Primary dysmenorrhea is one of the most prevalent debilitating problems in reproductive ages. This study aimed to compare the effects of reflexology and massage therapy on pain intensity, pain duration, and anxiety level resulting from primary dysmenorrhea. This controlled clinical trial was conducted on 102 students with primary dysmenorrhea. The samples were randomly divided into reflexology, massage, and control groups. In the first group, reflexology was done 20 min per day for 10 days. Besides, the second group received massage with lavender essence. The interventions were done in both groups for 2 consecutive menstrual cycles. The participants’ pain intensity was measured using Visual Analog Scale (VAS) and their anxiety level was evaluated by Spielberger’s questionnaire. Pain duration was assessed, as well. The measurements were performed before and at the end of the second and third menstrual cycles. The results showed a significant difference among the three groups regarding pain intensity in the second and third months (P>0.001) and pain reduction was more considerable in the massage group. Also, a significant difference was observed among the three groups concerning the mean of pain duration in the second and third months (P=0.01). However, the three groups were not significantly different with respect to the mean anxiety levels. Yet, within-group comparisons revealed a significant reduction in anxiety level in the massage group (P=0.017). Based on the study findings, it seems that both reflexology and massage therapy were effective in the reduction of some symptoms of dysmenorrhea.