QUESTION: In women with primary dysmenorrhoea, what is the effect of physiotherapeutic interventions compared to control (either no treatment or placebo/sham) on pain and quality of life? DESIGN: Systematic review of randomised trials with meta-analysis. PARTICIPANTS: Women with primary dysmenorrhea. INTERVENTION: Any form of physiotherapy treatment. OUTCOME MEASURES: The primary outcome was menstrual pain intensity and the secondary outcome was quality of life. RESULTS: The search yielded 222 citations. Of these, 11 were eligible randomised trials and were included in the review.