Impact of exercise on pain perception in women with endometriosis: A systematic review

Hansen, Sara; Sverrisdóttir, Una Áslaug; Rudnicki, Martin

doi:10.1111/aogs.14169

Cited by 22 publications

(25 citation statements)

References 27 publications

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“…It may also be that the evidence supporting active interventions is limited and inconsistent. For example, although the wider pain literature suggests exercise is beneficial for persistent pain conditions [ 55 ], a systematic review of exercise for females with endometriosis suggests exercise has limited benefit [ 56 ] and may exacerbate pain symptoms [ 16 ]. The current state of evidence suggests it is premature to make claims regarding the efficacy of yoga for the management of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Self-Management Strategies for Females with Endometriosis: a Systematic Review

et al. 2022

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Self-management is critical for the care of endometriosis. Females with endometriosis frequently use self-management strategies to manage associated symptoms; however, the efficacy of such strategies is unknown. The aim of this review was to systematically appraise the evidence concerning efficacy of self-management strategies for endometriosis symptoms. Electronic databases, including Medline, Embase, Emcare, Web of Science Core Collection, Scopus, and the Cochrane Central Register of Controlled Trials, were searched from inception to March 2021. We included peer-reviewed experimental studies published in English evaluating the efficacy of self-management strategies in human females laparoscopically diagnosed with endometriosis. Studies underwent screening, data extraction, and risk of bias appraisal (randomised studies: Risk of Bias 2 tool; non-randomised studies: Risk Of Bias In Non-randomized Studies – of Interventions tool). Of the fifteen studies included, 10 evaluated dietary supplements, three evaluated dietary modifications, one evaluated over-the-counter medication, and one evaluated exercise. Most studies had a high-critical risk of bias. Many self-management strategies were not more effective at reducing endometriosis symptoms compared to placebo or hormonal therapies. Where studies suggest efficacy for self-management strategies, no recommendations can be made due to the poor quality and heterogeneity of evidence. High-quality empirical evidence is required to investigate the efficacy of self-management strategies for females with endometriosis.

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Section: Discussionmentioning

confidence: 99%

The Efficacy of Self-Management Strategies for Females with Endometriosis: a Systematic Review

et al. 2022

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“…Microbiota and associated factors seem important for the G-E origin and the growth of endometriosis [ 6 ]. This could explain the effect of food intake [ 28 , 29 , 30 ] and exercise [ 31 , 32 , 33 , 34 , 35 , 36 , 37 ] on endometriosis and of food supplements such as berberine [ 38 , 39 ], NAC [ 40 ], zinc [ 36 , 37 ] and gluten-free diet [ 41 ].…”

Section: New Understanding Of Pathophysiologymentioning

confidence: 99%

New Understanding of Diagnosis, Treatment and Prevention of Endometriosis

Amro

Aristondo

Al-Suwaidi

et al. 2022

IJERPH

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For 100 years, pelvic endometriosis has been considered to originate from the implantation of endometrial cells following retrograde menstruation or metaplasia. Since some observations, such as the clonal aspect, the biochemical variability of lesions and endometriosis in women without endometrium, the genetic-epigenetic (G-E) theory describes that endometriosis only begins after a series of cumulative G-E cellular changes. This explains that the endometriotic may originate from any pluripotent cell apart from the endometrium, that ‘endometrium-like cells’ can harbour important G-E differences, and that the risk is higher in predisposed women with more inherited incidents. A consequence is a high risk after puberty which decreases progressively thereafter. Considering a 10-year delay between initiation and performing a laparoscopy, this was observed in the United Arab Emirates, Belgium, France and USA. The subsequent growth varies with the G-E changes and the environment but is self-limiting probably because of the immunologic reaction and fibrosis. That each lesion has a different set of G-E incidents explains the variability of pain and the response to hormonal treatment. New lesions may develop, but recurrences after surgical excision are rare. The fibrosis around endometriosis belongs to the body and does not need to be removed. This suggests conservative excision or minimal bowel without safety margins and superficial treatment of ovarian endometriosis. This G-E concept also suggests prevention by decreasing oxidative stress from retrograde menstruation or the peritoneal microbiome. This suggests the prevention of vaginal infections and changes in the gastrointestinal microbiota through food intake and exercise. In conclusion, a higher risk of initiating endometriosis during adolescence was observed in UAE, France, Belgium and USA. This new understanding and the limited growth opens perspectives for earlier diagnosis and better treatment.

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“… 127 Nevertheless, there is still no strong scientific evidence confirming the effectiveness of exercise on chronic pain in adults or on endometriosis-related pain. 128 , 129 …”

Section: Dietary Measures and Physical Activitymentioning

confidence: 99%

Current Challenges in the Management of Chronic Pelvic Pain in Women: From Bench to Bedside

Siqueira-Campos¹,

Deus²,

Neto³

et al. 2022

IJWH

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Chronic pelvic pain (CPP) affects a significant proportion of women worldwide And has a negative impact on several aspects of these women’s lives including mental health, work, relationships and sexual function, among others. This set of factors ultimately reflects negatively on quality Of life. The physiopathology of CPP is complex and remains to be fully clarified; however, recent advances have increased understanding of the mechanisms involved in chronic pain in general, and more specifically, CPP. Nonetheless, even when a detailed clinical history is obtained, meticulous physical examination is performed and imaging resources are appropriately used, the organic cause of the pain may still fail to be identified in a substantial number of women with CPP. Management of CPP may therefore be challenging. This narrative review was aimed at adding to the available literature on the subject, presenting and discussing the principal characteristics of CPP in women. The paper highlights gaps in the literature while providing the most up-to-date evidence associated with the physiopathology and classification of pain, its diagnosis and treatment. In addition, current challenges in the management of women with CPP are discussed.

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Impact of exercise on pain perception in women with endometriosis: A systematic review

Cited by 22 publications

References 27 publications

The Efficacy of Self-Management Strategies for Females with Endometriosis: a Systematic Review

The Efficacy of Self-Management Strategies for Females with Endometriosis: a Systematic Review

New Understanding of Diagnosis, Treatment and Prevention of Endometriosis

Current Challenges in the Management of Chronic Pelvic Pain in Women: From Bench to Bedside

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