Helena Frawley

ORCID: 0000-0002-7126-6979 · 21 papers in corpus
other 2026

There is a lack of comprehensive synthesis of the evidence regarding the conservative treatment of endometriosis-associated pain (EAP). Existing literature reviews are narrow or often focused on specific treatments or subsets of interventio…

rct 2026
·doi:10.1177/22840265251406141

Introduction: Pelvic floor muscle (PFM) exercises are commonly prescribed to women with endometriosis-associated pelvic pain (EAPP) but the feasibility and effects of different PFM protocols remain unknown. Objectives: To evaluate the feasi…

qualitative 2026
·doi:10.6084/m9.figshare.34030886.v1

Endometriosis is a condition with symptoms that vary widely, often affecting daily activities and quality of life. A patient-centered approach to identifying and measuring the most important symptoms has been recommended in the core outcome…

qualitative 2026
Current medical research and opinion ·doi:10.1080/03007995.2026.2730839

OBJECTIVE: Endometriosis is a condition with symptoms that vary widely, often affecting daily activities and quality of life. A patient-centered approach to identifying and measuring the most important symptoms has been recommended in the c…

qualitative 2026
·doi:10.6084/m9.figshare.34030886

Endometriosis is a condition with symptoms that vary widely, often affecting daily activities and quality of life. A patient-centered approach to identifying and measuring the most important symptoms has been recommended in the core outcome…

2025
·doi:10.1016/j.cont.2025.102186

Figure 1. Table 1: Themes and subthemes

rct 2025
·doi:10.1016/j.cont.2025.101959

Figure 1. Table 1 Feasibility and acceptability outcomes Figure 2. Table 2 Between-group differences in pain and pelvic floor muscle morphometry outcomes

meta-analysis 2025
BJOG : an international journal of obstetrics and gynaecology ·doi:10.1111/1471-0528.18322

BACKGROUND: Chronic pelvic pain (CPP) is persistent pain perceived to originate in the pelvis, lasting ≥ 3 months. Due to its multifactorial presentation, multidisciplinary treatment may provide optimal care. OBJECTIVE: Systematic review w…

rct 2025
·doi:10.82161/kw4w-0b11

The ITT analysis revealed no statistically significant difference between groups in painworst or painbest, but a significantly larger reduction of pelvic/genital painconditional in the exercise group compared to the control group [mean diff…

rct 2025
·doi:10.82161/18rs-yd10

To evaluate the feasibility of two different PFM exercise protocols (PFMC+R vs PFMR) and mindfulness in women with EAPP and explore changes in pelvic pain and PFM morphometry between the two groups. Physiotherapists may consider incorporati…

rct 2025
Journal of physiotherapy ·doi:10.1016/j.jphys.2025.09.012

QUESTION: How much does adding supervised group and independent individual exercise including pelvic floor muscle training (PFMT) to multidisciplinary pain management affect pelvic and genital pain in women with endometriosis? How much does…

meta-analysis 2024
American journal of obstetrics and gynecology ·doi:10.1016/j.ajog.2024.08.006

OBJECTIVE: To evaluate the effectiveness of nonpharmacological conservative therapies for women with CPP. DATA SOURCES: A systematic search of electronic databases (Amed, CINAHL, PsycINFO, SportDiscuss, Medline, PubMed, Embase, and Cochran…

other 2024

There is a lack of comprehensive synthesis of the evidence regarding the conservative treatment of endometriosis-associated pain (EAP). Existing literature reviews are narrow or often focused on specific treatments or subsets of interventio…

other 2024
·doi:10.17605/osf.io/f3qva

There is a lack of comprehensive synthesis of the evidence regarding the conservative treatment of endometriosis-associated pain (EAP). Existing literature reviews are narrow or often focused on specific treatments or subsets of interventio…

qualitative 2024
Acta obstetricia et gynecologica Scandinavica ·doi:10.1111/aogs.14876

INTRODUCTION: "Improvement in the most bothersome symptom" was recently selected as a core outcome for endometriosis intervention trials. This study aimed to explore the applicability of the construct of "symptom bother" in representing the…

observational 2024
Acta obstetricia et gynecologica Scandinavica ·doi:10.1111/aogs.14927

INTRODUCTION: There is considerable variation in the types of symptoms experienced by people living with endometriosis, and it is unclear which symptoms impact people the most. This study aimed to identify the specific symptoms that are "mo…

meta-analysis 2023
The journal of sexual medicine ·doi:10.1093/jsxmed/qdad089

BACKGROUND: The association between pelvic pain and pelvic floor muscle (PFM) tone in women with persistent noncancer pelvic pain (PNCPP) is unclear. AIM: To synthesize the evidence of the association between pelvic pain and PFM tone in wo…

meta-analysis 2022
·doi:10.17605/osf.io/ag92j

This systematic review will synthesise the evidence on the effectiveness of conservative treatments (non-surgical and non-pharmacological) for endometriosis-associated pain.

2022
·doi:10.3843/glowm.418263
review 2021
Frontiers in reproductive health ·doi:10.3389/frph.2021.729642

Endometriosis-associated pain and the mechanisms responsible for its initiation and persistence are complex and difficult to treat. Endometriosis-associated pain is experienced as dysmenorrhea, cyclical pain related to organ function includ…

guideline 2016
Neurourology and urodynamics ·doi:10.1002/nau.23072

AIMS: Terms used in the field of chronic pelvic pain (CPP) are poorly defined and often confusing. An International Continence Society (ICS) Standard for Terminology in chronic pelvic pain syndromes (CPPS) has been developed with the aim of…