Objectives: The objective of the study is to analyze the effect of yoga and meditation as alternative therapy for primary dysmenorrhea in young students and its outcome on school absenteeism. Materials and Methods: 113 medical students, unmarried girls from Dr. Pinnamaneni Siddhartha Medical college with primary dysmenorrhoea were randomly assigned to study (n = 60) and control group (n = 53). Semi structured questionnaire and the Numerical rating scale for pain were administered on all the participants at baseline and after three months. The study group was subjected to yoga and pranayama and meditation. Data was analysed using Microsoft Excel and the results were expressed as proportions. Chi square test was applied to find out the significance of association and p value __ampersandsignlt;0.05 was considered as statistically significant. Results: We observed a significant (p__ampersandsignlt;0.0001) reduction in the perceived pain after yoga intervention in study group. 83.33% of the study group reported complete pain relief and 11.66% reported mild pain. No reduction of pain was found in the control group. After yoga intervention, absenteeism dropped to 10.3% and improvement in daily activity was observed in study group. Conclusions: From the present study it can be concluded that meditation and yoga can be used as a definite alternative therapy for primary dysmenorrhoea in young students.