Dysmenorrhea is a dull, sharp, or achy pain that can begin before your period and remain throughout the bleed time. Sometimes this pain is due to simple stagnation that can be addressed quickly. However, chronic pain that is complicated by endometriosis or fibroids can take longer to rectify. The goal is to break up the stagnation and invigorate the space so that the cycle can relearn a smooth and painless progression. Often herbs are an integral part of treatment protocol. Acupuncture and abdominal massage should be done once a week until menses are pain free.