What to know about endometriosis supportive therapy

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There are various self-care tips that individuals can follow to help reduce the impacts of endometriosis. Some self-care tips include:

• Nutrition: Proper nutrition may help endometriosis symptoms. Eating a diet rich in anti-inflammatory foods — such as fruits, vegetables, and omega-3 fatty acids, which are found in fish and flaxseeds — can help reduce symptoms. Limiting caffeine and alcohol intake may also contribute to symptom relief.
• Exercise: Regular physical activity can help manage pain and improve overall well-being. Gentle exercises, including walking, swimming, and yoga, can enhance circulation, reduce stress, and alleviate symptoms associated with endometriosis.
• Sleep: Individuals with endometriosis are more likely to experience fatigue and a poorer quality of sleep. This can lead to depressive symptoms and bladder pain. Therefore, it is important to get good quality sleep, also referred to as “sleep hygiene.”
• Stress management: Chronic stress can exacerbate endometriosis symptoms. Employing stress-relief techniques, such as mindfulness meditation, deep breathing exercises, or progressive muscle relaxation, can help.

The use of medication or surgery may help some individuals manage their symptoms. Some of the medical treatments for endometriosis include:

• Pain medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) are often used to treat period pain, as well as endometriosis. For people with more severe cases, a doctor may prescribe stronger pain medications.
• Hormonal therapies: Hormonal treatments, such as birth control pills, hormonal patches, and intrauterine devices (IUDs), aim to regulate hormonal fluctuations and manage symptoms. GnRH agonists, which suppress ovarian function, are another option for symptom control.
• Surgical interventions: Laparoscopic surgery is the only way to definitively diagnose endometriosis, so a doctor may recommend it if symptom management is ineffective. Options, such as a hysterectomy or laparoscopy, may be considered to remove endometriosis implants, scarring, and lesions. Research suggests that removing endometrial implants during laparoscopy can also improve symptoms and fertility.

According to the American Physical Therapy Association (APTA), physical therapy is a combination of prescribed exercise, hands-on care, and patient education.

Physical therapy and exercising regularly may help individuals manage certain endometriosis symptoms. Options include:

• Pelvic floor physical therapy: Endometriosis can lead to pelvic floor dysfunction. Physical therapy for the pelvic floor involves exercises and techniques to relax and strengthen the pelvic muscles, which address pain and improve pelvic function.
• Exercise rehabilitation: Working with a physical therapist specializing in endometriosis care can help tailor an exercise program to an individual’s specific needs. This may include gentle stretches, core exercises, and posture improvement.

Some alternative therapies may work alongside other treatments to help manage endometriosis symptoms, including:

• Acupuncture: This is an ancient Chinese practice, involving the insertion of thin needles into specific points on the body. It could potentially help people with endometriosis by inducing the release of pain-relieving brain chemicals.
• Herbal remedies: Some herbal supplements, such as turmeric, have anti-inflammatory properties that may provide relief for endometriosis. However, it is crucial to consult with a healthcare professional before beginning herbal remedies.
• Chiropractic care: Chiropractic adjustments and manipulations may help manage pain associated with endometriosis by addressing musculoskeletal pain and imbalances, promoting overall spinal health. Chiropractic care can help minimize distortions in the areas of the reproductive organs and restore typical peristaltic motion.
• Transcutaneous electrical nerve stimulation (TENS): This is a method of pain relief, involving the use of a mild electrical current that activates nerves and aims to influence pain perception.

Endometriosis can have a significant impact on an individual’s social life, romantic relationships, work, and education.

A 2017 study also found it had a negative effect on mental health, associating it with higher rates of depression and anxiety.

It is important that people seek mental health support when needed. Options include:

• Counseling and psychotherapy: Living with endometriosis can be challenging and can take a toll on a person’s mental health. Seeking counseling or psychotherapy can provide a safe space to navigate the emotional challenges associated with chronic illness and develop coping strategies.
• Support groups: Joining a support group, either in person or online, can offer a sense of community and understanding. Connecting with others who share similar experiences, can provide valuable insights and emotional support.

In the management of endometriosis, establishing effective communication with healthcare professionals is crucial. It is important to make informed decisions regarding treatment, therapies, and overall well-being.

Some key questions to consider asking a doctor include:

• What are the available treatment options, and what is the recommended approach based on my specific case?
• What are the potential side effects of the recommended medications or therapies, and how can I manage them?
• What is the long-term management plan for endometriosis, and how can I actively participate in my care?
• How might endometriosis impact fertility, and are there fertility preservation options to consider?

Endometriosis supportive therapy involves a multifaceted approach. It aims to address the physical, emotional, and lifestyle aspects of this challenging condition.

From self-care practices to medical treatments, physical therapy, alternative therapies, and mental health support, individuals can tailor a comprehensive plan in collaboration with a healthcare team.

While there is currently no cure for endometriosis, various alternative therapies may help prevent it from getting worse.