Bewegung und Sport bei Endometriose

In: Endometriose verstehen und bewältigen · 2026 · pp. 139–180 · doi:10.1007/978-3-662-72774-4_5 · W7160202951
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Physical activity can alleviate endometriosis symptoms by improving circulation, reducing inflammation, and supporting hormonal balance, serving as a resource rather than a burden.

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This paper/chapter addresses movement and exercise as potential means to relieve symptoms in endometriosis, drawing on broader evidence about how physical activity can affect blood flow, inflammation, and hormonal balance, and describing how activity might be adapted to individual needs and the menstrual cycle. It synthesizes themes from current studies rather than reporting a single new study, emphasizing that people with endometriosis often experience pain, fatigue, and mood fluctuations that may hinder activity. A key limitation is that the chapter is largely narrative and not an explicit original trial with its own methods, so the strength of evidence and applicability can vary across the cited literature. This paper is centrally about endometriosis — it focuses on the role of exercise and movement in managing endometriosis-related symptoms.

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Zusammenfassung Bewegung ist mehr als Fitness – sie kann ein Schlüssel zur Linderung Ihrer Endometriose-Beschwerden sein. Obwohl Schmerzen, Erschöpfung und Stimmungsschwankungen oft das Gegenteil bewirken, zeigen aktuelle Studien: Körperliche Aktivität fördert die Durchblutung, reduziert Entzündungen und unterstützt das hormonelle Gleichgewicht. In diesem Kapitel erfahren Sie, wie Sport nicht zur Belastung, sondern zur Ressource werden kann – angepasst an Ihre Bedürfnisse, Ihren Zyklus und Ihre Lebensrealität. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur Armour, M., Ee, C. C., Naidoo, D., Ayati, Z., Chalmers, K. J., Steel, K. A., de Manincor, M. J., & Delshad, E. (2019). Exercise for dysmenorrhoea. The Cochrane Database of Systematic Reviews, 9(9), CD004142. https://doi.org/10.1002/14651858.CD004142.pub4 Baranwal, N., Yu, P. K., & Siegel, N. S. (2023). Sleep physiology, pathophysiology, and sleep hygiene. Progress in Cardiovascular Diseases, 77, 59–69. https://doi.org/10.1016/j.pcad.2023.02.005 Cetera, G. E., Merli, C. E. M., Boero, V., Caia, C., Facchin, F., Barbara, G., Monti, E., & Vercellini, P. (2023). Central Sensitization in Vulvodynia and Endometriosis: What Have We Been Overlooking So Far? Obstetrical & Gynecological Survey, 78(12), 745–758. https://doi.org/10.1097/OGX.0000000000001183 Clauss, M., Gérard, P., Mosca, A., & Leclerc, M. (2021). Interplay Between Exercise and Gut Microbiome in the Context of Human Health and Performance. Frontiers in Nutrition, 8, 637010. https://doi.org/10.3389/fnut.2021.637010 Gonçalves, A. V., Barros, N. F., & Bahamondes, L. (2017). The Practice of Hatha Yoga for the Treatment of Pain Associated with Endometriosis. Journal of Alternative and Complementary Medicine (New York, N.Y.), 23(1), 45–52. https://doi.org/10.1089/acm.2015.0343 Kyama, C. M., Overbergh, L., Mihalyi, A., Meuleman, C., Mwenda, J. M., Mathieu, C., & D’Hooghe, T. M. (2008). Endometrial and peritoneal expression of aromatase, cytokines, and adhesion factors in women with endometriosis. Fertility and Sterility, 89(2), 301–310. https://doi.org/10.1016/j.fertnstert.2007.02.057 Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., & Apostolopoulos, V. (2017). Exercise and mental health. Maturitas, 106, 48–56. https://doi.org/10.1016/j.maturitas.2017.09.003 Mikocka-Walus, A., Druitt, M., O’Shea, M., Skvarc, D., Watts, J. J., Esterman, A., Tsaltas, J., Knowles, S., Harris, J., Dowding, C., Parigi, E., & Evans, S. (2021). Yoga, cognitive–behavioural therapy versus education to improve quality of life and reduce healthcare costs in people with endometriosis: A randomised controlled trial. BMJ Open, 11(8), e046603. https://doi.org/10.1136/bmjopen-2020-046603 Moldoveanu, A. I., Shephard, R. J., & Shek, P. N. (2001). The cytokine response to physical activity and training. Sports Medicine (Auckland, N.Z.), 31(2), 115–144. https://doi.org/10.2165/00007256-200131020-00004 Montenegro, M. L., Bonocher, C. M., Meola, J., Portella, R. L., Ribeiro-Silva, A., Brunaldi, M. O., Ferriani, R. A., & Rosa-E-Silva, J. C. (2019). Effect of Physical Exercise on Endometriosis Experimentally Induced in Rats. Reproductive Sciences (Thousand Oaks, Calif.), 26(6), 785–793. https://doi.org/10.1177/1933719118799205 Peluso, M. A. M., & Andrade, L. H. S. G. de. (2005). PHYSICAL ACTIVITY AND MENTAL HEALTH: THE ASSOCIATION BETWEEN EXERCISE AND MOOD. Clinics, 60(1), 61–70. https://doi.org/10.1590/S1807-59322005000100012 Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18(2), 189–193. https://doi.org/10.1097/00001504-200503000-00013 Peretro, G., Ballico, A. L., Avelar, N. C. de, Haupenthal, D. P. D. S., Arcêncio, L., & Haupenthal, A. (2024). Comparison of aquatic physiotherapy and therapeutic exercise in patients with chronic low back pain. Journal of Bodywork and Movement Therapies, 38, 399–405. https://doi.org/10.1016/j.jbmt.2023.10.006 Ravins, I., Joseph, G., & Tene, L. (2023). The Effect of Practicing „Endometriosis Yoga“ on Stress and Quality of Life for Women with Endometriosis: AB Design Pilot Study. Alternative Therapies in Health and Medicine, 29(3), 8–14. Scheffer, D. da L., & Latini, A. (2020). Exercise-induced immune system response: Anti-inflammatory status on peripheral and central organs. Biochimica Et Biophysica Acta. Molecular Basis of Disease, 1866(10), 165823. https://doi.org/10.1016/j.bbadis.2020.165823 Spiljar, M., Steinbach, K., Rigo, D., Suárez-Zamorano, N., Wagner, I., Hadadi, N., Vincenti, I., Page, N., Klimek, B., Rochat, M.-A., Kreutzfeldt, M., Chevalier, C., Stojanović, O., Bejuy, O., Colin, D., Mack, M., Cansever, D., Greter, M., Merkler, D., & Trajkovski, M. (2021). Cold exposure protects from neuroinflammation Ihrough immunologic reprogramming. Cell Metabolism, 33(11), 22312246.e8. https://doi.org/10.1016/j.cmet.2021.10.002 Tassinari, V., Smeriglio, A., Stillittano, V., Trombetta, D., Zilli, R., Tassinari, R., Maranghi, F., Frank, G., Marcoccia, D., & Di Renzo, L. (2023). Endometriosis Treatment: Role of Natural Polyphenols as Anti-Inflammatory Agents. Nutrients, 15(13), 2967. https://doi.org/10.3390/nu15132967 Thiel, P. S., Bougie, O., Pudwell, J., Shellenberger, J., Velez, M. P., & Murji, A. (2024). Endometriosis and mental health: A population-based cohort study. American Journal of Obstetrics and Gynecology, 230(6), 649.e1-649.e19. https://doi.org/10.1016/j.ajog.2024.01.023 Tourny, C., Zouita, A., El Kababi, S., Feuillet, L., Saeidi, A., Laher, I., weiß, K., Knechtle, B., & Zouhal, H. (2023). Endometriosis and physical activity: A narrative review. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 163(3), 747–756. https://doi.org/10.1002/ijgo.14898 Werner, F., Jasinski, V., Velho, R. V., Sehouli, J., & Mechsner, S. (2025). The role of self-management in endometriosis pain: Insights from a cross-sectional survey in Germany, Austria, and Switzerland. Archives of Gynecology and Obstetrics, 312(2), 425–434. https://doi.org/10.1007/s00404-025-08019-1 Westcott, W. L. (2012). Resistance training is medicine: Effects of strength training on health. Current Sports Medicine Reports, 11(4), 209–216. https://doi.org/10.1249/JSR.0b013e31825dabb8 Xie, M., Qing, X., Huang, H., Zhang, L., Tu, Q., Guo, H., & Zhang, J. (2025). The effectiveness and safety of physical activity and exercise on women with endometriosis: A systematic review and meta-analysis. PloS One, 20(2), e0317820. https://doi.org/10.1371/journal.pone.0317820 Author information Authors and Affiliations Corresponding author Rights and permissions Copyright information © 2026 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature About this chapter Cite this chapter Falconnier, A., Schulte, V. (2026). Bewegung und Sport bei Endometriose. In: Endometriose verstehen und bewältigen . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-72774-4_5 Download citation DOI: https://doi.org/10.1007/978-3-662-72774-4_5 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-72773-7 Online ISBN: 978-3-662-72774-4 eBook Packages: Medicine (German Language)

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