Nutritional Treatment: New Strategy for Management of Chronic Pelvic Pain

CPP can be identified as a group of chronic in- flammatory processes resulting from various stimuli, such as oxidative stress, toxins, or chemicals. Current treatment approaches include counseling supported by ultrasound monitoring, psychotherapy, and laparo- scopy to exclude serious pelvic conditions. Recently, dietary therapy studies have suggested that antioxi- dants improve the function of the immune system and fight free radical damage. Vitamin D in particular regulates inflammatory cytokine levels calcitriol also stimulates antioxidant gene expression because pelvic f l o o r d i s o r d e r s y m p t o m s m a y b e i m p a c t e d b y i n - sufficient serum vitamin D. Hypomagnesemia was reported to induce endo- thelial cell dysfunction and lead to inflammation and oxidative stress. Therefore, magnesium supplementa- tion can be beneficial in chronic diseases, such as CPP. In conclusion, dietary therapy with antioxidants could b e c o n s i d e r e d a s a n e w e f f e c t i v e s t r a t e g y i n t h e long-term management of chronic pelvic pain.

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