Balneogynaecology in the 21st century: increasingly recommended primary and complementary treatment of chronic gynaecological diseases

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Balneogynaecological therapies, including hydrotherapy and peloids, are increasingly recommended as primary or complementary treatments for chronic gynaecological conditions like infertility and pelvic pain, with specific contraindications noted.

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This paper reviews the role of balneogynaecology, including hydrotherapy and peloid treatments, as a primary or complementary intervention for chronic gynecological conditions. It highlights that while hyperosmolar thermal spas may benefit infertility by alleviating chronic pelvic pain associated with endometriosis, specific modalities like hyperthermal hydrotherapy are contraindicated in endometriosis patients due to the risk of worsening symptoms through increased hyperemia. The authors note that acute pelvic inflammatory syndrome, metrorrhagia, and malignancies remain strict contraindications for these therapies. Relevance to endometriosis: explicitly discussed as both a potential therapeutic target for symptom relief and a condition requiring caution regarding specific heat-based treatments.

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Abstract

Balneo-gynaecological treatment methods include external bath hydrotherapy, sedentary baths and topical dressings/cataplasm, and internal (intravaginal or intrarectal use of peloids and mineral water). Hyperosmolar thermal spas have been very popular in the treatment of infertility due to the improvement of symptoms of chronic pelvic pain, endometriosis, chronic vascular and inflammatory pelvic diseases. Acute pelvic inflammatory syndrome is a contraindication for balneo-hydrotherapy while hyperthermal hydrotherapy is contraindicated in endometriosis and neurovegetative dystonia due to the stimulation of hyperemia, which worsens the clinical picture. Balneo-hydrotherapy is not recommended in metrorrhagia and malignancies. Balneogynaecological treatment certainly has its own primary but also complementary role in the treatment of chronic gynaecological diseases and is increasingly recommended today.
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Abstract

Balneo-gynaecological treatment methods include external bath hydrotherapy, sedentary baths and topical dressings/cataplasm, and internal (intravaginal or intrarectal use of peloids and mineral water). Hyperosmolar thermal spas have been very popular in the treatment of infertility due to the improvement of symptoms of chronic pelvic pain, endometriosis, chronic vascular and inflammatory pelvic diseases. Acute pelvic inflammatory syndrome is a contraindication for balneo-hydrotherapy while hyperthermal hydrotherapy is contraindicated in endometriosis and neurovegetative dystonia due to the stimulation of hyperemia, which worsens the clinical picture. Balneo-hydrotherapy is not recommended in metrorrhagia and malignancies. Balneogynaecological treatment certainly has its own primary but also complementary role in the treatment of chronic gynaecological diseases and is increasingly recommended today.

Keywords

complementary therapies, hydrotherapy, mud therapy Downloads: Download PDF View PDF 276 Views 80 Downloads

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Hydrotherapy Female Humans

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europepmc
last seen: 2026-09-26T06:15:21.694264+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:21:30.380497+00:00
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