Massachusetts General Hospital, Division of Minimally Invasive Gyne-cologic Surgery, Department of Obstetrics and Gynecology, Boston, Massachusetts, USA.
Curr Opin Obstet Gynecol. 2024 Aug 1;36(4):247-254. doi: 10.1097/GCO.0000000000000969. Epub 2024 Jun 7.
Management of endometriosis is often complex and poorly studied. Patients with endometriosis have interest in how their lifestyle may affect their diagnosis. Self-management and lifestyle changes are often used as adjunct therapy, but best practices are not concrete in treatment guidelines.
Lifestyle impact on endometriosis and possible self-management treatment therapies are reviewed. Overall, there is a need for future studies in all topics. Data suggest a link between endocrine-disrupting chemicals (EDCs), particularly persistent EDCs, and endometriosis. More work is needed to isolate and quantify exposures and explore their connection to endometriosis in order to provide guidance for clinical practice recommendations. There is insufficient evidence to support a superior diet for management of endometriosis; however, the Mediterranean diet may have the most benefit without nutrition concerns. Exercise may be another tool to improve endometriosis symptoms, but once again data are limited and best type and frequency is not well studied. Best evidence supports body-mind practices such as yoga, although new evidence suggests benefit from a holistic combination of several types of exercises.
Overall, data on lifestyle effects and associated therapies are limited. Future high-quality studies are needed to guide practice.
子宫内膜异位症的治疗通常较为复杂且研究不足。患者希望了解生活方式可能如何影响其诊断。自我管理和生活方式的改变常被用作辅助治疗，但治疗指南中并未明确最佳实践。
综述了生活方式对子宫内膜异位症的影响和可能的自我管理治疗方法。总体而言，所有主题都需要未来的研究。数据表明，内分泌干扰化学物质（EDCs），特别是持久性 EDCs，与子宫内膜异位症之间存在关联。需要进一步的研究来分离和量化暴露，并探讨其与子宫内膜异位症的联系，以便为临床实践建议提供指导。目前尚无足够的证据支持某种饮食对子宫内膜异位症的管理具有优越性；然而，地中海饮食可能是最有益的，且不会有营养方面的担忧。运动可能是改善子宫内膜异位症症状的另一种手段，但数据仍然有限，最佳运动类型和频率也尚未得到很好的研究。最有力的证据支持身心练习，如瑜伽，尽管新的证据表明，多种类型的运动综合起来会有好处。
总体而言，关于生活方式影响和相关治疗的证据有限。需要高质量的未来研究来指导实践。
