Non-pharmacological approach to pain in endometriosis

Abstract

BACKGROUND AND OBJECTIVES: Endometriosis is a gynecological condition primarily characterized by chronic pain and infertility. To treat endometriosis-induced pain, the focus is still based on conventional approaches. However, non-pharmacological therapies are new options, but there is still no consensus about the use of such therapies as effective resource for pain control. In light of the above, this study aimed at contributing to the knowledge in this area and at analyzing the literature about the application of such techniques to treat endometriosis pain. CONTENTS: Pubmed database was queried, without period restriction, using the word endometriosis crossed with acupuncture, massage, Pilates and cognitive behavioral therapy. Electronic query has identified 61 scientific studies and, according to preestablished inclusion and exclusion criteria, seven were selected for reading. Three of them have used acupuncture, two have used massage and two cognitive behavioral therapy to relieve endometriosis pain. Pilates method was not applied to control endometriosis pain. All studies have shown effectiveness of the techniques used to improve endometriosis chronic pain. CONCLUSION: It was clear that knowledge about this subject is scarce, suggesting the need for additional studies. Also, such options should be incorporated to traditional approaches offered to patients with endometriosis for having low cost, few adverse effects and for presenting satisfactory results for pain relief.