Department of Perinatology and Women's Health, Poznań University of Medical Sciences, 60-535 Poznań, Poland.
Department of Medical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, 61-614 Poznań, Poland.
Nutrients. 2023 Jun 16;15(12):2773. doi: 10.3390/nu15122773.
Endometriosis is a chronic disease with a complex, heterogeneous pathogenesis that affects about 10% of women of reproductive age, causing pain and leading to infertility. Treatment consists of administering pharmacological agents (resulting in a reduction of estrogen levels and inflammation), as well as the surgical removal of endometriotic lesions. Unfortunately, despite a wide range of available therapies, there is still a high recurrence rate after surgery. Consequently, it is necessary to improve the outcome of patients with endometriosis. In this context, there is growing interest in possible dietary modification to support or complement classic treatment options and even serve as a potential alternative to hormone therapy. In addition, a growing number of studies indicate positive effects of selected dietary factors on the development and course of endometriosis. This review article focuses on the potentially beneficial effects of compounds from the polyphenol group (curcumin, epigallocatechin gallate, quercetin, resveratrol), vitamins, and selected micronutrients on endometriosis. The results indicate the potential of the selected ingredients in fighting the disease. However, most of the studies have been performed on experimental animal models, with a smaller proportion looking at the actual effects of use among women. Therefore, well-designed studies are needed to assess the importance of a well-chosen diet and the effects of specific dietary factors on the health of women suffering from endometriosis.
子宫内膜异位症是一种慢性疾病,其发病机制复杂且具有异质性,影响约 10%的育龄妇女,导致疼痛并引起不孕。治疗方法包括使用药物(降低雌激素水平和炎症)以及手术切除子宫内膜异位病灶。不幸的是,尽管有广泛的治疗方法,但手术后的复发率仍然很高。因此,有必要改善子宫内膜异位症患者的治疗效果。在这种情况下,人们越来越关注可能的饮食改变,以支持或补充经典的治疗选择,甚至作为激素治疗的潜在替代方法。此外,越来越多的研究表明,某些饮食因素对子宫内膜异位症的发展和病程有积极影响。本文重点介绍了来自多酚类化合物(姜黄素、表没食子儿茶素没食子酸酯、槲皮素、白藜芦醇)、维生素和某些微量营养素对子宫内膜异位症的潜在有益作用。结果表明,所选成分在对抗这种疾病方面具有潜在的作用。然而,大多数研究都是在实验动物模型上进行的,只有一小部分研究关注了女性实际使用的效果。因此,需要进行精心设计的研究来评估选择合适的饮食和特定饮食因素对患有子宫内膜异位症的女性健康的重要性。