Estimulação elétrica nervosa transcutânea (TENS) no tratamento complementar da dor em mulheres com endometriose profunda

Ticiana Aparecida Alves de Mira
In: Universidade Estadual de Campinas · 2015 · doi:10.47749/t/unicamp.2015.941171 · W4243694907
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Transcutaneous electrical nerve stimulation (TENS), applied like acupuncture or self-applied, effectively reduced chronic pelvic pain and deep dyspareunia while improving quality of life in women with deep endometriosis.

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Abstract

Introduction: Despite all the surgical and medical treatments for endometriosis many women have symptoms of pain.Nevertheless, the literature is scarce on additional treatments for pain.Objective: Evaluate the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) applied as a complementary treatment of the pain in women with deep endometriosis.Subjects and Methods: Randomized controlled trial conducted at the Department of Obstetrics and Gynecology of the University of Campinas.Twenty-two women were included and they presented deep endometriosis and made use of hormonal treatment (progestin or combined oral contraceptive) with persistent complaints of chronic pelvic pain and/or deep dyspareunia.TENS application for 8 weeks was applied with randomization of participants into two groups: Group 1 -TENS like acupuncture (frequency: 8 Hz, pulse duration: 250μs and variation in intensity and frequency (VIF) of 1 ms) (n = 11) and Group 2 -TENS self-applied (frequency: 85Hz, pulse duration: 75μs) (n = 11); intensity: Adjustable "strong but comfortable".Measurements by Visual Analogue Scale, Dyspareunia Depth Scale and Endometriosis Health Profile -Questionnaire (EHP-30) were performed pre and post treatment.To compare pre and post-treatment the Wilcoxon test and Mann-Whitney test were used.Results: The twenty-two women with deep endometriosis used hormonal treatment for 1.65±2.08years and kept complaining about pelvic and / or deep dyspareunia pain.The two types of TENS (acupuncture and selfx applied) promoted improvement in chronic pelvic pain (p <.0001), deep dyspareunia (p = .0010)and quality of life (p <.0001).Conclusion: Both features (TENS like acupuncture and TENS self-applied) demonstrated effectiveness as complementary treatment of chronic pelvic pain and deep dyspareunia and improved the quality of life of women with deep endometriosis regardless which one of the devices were used for treatment.

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Outcome instruments

EHP-30

Condition tags

endometriosischronic_pelvic_paindyspareunia

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 (71)

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