Self-Acupressure for Primary Dysmenorrhea and Premenstrual Symptoms

Inclusion Criteria: * Female participants aged 18 to 30 years * Regular menstrual cycles (21-35 days) * Diagnosis of primary dysmenorrhea with moderate to severe menstrual pain * Presence of premenstrual symptoms consistent with premenstrual syndrome * Currently enrolled as a university student * Willingness to perform self-acupressure as instructed for approximately six menstrual cycles * Ability to understand the study procedures and provide written informed consent Exclusion Criteria: * Secondary dysmenorrhea (e.g., endometriosis, uterine fibroids, pelvic inflammatory disease) * Current use of hormonal contraceptives or hormonal therapy within the past 3 months * Pregnancy or breastfeeding * Chronic gynecological, endocrine, or systemic disease that may affect menstrual pain or symptoms * Regular use of analgesic or anti-inflammatory medications outside menstruation * Prior formal training or regular practice of acupuncture or acupressure * Inability to comply with study procedures or follow-up schedule