Buggio Laura, Barbara Giussy, Facchin Federica, Frattaruolo Maria Pina, Aimi Giorgio, Berlanda Nicola
Department of Clinical Sciences and Community Health, Università degli Studi di Milano.
Departmental Operating Unit of Surgical Gynecology and Endometriosis, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda Ospedale Maggiore Policlinico.
Int J Womens Health. 2017 May 2;9:281-293. doi: 10.2147/IJWH.S119724. eCollection 2017.
Endometriosis has a multifactorial etiology. The onset and progression of the disease are believed to be related to different pathogenic mechanisms. Among them, the environment and lifestyle may play significant roles. Diet, dietary supplements, physical exercise, osteopathy, massage, acupuncture, transcutaneous electrical nerve stimulation, and Chinese herbal medicine may represent a complementary and feasible approach in the treatment of symptoms related to the disease. In this narrative review, we aimed to examine the most updated evidence on these alternative approaches implicated in the self-management of the disease. In addition, several studies have demonstrated that endometriosis may negatively impact mental health and quality of life, suggesting that affected women may have an increased risk of developing psychological suffering as well as sexual problems due to the presence of pain. In light of these findings, we discuss the importance of integrating psychological interventions (including psychotherapy) and sexual therapy in endometriosis treatment.
子宫内膜异位症具有多因素病因。该疾病的发生和进展被认为与不同的致病机制有关。其中，环境和生活方式可能起重要作用。饮食、膳食补充剂、体育锻炼、整骨疗法、按摩、针灸、经皮电刺激神经疗法和中药可能是治疗与该疾病相关症状的一种补充且可行的方法。在这篇叙述性综述中，我们旨在研究有关这些参与该疾病自我管理的替代方法的最新证据。此外，多项研究表明，子宫内膜异位症可能对心理健康和生活质量产生负面影响，这表明患病女性由于疼痛可能有增加出现心理痛苦以及性问题的风险。鉴于这些发现，我们讨论了在子宫内膜异位症治疗中整合心理干预（包括心理治疗）和性治疗的重要性。
