Effectiveness of the association micronized N-Palmitoylethanolamine (PEA)–transpolydatin in the treatment of chronic pelvic pain related to endometriosis after laparoscopic assessment: a pilot study

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This pilot study assessed the effectiveness of micronized N-palmitoylethanolamine and transpolydatin combination therapy for chronic pelvic pain in endometriosis patients post-laparoscopy.

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Abstract

ObjectiveAim of our study was to evaluate the effectiveness of the association between N-Palmitoylethanolamine and transpolydatin in the management of chronic pelvic pain related to EMS.Study designThis was a randomized, double-blind, parallel-group, placebo-controlled clinical trial involving 61 subjects, submitted to a first line laparoscopic conservative surgery, who were randomized into 3 groups receiving: group A (n=21) the association N-Palmitoylethanolamine-transpolydatin 400 mg + 40 mg twice a day for 3 months; group B (n=20) the placebo for 3 months; group C (n=20) a single course of Celecoxib 200mg twice a day for 7 consecutive days. Assessments of the severity of pelvic endometriosis (pelvic pain, dysmenorrhoea and dyspareunia) were recorded before and after treatment on a questionnaire and a 10-point VAS. Differences between groups were verified with Kruskal-Wallis ANOVA for non-parametric multiple comparisons.ResultsA marked decrease in dysmenorrhoea, dyspareunia and pelvic pain was observed in all groups, and the association between N-Palmitoylethanolamine and transpolydatin resulted to be more effective than placebo (P<.001). Additionally, the treatment with Celecoxib resulted in a decrease in pelvic pain more effective either than the association N-Palmitoylethanolamine and transpolydatin or placebo.ConclusionThese preliminary results show that the association between micronized N-Palmitoylethanolamine and transpolydatin is effective in the management of pelvic pain related to endometriosis after laparoscopy. Additionally, this association seems to be safe, shows an optimal control of pain and can be used in patients who are unable to receive other therapies.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Analgesics Endometriosis Glucosides Palmitic Acids Pelvic Pain Stilbenes Adult Amides Analgesics Double-Blind Method Endocannabinoids Endometriosis Endometriosis Ethanolamines Female Glucosides Humans Laparoscopy Palmitic Acids Pelvic Pain

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europepmc
last seen: 2026-07-31T06:09:14.520117+00:00
openalex
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pubmed
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