MULTIDIMENSIONAL TREATMENT OF ENDOMETRIOSIS – THE ROLE OF NUTRITIONAL, PHYSIOTHERAPEUTIC AND PSYCHOLOGICAL INTERVENTIONS

In: International Journal of Innovative Technologies in Social Science · 2025 · vol. 5(3(47)) · doi:10.31435/ijitss.3(47).2025.3871 · W4414953272
article OA: gold CC0
AI-generated summary by claude@2026-06, 2026-06-06

This review analyzes anti-inflammatory diet, pelvic physiotherapy, and psychotherapy as complementary strategies to conventional endometriosis treatment, finding they can improve patient quality of life.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-06 · read from full text

This review analyzes scientific sources from 1997 to 2025 to evaluate the role of complementary nutritional, physiotherapeutic, and psychological interventions for relieving endometriosis symptoms and improving quality of life. Across the included studies, the paper highlights evidence supporting an anti-inflammatory dietary pattern, regular pelvic-focused physiotherapy (including pelvic floor muscle approaches and exercise), and psychotherapy/mind-body interventions as potential adjuncts to conventional medication and surgery. A key caveat is that the work is review-based and therefore synthesizes heterogeneous evidence rather than presenting original clinical trial results. This paper is centrally about endometriosis — it focuses specifically on nutritional, physiotherapeutic, and psychological complementary strategies for symptom relief and quality-of-life improvement.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Endometriosis is a chronic, progressive gynecological disease characterized by the presence of active endometrial tissue outside the uterine cavity. Endometriosis impacts around 10% of women in their reproductive years, often leading to persistent pain, cycle disturbances, and challenges with conception. Conventional management, which includes medication and surgery, is often insufficient due to high recurrence rates and suboptimal outcomes, prompting increased focus on complementary treatment strategies. The main aim of this work is to analyze the role of three key areas of supportive therapy: diet, physiotherapy and psychotherapy in relieving the symptoms of endometriosis and improving the quality of life of patients. This is a review-based study that analyzes scientific sources from 1997 to 2025. Analysis of current studies highlights the potential of an anti-inflammatory diet, regular pelvic-focused physiotherapy, and psychotherapy as effective complementary strategies alongside conventional treatment. An integrated therapeutic approach, taking into account the somatic and psychological needs of patients, seems to be crucial in the effective management of endometriosis.
Full text 12,621 characters · extracted from oa-doi-fallback · click to expand
MULTIDIMENSIONAL TREATMENT OF ENDOMETRIOSIS – THE ROLE OF NUTRITIONAL, PHYSIOTHERAPEUTIC AND PSYCHOLOGICAL INTERVENTIONS DOI: https://doi.org/10.31435/ijitss.3(47).2025.3871Keywords: Policy development, School Management, Indiscipline, Leadership, Challenges and StrategiesAbstract Endometriosis is a chronic, progressive gynecological disease characterized by the presence of active endometrial tissue outside the uterine cavity. Endometriosis impacts around 10% of women in their reproductive years, often leading to persistent pain, cycle disturbances, and challenges with conception. Conventional management, which includes medication and surgery, is often insufficient due to high recurrence rates and suboptimal outcomes, prompting increased focus on complementary treatment strategies. The main aim of this work is to analyze the role of three key areas of supportive therapy: diet, physiotherapy and psychotherapy in relieving the symptoms of endometriosis and improving the quality of life of patients. This is a review-based study that analyzes scientific sources from 1997 to 2025. Analysis of current studies highlights the potential of an anti-inflammatory diet, regular pelvic-focused physiotherapy, and psychotherapy as effective complementary strategies alongside conventional treatment. An integrated therapeutic approach, taking into account the somatic and psychological needs of patients, seems to be crucial in the effective management of endometriosis. References Eskenazi, B., & Warner, M. L. (1997). Epidemiology of endometriosis. Obstetrics and Gynecology Clinics of North America, 24(2), 235–258. https://doi.org/10.1016/s0889-8545(05)70302-8 Viganò, P., Parazzini, F., Somigliana, E., & Vercellini, P. (2004). Endometriosis: Epidemiology and aetiological factors. Best Practice & Research Clinical Obstetrics & Gynaecology, 18(2), 177–200. https://doi.org/10.1016/j.bpobgyn.2004.01.007 Parasar, P., Ozcan, P., & Terry, K. L. (2017). Endometriosis: Epidemiology, diagnosis and clinical management. Current Obstetrics and Gynecology Reports, 6(1), 34–41. https://doi.org/10.1007/s13669-017-0187-1 Taylor, H. S., Kotlyar, A. M., & Flores, V. A. (2021). Endometriosis is a chronic systemic disease: Clinical challenges and novel innovations. The Lancet, 397(10276), 839–852. https://doi.org/10.1016/S0140-6736(21)00389-5 Wang, P.-H., Yang, S.-T., Chang, W.-H., Liu, C.-H., Lee, F.-K., & Lee, W.-L. (2022). Endometriosis: Part I. Basic concept. Taiwanese Journal of Obstetrics and Gynecology, 61(6), 927–934. https://doi.org/10.1016/j.tjog.2022.08.002 Parazzini, F., Viganò, P., Candiani, M., & Fedele, L. (2013). Diet and endometriosis risk: A literature review. Reproductive Biomedicine Online, 26(4), 323–336. https://doi.org/10.1016/j.rbmo.2012.12.011 Mier-Cabrera, J., Aburto-Soto, T., Burrola-Méndez, S., Jiménez-Zamudio, L., Tolentino, M. C., Casanueva, E., & Hernández-Guerrero, C. (2009). Women with endometriosis improved their peripheral antioxidant markers after the application of a high antioxidant diet. Reproductive Biology and Endocrinology, 7, 54. https://doi.org/10.1186/1477-7827-7-54 Santanam, N., Zoneraich, N., & Parthasarathy, S. (2017). Myeloperoxidase as a potential target in women with endometriosis undergoing IVF. Reproductive Sciences, 24(4), 619–626. https://doi.org/10.1177/1933719116667225 Bertin, L., Zanconato, M., Crepaldi, M., Marasco, G., Cremon, C., Barbara, G., Barberio, B., Zingone, F., & Savarino, E. V. (2024). The role of the FODMAP diet in IBS. Nutrients, 16(3), 370. https://doi.org/10.3390/nu16030370 Marziali, M., Venza, M., Lazzaro, S., Lazzaro, A., Micossi, C., & Stolfi, V. M. (2012). Gluten-free diet: A new strategy for management of painful endometriosis-related symptoms? Minerva Chirurgica, 67(6), 499–504. Moore, J. S., Gibson, P. R., Perry, R. E., & Burgell, R. E. (2017). Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 57(2), 201–205. https://doi.org/10.1111/ajo.12594 Keukens, A., Veth, V. B., van de Kar, M. M., et al. (2025). Effects of a low-FODMAP diet on patients with endometriosis: A prospective cohort study. BMC Women’s Health, 25, 174. https://doi.org/10.1186/s12905-025-03715-1 Hansen, S. O., & Knudsen, U. B. (2013). Endometriosis, dysmenorrhoea and diet. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 169(2), 162–171. https://doi.org/10.1016/j.ejogrb.2013.03.028 Osmanlıoğlu, Ş., & Sanlier, N. (2021). The relationship between endometriosis and diet. Human Fertility, 26(3), 649–664. https://doi.org/10.1080/14647273.2021.1995900 Nirgianakis, K., Egger, K., Kalaitzopoulos, D. R., et al. (2022). Effectiveness of dietary interventions in the treatment of endometriosis: A systematic review. Reproductive Sciences, 29, 26–42. https://doi.org/10.1007/s43032-020-00418-w Mazza, E., Troiano, E., Mazza, S., Ferro, Y., Abbinante, A., Agneta, M. T., Montalcini, T., & Pujia, A. (2023). The impact of endometriosis on dietary choices and activities of everyday life: A cross-sectional study. Frontiers in Nutrition, 10, 1273976. https://doi.org/10.3389/fnut.2023.1273976 van Haaps, A. P., Brouns, F., Schreurs, A. M. F., Keszthelyi, D., Maas, J. W. M., & Mijatovic, V. (2024). A gluten-free diet for endometriosis patients lacks evidence to recommend it. AJOG Global Reports, 4(3), 100369. https://doi.org/10.1016/j.xagr.2024.100369 Nodler, J. L., Harris, H. R., Chavarro, J. E., Frazier, A. L., & Missmer, S. A. (2020). Dairy consumption during adolescence and endometriosis risk. American Journal of Obstetrics and Gynecology, 222(3), 257.e1–257.e16. https://doi.org/10.1016/j.ajog.2019.09.010 Qi, X., Yun, C., Sun, L., & Wang, Y. (2021). Relationship between dairy products intake and risk of endometriosis: A systematic review and dose-response meta-analysis of observational studies. Frontiers in Nutrition, 8, 701860. https://doi.org/10.3389/fnut.2021.701860 Harris, H. R., Chavarro, J. E., Malspeis, S., Willett, W. C., & Missmer, S. A. (2013). Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: A prospective cohort study. American Journal of Epidemiology, 177(5), 420–430. https://doi.org/10.1093/aje/kws247 Arab, A., Karimi, E., Vingrys, K., et al. (2022). Food groups and nutrients consumption and risk of endometriosis: A systematic review and meta-analysis of observational studies. Nutrition Journal, 21, 58. https://doi.org/10.1186/s12937-022-00812-x Shrateh, O. N., Siam, H. A., Ashhab, Y. S., Sweity, R. R., & Naasan, M. (2024). The impact of vitamin D treatment on pregnancy rate among endometriosis patients: A systematic review and meta-analysis. Annals of Medicine and Surgery, 86(7), 4098–4111. https://doi.org/10.1097/MS9.0000000000002174 Kahlon, B. K., Simon-Collins, M., Nylander, E., Segars, J., & Singh, B. (2023). A systematic review of vitamin D and endometriosis: Role in pathophysiology, diagnosis, treatment, and prevention. F&S Reviews, 4(1), 1–14. https://doi.org/10.1016/j.xfnr.2022.11.005 Zhou, I. W., Zhang, A. L., Tsang, M. S. M., & Xue, C. C. (2025). Vitamin D for primary dysmenorrhea and endometriosis-related pain: A systematic review of registered RCTs. PLOS ONE, 20(4), e0321393. https://doi.org/10.1371/journal.pone.0321393 Chacko, S. A., Song, Y., Nathan, L., Tinker, L., de Boer, I. H., Tylavsky, F., Wallace, R., & Liu, S. (2010). Relations of dietary magnesium intake to biomarkers of inflammation and endothelial dysfunction in an ethnically diverse cohort of postmenopausal women. Diabetes Care, 33(2), 304–310. https://doi.org/10.2337/dc09-1402 D’Angelo, E. K., Singer, H. A., & Rembold, C. M. (1992). Magnesium relaxes arterial smooth muscle by decreasing intracellular Ca²⁺ without changing intracellular Mg²⁺. The Journal of Clinical Investigation, 89(6), 1988–1994. https://doi.org/10.1172/JCI115807 Qin, R., Tian, G., Liu, J., & Cao, L. (2022). The gut microbiota and endometriosis: From pathogenesis to diagnosis and treatment. Frontiers in Cellular and Infection Microbiology, 12, 1069557. https://doi.org/10.3389/fcimb.2022.1069557 Jiang, I., Yong, P. J., Allaire, C., & Bedaiwy, M. A. (2021). Intricate connections between the microbiota and endometriosis. International Journal of Molecular Sciences, 22(11), 5644. https://doi.org/10.3390/ijms22115644 Xholli, A., Cremonini, F., Perugi, I., Londero, A. P., & Cagnacci, A. (2023). Gut microbiota and endometriosis: Exploring the relationship and therapeutic implications. Pharmaceuticals, 16(12), 1696. https://doi.org/10.3390/ph16121696 Wójcik, M., Szczepaniak, R., & Placek, K. (2022). Physiotherapy management in endometriosis. International Journal of Environmental Research and Public Health, 19(23), 16148. https://doi.org/10.3390/ijerph192316148 Del Forno, S., Cocchi, L., Arena, A., Pellizzone, V., Lenzi, J., Raffone, A., Borghese, G., Paradisi, R., Youssef, A., Casadio, P., Raimondo, D., & Seracchioli, R. (2023). Effects of pelvic floor muscle physiotherapy on urinary, bowel, and sexual functions in women with deep infiltrating endometriosis: A randomized controlled trial. Medicina, 60(1), 67. https://doi.org/10.3390/medicina60010067 França, P. R. C., Lontra, A. C. P., & Fernandes, P. D. (2022). Endometriosis: A disease with few direct treatment options. Molecules, 27(13), 4034. https://doi.org/10.3390/molecules27134034 Frawley, H., & Peterson, K. (Eds.). (n.d.). Endometriosis. In The Continuous Textbook of Women’s Medicine Series – Gynecology Module, Volume 3. Global Library of Women’s Medicine. https://doi.org/10.3843/GLOWM.418263 Tennfjord, M. K., Gabrielsen, R., & Tellum, T. (2021). Effect of physical activity and exercise on endometriosis-associated symptoms: A systematic review. BMC Women’s Health, 21(1), 355. https://doi.org/10.1186/s12905-021-01500-4 Del Forno, S., Arena, A., Alessandrini, M., Pellizzone, V., Lenzi, J., Raimondo, D., et al. (2020). Transperineal ultrasound visual feedback assisted pelvic floor muscle physiotherapy in women with deep infiltrating endometriosis and dyspareunia: A pilot study. Journal of Sex & Marital Therapy, 46(7), 603–611. https://doi.org/10.1080/0092623X.2020.1765057 Meissner, K., Schweizer-Arau, A., Limmer, A., Preibisch, C., Popovici, R. M., Lange, I., de Oriol, B., & Beissner, F. (2016). Psychotherapy with somatosensory stimulation for endometriosis-associated pain: A randomized controlled trial. Obstetrics and Gynecology, 128(5), 1134–1142. https://doi.org/10.1097/AOG.0000000000001691 Evans, S., Fernandez, S., Olive, L., Payne, L. A., & Mikocka-Walus, A. (2019). Psychological and mind-body interventions for endometriosis: A systematic review. Journal of Psychosomatic Research, 124, 109756. https://doi.org/10.1016/j.jpsychores.2019.109756 Beissner, F., Preibisch, C., Schweizer-Arau, A., Popovici, R. M., & Meissner, K. (2018). Psychotherapy with somatosensory stimulation for endometriosis-associated pain: The role of the anterior hippocampus. Biological Psychiatry, 84(10), 734–742. https://doi.org/10.1016/j.biopsych.2017.01.006 Farshi, N., Hasanpour, S., Mirghafourvand, M., et al. (2020). Effect of self-care counselling on depression and anxiety in women with endometriosis: A randomized controlled trial. BMC Psychiatry, 20, 391. https://doi.org/10.1186/s12888-020-02795-7 Wischmann, T., & Ditzen, B. (2024). Endometriosis: Patient–doctor communication and psychological counselling. Archives of Gynecology and Obstetrics, 309, 599–610. https://doi.org/10.1007/s00404-023-07292-2 Limmer, A., Weber, A., Olliges, E., et al. (2024). Psychotherapy with somatosensory stimulation as a complementary treatment for women with endometriosis-associated pain: A qualitative study. BMC Complementary Medicine and Therapies, 24, 426. https://doi.org/10.1186/s12906-024-04731-8 Dowding, C., Mikocka-Walus, A., Skvarc, D., O’Shea, M., Olive, L., & Evans, S. (2024). Learning to cope with the reality of endometriosis: A mixed-methods analysis of psychological therapy in women with endometriosis. British Journal of Health Psychology, 29, 644–661. https://doi.org/10.1111/bjhp.12718 Downloads Published Issue Section License All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles. CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (41)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK