Complementary therapies for endometriosis associated pain: An extensive survey

Laëtitia Mercier Des Rochettes , Giacomo Serboli , Leonardo Nelva Stellio , Elisabetta Manzoni , Aubert Agostini
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Abstract

Objective

Our primary objective is to evaluate the use of complementary therapies among women with endometriosis to manage chronic pelvic pain. As a secondary objective, the study aims to assess satisfaction levels with these therapies and respondents' perceptions of their impact on the disease.

Material and methods

Patients were recruited at Centre Hospitalier des Escartons de Briançon, with help from EndoFrance Association and social media. Women with a history of endometriosis and chronic pain were invited to complete an anonymous online form via Google Forms.

Results

Between March and July 2022, 24.337 patients were invited to complete a questionnaire, with 778 responses, resulting in a 3.2% response rate. The average age of respondents was 35 years. Among those, 671 patients (86%) were using non-pharmacological therapies for endometriosis-related pain. The most common treatments included osteopathy (56%), anti-inflammatory diet (56%), sophrology (46%), yoga (46%), and physiotherapy (42%), with many using multiple treatments. Satisfaction levels ranged from 69% to 27%, with osteopathy and yoga being the most appreciated. Furthermore, 58% of patients reported reducing their conventional analgesic intake. Despite the widespread use of complementary therapies and 83% of patients discussing them with healthcare providers, 43% of respondents expressed distrust in their doctors regarding these therapies.

Conclusion

Complementary medicine is commonly utilized by women with endometriosis to alleviate pain, potentially decreasing reliance on conventional medications. As such, it represents a valuable alternative and supplementary option for pain management. Consequently, it should be considered as part of the treatment plan for all women with endometriosis.
子宫内膜异位症相关疼痛的补充疗法:一项广泛的调查
我们的主要目的是评估子宫内膜异位症妇女治疗慢性盆腔疼痛的补充疗法的使用。作为次要目标,该研究旨在评估对这些疗法的满意度以及受访者对其对疾病影响的看法。材料和方法在法国内镜协会和社交媒体的帮助下,在布里安帕拉松Escartons医院中心招募患者。有子宫内膜异位症和慢性疼痛病史的女性被邀请通过谷歌表格完成一份匿名的在线表格。结果在2022年3月至7月期间,共邀请24.337名患者完成问卷调查,收到778份回复,回复率为3.2%。受访者的平均年龄为35岁。其中,671名患者(86%)使用非药物治疗子宫内膜异位症相关疼痛。最常见的治疗方法包括整骨疗法(56%)、抗炎饮食(56%)、哲学(46%)、瑜伽(46%)和物理疗法(42%),许多人使用多种治疗方法。满意度从69%到27%不等,最受欢迎的是整骨疗法和瑜伽。此外,58%的患者报告减少了常规镇痛药的摄入量。尽管补充疗法广泛使用,83%的患者与医疗保健提供者讨论,但43%的受访者表示不相信医生对这些疗法的看法。结论补充药物是子宫内膜异位症患者缓解疼痛的常用方法,有可能减少对常规药物的依赖。因此,它代表了疼痛管理的一个有价值的替代和补充选择。因此,应将其作为所有子宫内膜异位症患者治疗计划的一部分。
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来源期刊
Journal of endometriosis and uterine disorders
Journal of endometriosis and uterine disorders Obstetrics, Gynecology and Women's Health
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