Display options
Share it on

Int J Womens Health. 2017 May 02;9:281-293. doi: 10.2147/IJWH.S119724. eCollection 2017.

Self-management and psychological-sexological interventions in patients with endometriosis: strategies, outcomes, and integration into clinical care.

International journal of women's health

Laura Buggio, Giussy Barbara, Federica Facchin, Maria Pina Frattaruolo, Giorgio Aimi, Nicola Berlanda

Affiliations

  1. Department of Clinical Sciences and Community Health, Università degli Studi di Milano.
  2. Departmental Operating Unit of Surgical Gynecology and Endometriosis, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda Ospedale Maggiore Policlinico.
  3. Department of Obstetrics and Gynecology and Service for Sexual and Domestic Violence (SVSeD), Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, Ospedale Maggiore Policlinico.
  4. Faculty of Psychology, Catholic University of Milan, Milan, Italy.

PMID: 28496368 PMCID: PMC5422563 DOI: 10.2147/IJWH.S119724

Abstract

Endometriosis has a multifactorial etiology. The onset and progression of the disease are believed to be related to different pathogenic mechanisms. Among them, the environment and lifestyle may play significant roles. Diet, dietary supplements, physical exercise, osteopathy, massage, acupuncture, transcutaneous electrical nerve stimulation, and Chinese herbal medicine may represent a complementary and feasible approach in the treatment of symptoms related to the disease. In this narrative review, we aimed to examine the most updated evidence on these alternative approaches implicated in the self-management of the disease. In addition, several studies have demonstrated that endometriosis may negatively impact mental health and quality of life, suggesting that affected women may have an increased risk of developing psychological suffering as well as sexual problems due to the presence of pain. In light of these findings, we discuss the importance of integrating psychological interventions (including psychotherapy) and sexual therapy in endometriosis treatment.

Keywords: alternative medicine; diet; physical activity; psychotherapy; sexual therapy

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. Toxicol Sci. 2001 Jan;59(1):147-59 - PubMed
  2. Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S530-50; discussion S609-10 - PubMed
  3. Thorax. 2002 Feb;57(2):110-5 - PubMed
  4. Cochrane Database Syst Rev. 2002;(1):CD002123 - PubMed
  5. Environ Health Perspect. 2002 Jul;110(7):629-34 - PubMed
  6. J Altern Complement Med. 2002 Dec;8(6):797-812 - PubMed
  7. Zentralbl Gynakol. 1992;114(12):593-602 - PubMed
  8. Fertil Steril. 2003 Aug;80(2):310-9 - PubMed
  9. Best Pract Res Clin Obstet Gynaecol. 2004 Apr;18(2):177-200 - PubMed
  10. Neurology. 2004 Jun 8;62(11):2058-64 - PubMed
  11. Hum Reprod. 2004 Aug;19(8):1755-9 - PubMed
  12. Fertil Steril. 2005 Mar;83(3):573-9 - PubMed
  13. Fertil Steril. 2005 Aug;84(2):305-12 - PubMed
  14. J Altern Complement Med. 2006 Apr;12(3):317-22 - PubMed
  15. Environ Res. 2007 Jan;103(1):121-9 - PubMed
  16. Toxicol Sci. 2006 Oct;93(2):223-41 - PubMed
  17. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Jun;26(6):557-9 - PubMed
  18. Expert Rev Mol Med. 2007 Jan 16;9(2):1-20 - PubMed
  19. Reprod Toxicol. 2007 Jun;23(4):550-9 - PubMed
  20. Hum Reprod. 2007 Aug;22(8):2273-8 - PubMed
  21. Cell Cycle. 2007 Oct 15;6(20):2495-510 - PubMed
  22. Reprod Sci. 2007 Jul;14(5):486-97 - PubMed
  23. Fertil Steril. 2008 Oct;90(4 Suppl):1496-502 - PubMed
  24. Med Sci Sports Exerc. 2008 Apr;40(4):618-21 - PubMed
  25. Curr Opin Obstet Gynecol. 2008 Aug;20(4):394-9 - PubMed
  26. Clin Interv Aging. 2008;3(2):331-9 - PubMed
  27. J Pediatr Adolesc Gynecol. 2008 Oct;21(5):247-57 - PubMed
  28. Cancer. 2009 Jun 15;115(12):2765-74 - PubMed
  29. Biol Reprod. 2009 Aug;81(2):371-7 - PubMed
  30. Biomed Chromatogr. 2009 Nov;23(11):1186-90 - PubMed
  31. Qual Health Res. 2009 Jul;19(7):985-95 - PubMed
  32. Environ Health Perspect. 2009 Jul;117(7):1070-5 - PubMed
  33. Eur J Obstet Gynecol Reprod Biol. 2009 Nov;147(1):72-7 - PubMed
  34. Altern Ther Health Med. 2010 Jan-Feb;16(1):28-33 - PubMed
  35. Hum Reprod. 2010 Jun;25(6):1528-35 - PubMed
  36. Gen Comp Endocrinol. 2010 Sep 15;168(3):318-25 - PubMed
  37. Fertil Steril. 2010 Dec;94(7):2905-8 - PubMed
  38. Eur J Obstet Gynecol Reprod Biol. 2010 Nov;153(1):90-3 - PubMed
  39. N Engl J Med. 2010 Jul 29;363(5):454-61 - PubMed
  40. Biol Reprod. 2011 Jan;84(1):106-12 - PubMed
  41. Br J Nutr. 2011 Feb;105(3):459-67 - PubMed
  42. BJOG. 2011 Jan;118(1):6-16 - PubMed
  43. Hum Reprod Update. 2011 May-Jun;17(3):418-33 - PubMed
  44. Environ Health Prev Med. 2007 Nov;12(6):258-64 - PubMed
  45. Iran J Nurs Midwifery Res. 2010 Fall;15(4):167-71 - PubMed
  46. Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):314-8 - PubMed
  47. Cancer Epidemiol Biomarkers Prev. 2011 Sep;20(9):1831-7 - PubMed
  48. J Cell Biochem. 2012 Mar;113(3):752-9 - PubMed
  49. Arch Intern Med. 2012 Feb 27;172(4):366-7 - PubMed
  50. Iran Biomed J. 2012;16(1):38-43 - PubMed
  51. Expert Opin Investig Drugs. 2012 Jul;21(7):905-19 - PubMed
  52. Hum Reprod. 2012 Jul;27(7):2010-9 - PubMed
  53. Cochrane Database Syst Rev. 2012 May 16;(5):CD006568 - PubMed
  54. Man Ther. 2012 Oct;17(5):451-5 - PubMed
  55. Endocrinology. 2012 Sep;153(9):4097-110 - PubMed
  56. Fertil Steril. 2012 Sep;98(3):511-9 - PubMed
  57. Hum Reprod. 2012 Dec;27(12):3450-9 - PubMed
  58. Hum Reprod. 2012 Dec;27(12):3583-92 - PubMed
  59. Nutr J. 2012 Oct 19;11:86 - PubMed
  60. Hum Reprod. 2013 Jan;28(1):178-88 - PubMed
  61. Minerva Chir. 2012 Dec;67(6):499-504 - PubMed
  62. Am J Epidemiol. 2013 Mar 1;177(5):420-30 - PubMed
  63. Scand J Clin Lab Invest. 1990 Apr;50(2):115-21 - PubMed
  64. Reprod Biomed Online. 2013 Apr;26(4):323-36 - PubMed
  65. Hum Reprod. 2013 May;28(5):1339-47 - PubMed
  66. Hum Reprod. 2013 Jun;28(6):1552-68 - PubMed
  67. Fertil Steril. 2013 Jul;100(1):162-9.e1-2 - PubMed
  68. Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(2):392-6 - PubMed
  69. Int J Endocrinol. 2013;2013:510703 - PubMed
  70. Evid Based Complement Alternat Med. 2013;2013:240702 - PubMed
  71. Fertil Steril. 2013 Oct;100(4):905-15 - PubMed
  72. Nat Rev Endocrinol. 2014 May;10(5):261-75 - PubMed
  73. Eur J Nutr. 2014 Oct;53(7):1573-9 - PubMed
  74. JAMA. 2014 Mar 5;311(9):955-6 - PubMed
  75. Evid Based Complement Alternat Med. 2014;2014:146383 - PubMed
  76. Reprod Biol Endocrinol. 2014 May 09;12:37 - PubMed
  77. Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:69-74 - PubMed
  78. BMC Complement Altern Med. 2014 Jul 05;14:222 - PubMed
  79. BMC Womens Health. 2014 Oct 04;14:123 - PubMed
  80. Eur J Obstet Gynecol Reprod Biol. 2015 Jan;184:1-6 - PubMed
  81. Eur J Obstet Gynecol Reprod Biol. 2015 May;188:70-3 - PubMed
  82. Eur Rev Med Pharmacol Sci. 2015;19(11):1964-72 - PubMed
  83. Eur J Obstet Gynecol Reprod Biol. 2015 Nov;194:1-6 - PubMed
  84. J Psychosom Obstet Gynaecol. 2015;36(4):135-41 - PubMed
  85. Gynecol Endocrinol. 2016;32(4):259-63 - PubMed
  86. Rev Assoc Med Bras (1992). 2015 Nov-Dec;61(6):519-23 - PubMed
  87. Life Sci. 2016 Apr 15;151:359-363 - PubMed
  88. J Clin Endocrinol Metab. 2016 Jun;101(6):2371-9 - PubMed
  89. J Pain Res. 2016 Mar 24;9:157-65 - PubMed
  90. Cochrane Database Syst Rev. 2016 Apr 18;4:CD007854 - PubMed
  91. Hum Reprod. 2016 Jul;31(7):1515-21 - PubMed
  92. BMC Complement Altern Med. 2016 May 18;16:129 - PubMed
  93. Fertil Steril. 2016 Sep 15;106(4):959-66 - PubMed
  94. J Altern Complement Med. 2016 Dec;22(12):977-982 - PubMed
  95. Pain Manag. 2017 Jan;7(1):1-4 - PubMed
  96. J Minim Invasive Gynecol. 2015 Nov-Dec;22(6S):S167 - PubMed
  97. J Minim Invasive Gynecol. 2015 Nov-Dec;22(6S):S51-S52 - PubMed
  98. Geburtshilfe Frauenheilkd. 2016 Sep;76(9):960-963 - PubMed
  99. Acta Obstet Gynecol Scand. 2017 Jun;96(6):668-687 - PubMed
  100. Obstet Gynecol. 2016 Nov;128(5):1134-1142 - PubMed
  101. Gastroenterology. 2017 Feb;152(2):415-429.e15 - PubMed
  102. Medicine (Baltimore). 2016 Oct;95(40):e4957 - PubMed
  103. Gynecol Endocrinol. 2017 Feb;33(2):164-167 - PubMed
  104. Fertil Steril. 2016 Dec;106(7):1552-1571.e2 - PubMed
  105. Med Sci Monit. 2016 Dec 17;22:4960-4966 - PubMed
  106. J Health Psychol. 2018 Mar;23(4):538-549 - PubMed
  107. Fundam Appl Toxicol. 1993 Nov;21(4):433-41 - PubMed
  108. Am J Epidemiol. 1996 Oct 1;144(7):642-4 - PubMed
  109. Urology. 1997 Jun;49(6):822-30 - PubMed
  110. Cancer Causes Control. 1997 Jul;8(4):649-67 - PubMed
  111. Obstet Gynecol. 1997 Oct;90(4 Pt 1):583-9 - PubMed
  112. Semin Reprod Endocrinol. 1997;15(3):251-61 - PubMed

Publication Types