ESTRATÉGIAS DE PREVENÇÃO E MANEJO DA ENDOMETRIOSE: UMA REVISÃO BIBLIOGRÁFICA DE LITERATURA

Lucas Mainardo Rodrigues Bezerra, Mariana De Arruda Frazão, Patrícia Oliveira Lima de Macedo, Isadora Maria Zaccara Cunha Araújo, H. Rodrigues, Carolina Maria Hélène, L.L.C. Silva, Ana Clara Nogueira dos Santos Vasconcelos Coutinho, Evangelina da Mota Pacheco Alves de Araújo, A. Castro
In: RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218 · 2024 · vol. 5(3) , pp. e535062 · doi:10.47820/recima21.v5i3.5062 · W4393143625
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This literature review examined endometriosis epidemiology, impact on quality of life, diagnostic challenges, and conventional/innovative therapies, emphasizing the need for a multidisciplinary approach.

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This literature review assessed recent evidence on endometriosis, summarizing epidemiology, effects on quality of life, diagnostic challenges, and both conventional and emerging treatment approaches, including complementary strategies. The authors used a systematic search of scientific literature from the prior 15 years across PubMed, Web of Science, Scopus, and Google Scholar, selecting original studies and reviews addressing different aspects of endometriosis. The review reports that endometriosis is associated with high prevalence and meaningful quality-of-life impairment, emphasizing the need for multidisciplinary care while discussing limitations in diagnosis and therapy. This paper does not explicitly discuss adenomyosis; it is centrally about endometriosis—providing an overview of prevention and management strategies.

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Abstract

A endometriose é uma condição crônica e debilitante que afeta a qualidade de vida das mulheres em idade reprodutiva. Sua complexidade demanda uma abordagem multidisciplinar para garantir um manejo adequado. Objetivo: Este estudo revisou a literatura recente sobre endometriose, destacando sua epidemiologia, impacto na qualidade de vida, desafios diagnósticos, terapias convencionais e inovadoras, além da importância de abordagens complementares e da necessidade de uma abordagem multidisciplinar. Métodos: Foi realizada uma busca sistemática na literatura científica publicada nos últimos 15 anos, utilizando bases de dados como PubMed, Web of Science, Scopus e Google Scholar. Foram selecionados estudos originais e revisões que abordaram diferentes aspectos da endometriose. Resultados e Discussão: A endometriose é associada a uma alta prevalência e impacto significativo na qualidade de vida das pacientes. Os desafios diagnósticos, terapêuticos e a necessidade de uma abordagem multidisciplinar foram discutidos, juntamente com terapias convencionais e inovadoras, incluindo novas perspectivas terapêuticas e abordagens complementares. Conclusão: Uma abordagem multidisciplinar é essencial para o manejo eficaz da endometriose. Avanços recentes na compreensão da doença oferecem novas esperanças terapêuticas, enquanto terapias complementares destacam a importância de considerar diferentes aspectos da saúde das pacientes. A colaboração entre profissionais de saúde é fundamental para melhorar o cuidado e a qualidade de vida das mulheres afetadas por essa condição.
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ESTRATÉGIAS DE PREVENÇÃO E MANEJO DA ENDOMETRIOSE: UMA REVISÃO BIBLIOGRÁFICA DE LITERATURA Resumo A endometriose é uma condição crônica e debilitante que afeta a qualidade de vida das mulheres em idade reprodutiva. Sua complexidade demanda uma abordagem multidisciplinar para garantir um manejo adequado. Objetivo: Este estudo revisou a literatura recente sobre endometriose, destacando sua epidemiologia, impacto na qualidade de vida, desafios diagnósticos, terapias convencionais e inovadoras, além da importância de abordagens complementares e da necessidade de uma abordagem multidisciplinar. Métodos: Foi realizada uma busca sistemática na literatura científica publicada nos últimos 15 anos, utilizando bases de dados como PubMed, Web of Science, Scopus e Google Scholar. Foram selecionados estudos originais e revisões que abordaram diferentes aspectos da endometriose. Resultados e Discussão: A endometriose é associada a uma alta prevalência e impacto significativo na qualidade de vida das pacientes. Os desafios diagnósticos, terapêuticos e a necessidade de uma abordagem multidisciplinar foram discutidos, juntamente com terapias convencionais e inovadoras, incluindo novas perspectivas terapêuticas e abordagens complementares. Conclusão: Uma abordagem multidisciplinar é essencial para o manejo eficaz da endometriose. Avanços recentes na compreensão da doença oferecem novas esperanças terapêuticas, enquanto terapias complementares destacam a importância de considerar diferentes aspectos da saúde das pacientes. A colaboração entre profissionais de saúde é fundamental para melhorar o cuidado e a qualidade de vida das mulheres afetadas por essa condição. Biografia do Autor Instituto de Educação Superior do Vale do Parnaíba-IESVAP. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmica de Medicina. Acadêmican de Medicina. Referências ABRIL‐COELLO, Rebeca et al. Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta‐analysis. International Journal of Gynecology & Obstetrics, v. 162, n. 1, p. 233-243, 2023. DOI: https://doi.org/10.1002/ijgo.14645 AHN, Soo Hyun; SINGH, Vinay; TAYADE, Chandrakant. Biomarkers in endometriosis: challenges and opportunities. Fertility and sterility, v. 107, n. 3, p. 523-532, 2017. DOI: https://doi.org/10.1016/j.fertnstert.2017.01.009 BALL, Elizabeth; KHAN, Khalid S. Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis. F1000Research, v. 9, 2020. DOI: https://doi.org/10.12688/f1000research.20750.1 BUGGIO, Laura et al. Novel pharmacological therapies for the treatment of endometriosis. Expert Review of Clinical Pharmacology, v. 15, n. 9, p. 1039-1052, 2022. DOI: https://doi.org/10.1080/17512433.2022.2117155 BULLETTI, Carlo et al. Endometriosis and infertility. Journal of assisted reproduction and genetics, v. 27, p. 441-447, 2010. BULLETTI, Carlo et al. Endometriosis and infertility. Journal of assisted reproduction and genetics, v. 27, p. 441-447, 2010. DOI: https://doi.org/10.1007/s10815-010-9436-1 BURNEY, Richard O.; GIUDICE, Linda C. Pathogenesis and pathophysiology of endometriosis. Fertility and sterility, v. 98, n. 3, p. 511-519, 2012. DOI: https://doi.org/10.1016/j.fertnstert.2012.06.029 CAPEZZUOLI, Tommaso et al. Hormonal drugs for the treatment of endometriosis. Current Opinion in Pharmacology, v. 67, p. 102311, 2022. DOI: https://doi.org/10.1016/j.coph.2022.102311 CHAPRON, Charles et al. Rethinking mechanisms, diagnosis and management of endometriosis. Nature Reviews Endocrinology, v. 15, n. 11, p. 666-682, 2019. DOI: https://doi.org/10.1038/s41574-019-0245-z CHEN, Innie et al. Pre‐and postsurgical medical therapy for endometriosis surgery. Cochrane Database of Systematic Reviews, n. 11, 2020. DOI: https://doi.org/10.1002/14651858.CD003678.pub3 CHO, S.‐H.; HWANG, E.‐W. Acupuncture for primary dysmenorrhoea: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology, v. 117, n. 5, p. 509-521, 2010. DOI: https://doi.org/10.1111/j.1471-0528.2010.02489.x CZYZYK, Adam et al. Update on endometriosis pathogenesis. Minerva Ginecologica, v. 69, n. 5, p. 447-461, 2017. DOI: https://doi.org/10.23736/S0026-4784.17.04048-5 DAVITT, John; PEARSON, David; WASSON, Megan. Multidisciplinary approach to robotic resection of abdominal wall endometriosis and mesh repair. Journal of Minimally Invasive Gynecology, v. 28, n. 10, p. 1680, 2021. DOI: https://doi.org/10.1016/j.jmig.2021.05.010 DEL MAR SALINAS-ASENSIO, María et al. ‘Physio-EndEA’Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diagnosed with Endometriosis. International journal of environmental research and public health, v. 19, n. 3, p. 1738, 2022. DOI: https://doi.org/10.3390/ijerph19031738 DELLA CORTE, Luigi et al. The burden of endometriosis on women’s lifespan: a narrative overview on quality of life and psychosocial wellbeing. International journal of environmental research and public health, v. 17, n. 13, p. 4683, 2020. DOI: https://doi.org/10.3390/ijerph17134683 GONÇALVES, Andrea Vasconcelos; BARROS, Nelson Filice; BAHAMONDES, Luis. The practice of hatha yoga for the treatment of pain associated with endometriosis. The journal of alternative and complementary medicine, v. 23, n. 1, p. 45-52, 2017. DOI: https://doi.org/10.1089/acm.2015.0343 HABIB, Nassir et al. Impact of lifestyle and diet on endometriosis: a fresh look to a busy corner. Menopause Review/Przegląd Menopauzalny, v. 21, n. 2, p. 124-132, 2022. DOI: https://doi.org/10.5114/pm.2022.116437 HARRIS, H. R. et al. Fruit and vegetable consumption and risk of endometriosis. Human Reproduction, v. 33, n. 4, p. 715-727, 2018. DOI: https://doi.org/10.1093/humrep/dey014 JOHNSON, Neil P.; HUMMELSHOJ, Lone. Reply: When is a consensus not a consensus?. Human Reproduction (Oxford, England), v. 28, n. 11, p. 3161-3162, 2013. DOI: https://doi.org/10.1093/humrep/det282 KONINCKX, Philippe R. et al. The epidemiology of endometriosis is poorly known as the pathophysiology and diagnosis are unclear. Best Practice & Research Clinical Obstetrics & Gynaecology, v. 71, p. 14-26, 2021. DOI: https://doi.org/10.1016/j.bpobgyn.2020.08.005 LAGANÀ, Antonio Simone et al. The pathogenesis of endometriosis: molecular and cell biology insights. International journal of molecular sciences, v. 20, n. 22, p. 5615, 2019. DOI: https://doi.org/10.3390/ijms20225615 LEONE ROBERTI MAGGIORE, Umberto et al. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Human reproduction update, v. 22, n. 1, p. 70-103, 2016. DOI: https://doi.org/10.1093/humupd/dmv045 MACER, Matthew Latham; TAYLOR, Hugh S. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstetrics and Gynecology Clinics, v. 39, n. 4, p. 535-549, 2012. DOI: https://doi.org/10.1016/j.ogc.2012.10.002 MEHEDINTU, Claudia et al. Endometriosis still a challenge. Journal of medicine and life, v. 7, n. 3, p. 349, 2014. MIKOCKA-WALUS, Antonina et al. Protocol: 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, v. 11, n. 8, 2021. DOI: https://doi.org/10.1136/bmjopen-2020-046603 NNOAHAM, Kelechi E. et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertility and sterility, v. 96, n. 2, p. 366-373. e8, 2011. DOI: https://doi.org/10.1016/j.fertnstert.2011.05.090 PARAZZINI, F. et al. Epidemiology of endometriosis and its comorbidities. European Journal of Obstetrics & Gynecology and Reproductive Biology, v. 209, p. 3-7, 2017. DOI: https://doi.org/10.1016/j.ejogrb.2016.04.021 PARAZZINI, Fabio et al. Diet and endometriosis risk: a literature review. Reproductive biomedicine online, v. 26, n. 4, p. 323-336, 2013. DOI: https://doi.org/10.1016/j.rbmo.2012.12.011 ROLLA, Edgardo. Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Research, v. 8, 2019. DOI: https://doi.org/10.12688/f1000research.14817.1 SAUNDERS, Philippa TK; HORNE, Andrew W. Endometriosis: Etiology, pathobiology, and therapeutic prospects. Cell, v. 184, n. 11, p. 2807-2824, 2021. DOI: https://doi.org/10.1016/j.cell.2021.04.041 SCHLIEP, Karen C. et al. Endometriosis diagnosis, staging and typology and adverse pregnancy outcome history. Paediatric and perinatal epidemiology, v. 36, n. 6, p. 771-781, 2022. DOI: https://doi.org/10.1111/ppe.12887 SHAFRIR, Amy L. et al. Risk for and consequences of endometriosis: a critical epidemiologic review. Best practice & research Clinical obstetrics & gynaecology, v. 51, p. 1-15, 2018. DOI: https://doi.org/10.1016/j.bpobgyn.2018.06.001 TAYLOR, Hugh S. et al. Treatment of endometriosis-associated pain with elagolix, an oral GnRH antagonist. New England Journal of Medicine, v. 377, n. 1, p. 28-40, 2017. TAYLOR, Hugh S.; KOTLYAR, Alexander M.; FLORES, Valerie A. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. The Lancet, v. 397, n. 10276, p. 839-852, 2021. DOI: https://doi.org/10.1016/S0140-6736(21)00389-5 VERCELLINI, Paolo et al. Endometriosis: pathogenesis and treatment. Nature Reviews Endocrinology, v. 10, n. 5, p. 261-275, 2014. DOI: https://doi.org/10.1038/nrendo.2013.255 WANG, Peng-Hui et al. Endometriosis: part I. basic concept. Taiwanese Journal of Obstetrics and Gynecology, v. 61, n. 6, p. 927-934, 2022. DOI: https://doi.org/10.1016/j.tjog.2022.08.002

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