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Abstract
This study comprises an integrative review on pain management in patients with endometriosis. Twenty recent studies analyzed using a descriptive approach were analyzed. It is indicated that endometriosis is a problem associated with women's reproductive health, which generates pain due to inflammatory, nocioceptive or neuropathic mechanisms associated with the uterine structures. Pain management is usually done through pharmacological, alternative and surgical means. NSAIDs, hormonal medications, opioids, and GnRH agonists or antagonists are recommended in pharmacological management. In the surgical plan, laparoscopy and hysterectomy are considered as the main forms of treatment. Complementary therapies, such as pelvic floor physical therapy, acupuncture, and cognitive behavioral therapy, have also shown promise in managing the complex pain associated with endometriosis. Advances in recent studies are described, such as management with drugs derived from cannabis or dichloroacetate (DCA), which are in the process of clinical trials.
Keywords
References
Falcone T, Flyckt R. Manejo clínico de la endometriosis. Obstet Gynecol. 2018;131:557-71.
Rechkemmer AF. Manejo de la endometriosis e infertilidad. Revista Peruana de Ginecología y Obstetricia. 2012;58(2):101-5.
Vercellini P, Buggio L, Frattaruolo MP, Borghi A, Dridi D, Somigliana E. Medical treatment of endometriosis-related pain. Best Practice & Research Clinical Obstetrics & Gynaecology. Aug 01, 2018;51:68-91.
Devlin H, correspondent HDS. Researchers optimistic about potential new treatment for endometriosis. The Guardian [Internet]. Mar 08, 2023 [cited Jul 07, 2024]. Available from: https://www.theguardian.com/society/2023/mar/08/endometriosis-new-treatment-non-hormonal-drug-dichloroacetate
Ferrero S, Barra F. Hormonal Therapy in Endometriosis and Adenomyosis: Danazol, Aromatase Inhibitors. In: Oral E, editor. Endometriosis and Adenomyosis [Internet]. Cham: Springer International Publishing; 2022 [cited Jul 07, 2024]. p. 557-75. Available from: https://link.springer.com/10.1007/978-3-030-97236-3_42
Surrey ES. GnRH agonists in the treatment of symptomatic endometriosis: a review. F&S Reports. 2023;4(2):40-5.
Shi J, Tan X, Feng G, Zhuo Y, Jiang Z, Banda S, et al. Research advances in drug therapy of endometriosis. Front Pharmacol. Jun 21, 2023;14:1199010.
Deng S, Sun Z, Zhang C, Chen G, Li J. Surgical treatment versus conservative management for acute Achilles tendon rupture: a systematic review and meta-analysis of randomized controlled trials. The Journal of Foot and Ankle Surgery. 2017;56(6):1236-43.
Carlyle D, Khader T, Lam D, Vadivelu N, Shiwlochan D, Yonghee C. Endometriosis Pain Management: a Review. Curr Pain Headache Rep. Sep, 2020;24(9):49.
Jiménez-López J, Muñoz-Hernando L, Marqueta- Marques L, Alvarez-Conejo C, Tejerizo-García Á, Lopez-Gonzalez G, et al. Endometriosis: alternative methods of medical treatment. IJWH. Jun, 2015;595.
Kim AH, Adamson GD. Surgical treatment options for endometriosis. Clinical obstetrics and gynecology. 1999;42(3):633.
Xu Y, Zhao W, Li T, Zhao Y, Bu H, Song S. Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis. PLoS One. 2017;12(10):e0186616.
Lund I, Lundeberg T. Is acupuncture effective in the treatment of pain in endometriosis? JPR. Mar, 2016;157.
Cabanas-Barja A, Alonso-Calvete A, Da Cuña-Carrera I. Actualización del tratamiento de fisioterapia en el abordaje de la endometriosis. Una revisión sistemática. Clínica e Investigación en Ginecología y Obstetricia. 2024;51(1):100929.
Sáez C, Delaire L, García-Isidoro S, de la Gala F, Bonnefoy M. Aportación de la Fisioterapia al tratamiento del dolor pélvico crónico en endometriosis. Fisioterapia (Madr, Ed impr). 2020;115-23.
Gulias SS. Abordaje psicoterapéutico de la endometriosis en mujeres en edad fértil [Internet] [PhD Thesis]. Universidad de Belgrano-Facultad de Humanidades-Licenciatura en Psicología; 2023 [citado el 07 de julio, 2024]. Disponible a partir de: http://repositorio.ub.edu.ar/handle/123456789/10246
Gutiérrez HAR, González FIU. Endometriosis: Una visión detrás del estigma. Revista Ciencia y Salud Integrando Conocimientos. 2021;5(4):p.53.
Brichant G, Laraki I, Henry L, Munaut C, Nisolle M. New Therapeutics in Endometriosis: A Review of Hormonal, Non-Hormonal, and Non-Coding RNA Treatments. International Journal of Molecular Sciences. Jan, 2021;22(19):10498.
Del Forno S, Cocchi L, Arena A, Pellizzone V, Lenzi J, Raffone A, et al. Effects of Pelvic Floor Muscle Physiotherapy on Urinary, Bowel, and Sexual Functions in Women with Deep Infiltrating Endometriosis: A Randomized Controlled Trial. Medicina. 2023;60(1):67.
Dos Bispo APS, Ploger C, Loureiro AF, Sato H, Kolpeman A, Girão MJBC, et al. Assessment of pelvic floor muscles in women with deep endometriosis. Arch Gynecol Obstet. Sep, 2016;294(3):519-23.
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