The Holistic Approach to Managing Adolescent Endometriosis

Holistic approaches to endometriosis include a wide variety of treatment modalities. These include nutrition, exercise, stress reduction techniques, sleep, and non-pharmacologic pain management. While there is little supportive evidence for the use of these in the treatment of adult endometriosis, there is even less data in adolescent endometriosis. These can and should be used as adjunctive therapy. Few adverse effects are noted. Additional research is necessary; however, discussion of these modalities as options can likely benefit patients. Goals for adjunctive therapy should improve perception of pain and daily functioning. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

Metzger DA. Treating endometriosis pain: a multidisciplinary approach. Semin Reprod Endocrinol. 1997;15(3):245–50. Mira TAA, Buen MM, Borges MG, Yela DA, Benetti-Pinto CL. Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis. Int J Gynecol Obstet. 2018;143(1):2–9. Nezhat C, Nezhat F, Nezhat C. Endometriosis: ancient disease, ancient treatments. Fertil Steril. 2012;98(6):S1–62. Adams LS, Zhang Y, Seeram NP, Heber D, Chen S. Pomegranate ellagitannin-derived compounds exhibit anti-proliferative and anti-aromatase activity in breast cancer cells In Vitro. Cancer Prev Res Phila Pa. 2010;3(1):108–13. Butz WL, Hall RS. Some characteristics of the androgenic fractions from bull urine. J Biol Chem. 1938;126:265–71. Dai T-Y, Wang C-H, Chen K-N, Huang I-N, Hong W-S, Wang S-Y, et al. The antiinfective effects of velvet antler of formosan sambar deer (cervus unicolor swinhoei) on staphylococcus aureus-infected mice. Evid-Based Complement Altern Med ECAM [Internet]. 2011;2011. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092581/. Hansen KE, Kesmodel US, Baldursson EB, Kold M, Forman A. Visceral syndrome in endometriosis patients. Eur J Obstet Gynecol Reprod Biol. 2014;179:198–203. Issa B, Onon TS, Agrawal A, Shekhar C, Morris J, Hamdy S, et al. Visceral hypersensitivity in endometriosis: a new target for treatment? Gut. 2012;61(3):367–72. Barrett JS. Extending our knowledge of fermentable, short-chain carbohydrates for managing gastrointestinal symptoms. Nutr Clin Pract. 2013;28(3):300–6. Moore JS, Gibson PR, Perry RE, Burgell RE. Endometriosis in patients with irritable bowel syndrome: specific symptomatic and demographic profile, and response to the low FODMAP diet. Aust N Z J Obstet Gynaecol. 2017;57(2):201–5. Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014;146(1):67–75.e5. Gibson PR, Shepherd SJ. Personal view: food for thought – western lifestyle and susceptibility to Crohn’s disease. The FODMAP hypothesis. Aliment Pharmacol Ther. 2005;21(12):1399–409. Ramin - Wright A, Schwartz ASK, Geraedts K, Rauchfuss M, Wölfler MM, Haeberlin F, et al. Fatigue – a symptom in endometriosis. Hum Reprod. 2018;33(8):1459–65. Harris HR, Chavarro JE, Malspeis S, Willett WC, Missmer SA. Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: a prospective cohort study. Am J Epidemiol. 2013;177(5):420–30. Flower A, Liu JP, Lewith G, Little P, Li Q. Chinese herbal medicine for endometriosis. Cochrane Database Syst Rev. 2012;5:CD006568. Wayne PM, Kerr CE, Schnyer RN, Legedza ATR, Savetsky-German J, Shields MH, et al. Japanese-style acupuncture for endometriosis-related pelvic pain in adolescents and young women: results of a randomized sham-controlled trial. J Pediatr Adolesc Gynecol. 2008;21(5):247–57. Rubi-Klein K, Kucera-Sliutz E, Nissel H, Bijak M, Stockenhuber D, Fink M, et al. Is acupuncture in addition to conventional medicine effective as pain treatment for endometriosis? A randomised controlled cross-over trial. Eur J Obstet Gynecol Reprod Biol. 2010;153(1):90–3. Adams D, Cheng F, Jou H, Aung S, Yasui Y, Vohra S. The safety of pediatric acupuncture: a systematic review. Pediatrics. 2011;128(6):e1575–87. Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785–6. Greco CD. Management of adolescent chronic pelvic pain from endometriosis: a pain center perspective. J Pediatr Adolesc Gynecol. 2003;16(3):S17–9. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2020 Springer Nature Switzerland AG About this chapter Cite this chapter Davis-Kankanamge, C. (2020). The Holistic Approach to Managing Adolescent Endometriosis. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_41 Download citation DOI: https://doi.org/10.1007/978-3-030-52984-0_41 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-52983-3 Online ISBN: 978-3-030-52984-0 eBook Packages: MedicineMedicine (R0)