Usre tams (dysmenorrhoea) is a prevalent condition that most frequently affects females in their teen years. Despite the fact that it can be seen at any stage of life, it has a detrimental impact on women's quality of life. It is the main reason why women who are of reproductive age miss work and school. After marriage, this condition usually returns to normal, although in some patients it may still exists. The term "Usre Tams" is used in Unani literature to refer to all characteristics of dysmenorrhoea, including aetiology, pathophysiology, clinical presentation, diagnosis, and therapy. Numerous single and compound medications that have been shown to be considerably more effective for dysmenorrhoea and are unlikely to have any side effects, as seen in conventional medicine, are stated in the Unani system of medicine. Here is a review.