Application of Medicinal Plants, Acupuncture, Massage Therapy and Transcutaneous Electric Nerve Stimulation in Treatment of Endometriosis: Review Study

Akram Ashrafizaveh, اکرم اشرفی زاوه, Hossien Sabouri Fard, حسین صبوریفرد, Elham Azmoudeh, الهام آزموده
In: Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān, Vol 22, Iss 5, Pp 90-100 (2019) · 2019 · doi:10.22038/ijogi.2019.13593 · W2971409900
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This review of 12 studies found that acupuncture, medicinal herbs, massage therapy, and transcutaneous electrical nerve stimulation positively impact endometriosis complications like pain and infertility.

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This narrative review examined complementary therapies for endometriosis by searching multiple databases (PubMed, Cochrane, Scopus, Web of Science, and others) and Google Scholar up to February 2019 using terms related to acupuncture, herbal medicine, massage, and transcutaneous electric nerve stimulation. From 8,702 initial records, 12 studies met the review’s inclusion criteria. The review reported significant improvements with acupuncture and herbal medicine for endometriosis-related outcomes including pelvic chronic pain, dyspareunia, dysmenorrhea, and infertility, and found massage therapy and transcutaneous electric nerve stimulation to be supportive for pain management; it also noted two studies where herbal medicine had effects comparable to routine chemical drugs for pain reduction and fertility improvement. This paper is centrally about endometriosis — it specifically reviews complementary approaches (acupuncture, medicinal herbs, massage, and TENS) for managing endometriosis complications.

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Abstract

Introduction: Endometriosis is a common gynecologic problem which can lead to destruction of a woman's life. Some pharmacological techniques and surgical resection are effective in treating endometriosis pain, but are associated with high recurrence rate. This narrative review study was performed with aim to evaluate the efficacy of some complementary therapies on the control of endometriosis complications. Methods: In this review, the related articles were reviewed by searching the databases such as Pubmed, Cochrane, Scopus, Web of Science, Uptodate, SID, Irandoc, Magiran, and as well as Google Scholar search engine without time limitations up to February 2019. Search was conducted using the keywords of “Endometriosis”, “Complementary Therapies”, “Acupuncture”, “Massage”, “Herbal Medicine”, “Transcutaneous Electric Nerve Stimulation” and their Persian equivalent. Results: According to search strategy, 8702 articles were found in the first stage, ultimately, among them, 12 articles had inclusion criteria to enter the current review. Based on the findings of these studies, the use of acupuncture and herbal medicine have significant effect on the improvement of endometriosis parameters such as pelvic chronic pain, dyspareunia, dysmenorrhea and infertility. In addition, the results of two studies about comparison of herbal medicine and routine chemical drugs used in endometriosis treatment indicated the equality of their effects in reducing pain and improving fertility. The effect of massage therapy and use of transcutaneous electric nerve stimulation on pain management in these patients was confirmed in two separate studies. Conclusion: The findings of present study indicate the positive effects of acupuncture, medicinal herbs, massage therapy and transcutaneous electric nerve stimulation in managing the complications of endometriosis. Therefore, the use of these therapeutic approaches and referral of patients to complementary medicine specialists is suggested as one of the most important priorities in the management of endometriosis complications.
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Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān (Jul 2019) Application of Medicinal Plants, Acupuncture, Massage Therapy and Transcutaneous Electric Nerve Stimulation in Treatment of Endometriosis: Review Study Abstract Introduction: Endometriosis is a common gynecologic problem which can lead to destruction of a woman's life. Some pharmacological techniques and surgical resection are effective in treating endometriosis pain, but are associated with high recurrence rate. This narrative review study was performed with aim to evaluate the efficacy of some complementary therapies on the control of endometriosis complications. Methods: In this review, the related articles were reviewed by searching the databases such as Pubmed, Cochrane, Scopus, Web of Science, Uptodate, SID, Irandoc, Magiran, and as well as Google Scholar search engine without time limitations up to February 2019. Search was conducted using the keywords of “Endometriosis”, “Complementary Therapies”, “Acupuncture”, “Massage”, “Herbal Medicine”, “Transcutaneous Electric Nerve Stimulation” and their Persian equivalent. Results: According to search strategy, 8702 articles were found in the first stage, ultimately, among them, 12 articles had inclusion criteria to enter the current review. Based on the findings of these studies, the use of acupuncture and herbal medicine have significant effect on the improvement of endometriosis parameters such as pelvic chronic pain, dyspareunia, dysmenorrhea and infertility. In addition, the results of two studies about comparison of herbal medicine and routine chemical drugs used in endometriosis treatment indicated the equality of their effects in reducing pain and improving fertility. The effect of massage therapy and use of transcutaneous electric nerve stimulation on pain management in these patients was confirmed in two separate studies. Conclusion: The findings of present study indicate the positive effects of acupuncture, medicinal herbs, massage therapy and transcutaneous electric nerve stimulation in managing the complications of endometriosis. Therefore, the use of these therapeutic approaches and referral of patients to complementary medicine specialists is suggested as one of the most important priorities in the management of endometriosis complications. Keywords

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endometriosisdysmenorrheadyspareuniainfertility

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