ABSTRAKLatar belakang : Dismenorea dapat disebabkan oleh beberapa faktor, salahsatunya adalah kadar hemoglobin rendah yang dapat mengakibatkan iskemiajaringan. Iskemia jaringan mengakibatkan prostaglandin diproduksi sehinggadapat mengakibatkan dismenorea. Penelitian ini bertujuan untuk menganalisishubungan kadar hemoglobin dengan tingkat dismenorea di SMA Muhammadiyah3 Surakarta.Metode : Jenis penelitian ini adalah observasional analitik dengan pendekatancross sectional. Teknik sampling yang digunakan adalah total sampling denganjumlah 43 responden yang sudah memenuhi kriteria inklusi. Instrumen yangdigunakan adalah cyanmethemoglobin dan lembar observasi. Analisis datamenggunakan uji somers’d dengan bantuan program SPSS.Hasil : Sebanyak 53,5% siswi di SMA Muhammadiyah 3 Surakarta memilikikadar hemoglobin normal (12-16 gr/dl) dan 34,9% mengalami dismenoreasedang. Hasil uji analisis menunjukkan nilai p = 0,000 dan nilai r = 0,426(sedang).Kesimpulan : Terdapat hubungan yang signifikan antara kadar hemoglobindengan tingkat dismenorea.Kata kunci : Kadar hemoglobin, tingkat dismenoreaABSTRACTBackground: Dysmenorrhea can be caused by several factors. One of them is thelow hemoglobin level which leads to tissue ischemia. It causes the prostaglandinproduction so that it induces dysmenorrhea.Objective: To analyze the correlation between the hemoglobin level and thedysmenorrhea level Muhammadiyah Senior Secondary School 3 of Surakarta.Method: This research used the observational analytical method with the crosssectionalapproach. The samples of research were taken by using the totalsampling technique and consisted of 43 respondents who fulfilled the inclusivecriteria. The data of research were collected through cyanmethemoglobin methodand observation sheet. They were analyzed by using the Somers’d Test aided withthe computer program of SPSS.Result: 53.5% of the female students of Muhammadiyah Senior SecondarySchool 3 of Surakarta had the normal hemoglobin level (12-16 gr/dl), and 34.9%of them had a moderate dysmenorrheal level. The result of analysis shows that thep-value was 0.000, and the r-value was 0.426 (moderate).Conclusion: There was a significant correlation between the hemoglobin leveland the dysmenorrhea level.Keywords: Hemoglobin level, dysmenorrhea level