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Primary dysmenorrhea (PDM), a commonly clinical endocrine disorder affecting young women, is associated with endocrinopathy and metabolic abnormalities.Although some physiological and pathological function parameters have been investigated, little information about the changes of small metabolites in biofluids has been reported, which may cause poor diagnosis and treatment for PDM.Xiang-Fu-Si-Wu Formula (XFSWF) is a Chinese herbal formula used to treat PDM for hundreds of years.