Mubeen
    • 1
  • Khaleequr Rahman
    • 2
  1. 1.Department of Obstetrics and Gynecology, National Institute of Unani MedicinePost Graduate Institute of ResearchBangaloreIndia
  2. 2.Department of Pharmacy, National Institute of Unani MedicinePost Graduate Institute of ResearchBangaloreIndia

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