The study aims to assess the accessibility and efficacy of telehealth physiotherapy in managing dysmenorrhea. There are two groups of patients Group A and Group B. Participants in group A will receive physiotherapy sessions via a telehealth platform. Each session will last approximately 30 to 45 minutes and will include a combination of guided exercises, pain management techniques like TENS, heat therapy and educational components focused on lifestyle modifications to manage dysmenorrhea. Sessions will be conducted twice a week for a duration of 4 weeks. Participants will also have access to instructional videos and resources through the telehealth platform Whereas participants in group B will attend in person physiotherapy sessions at a designated clinic. The content and structure of these sessions will mirror those of the telehealth group, including similar exercises and pain management techniques like TENS , Heat therapy. In-person sessions will also occur twice a week for 4 weeks. By comparing patient reported pain levels functional mobility and overall quality of life before and after telehealth interventions using Oswestry Disability Index, Patient reported outcome measurement Information system PROMIS, this research seeks to evaluate the effectiveness of telehealth physiotherapy in alleviating dysmenorrhea symptoms.