Living with endometriosis is not always easy, as this condition often causes pain and inflammation, having both physical and emotional effects. Fortunately, there are medical treatments to help manage the pain. Additionally, adopting healthy habits in your daily life can contribute to greater well-being. In fact, ‘this is something that our patients are increasingly seeking advice on, and we strongly recommend it’, explains Dr. Núria Barbany, a gynaecologist specialising in endometriosis at Dexeus Mujer

Physiotherapy, acupuncture, an anti-inflammatory diet, and mental health counselling are highly beneficial supportive practices. Moreover, ‘patients find it helpful to incorporate these practices alongside medical treatment because it enables them to approach the condition differently and take an active, proactive role in managing it’, adds Dr Barbany. These practices can be tried out according to individual needs and the progression of the condition.

As this month marks International Endometriosis Awareness Day, we would like to share some useful tips to help alleviate symptoms associated with this condition, as a complement to medical treatment.

Improving sexual relationships. The main issue with endometriosis is usually pain during penetration, which leads to discomfort and reduced sexual desire. This can be addressed through mental health counselling and physiotherapy, particularly if vaginismus or chronic pelvic pain are also present. Consulting a gynaecologist specialising in sexual health who understands the challenges associated with endometriosis may also be beneficial.

Reducing pain. ‘Physiotherapy can provide information about different treatments that may help alleviate endometriosis symptoms and address adhesions, pain, and pelvic floor dysfunction’, explains Marta Otero, a physiotherapist at Dexeus Mujer. ‘However, it is important to seek treatment from a physiotherapist who is familiar with the symptoms of this condition’, she adds. There are also various relaxation techniques that can provide relief.

Managing stress and anxiety. Several breathing, relaxation, and meditation techniques can help manage stress and anxiety. ‘These techniques work well together and, once learned, can be practiced as needed: in the morning to start the day feeling calmer, or at night to promote relaxation and restful sleep’, says Sandra García Lumbreras, Head of the Psychology Unit at Dexeus Mujer. Engaging in moderate, regular exercise tailored to individual preferences and abilities is also beneficial. Generally, all forms of physical activity are considered safe. Additionally, mental health therapies, such as cognitive restructuring, can help prevent negative thought patterns from taking hold.

Combating fatigue. Fatigue associated with endometriosis is thought to result from immune system activation caused by chronic inflammation, poor sleep quality, and the emotional toll of living with this condition. Strategies to combat chronic fatigue include engaging in physical activity to boost energy levels, following an anti-inflammatory diet, practising relaxation and deep breathing techniques to improve physical and mental well-being, and participating in activities that encourage mindfulness and reduce stress, such as yoga.

Reducing inflammation. Although not all the mechanisms behind inflammation are fully understood, it is known that stress, a sedentary lifestyle, a poor diet, and certain harmful habits, such as smoking and alcohol consumption, can exacerbate inflammatory processes. ‘This is why we recommend following an anti-inflammatory diet’, explains Xus Murciano, Head of the Nutrition Unit at Dexeus Mujer. This involves prioritising whole foods, antioxidant-rich plant-based foods, and avoiding processed, canned, and pre-cooked foods, as well as refined carbohydrates and sugars. Essentially, the foundation of an anti-inflammatory diet is the Mediterranean diet.

Enhancing mental wellbeing. Having a support network is essential, whether it be medical and professional support or connections with other individuals who share similar experiences, such as support groups or patient associations. ‘At our centre, we offer group workshops that are highly effective in normalising this condition and providing strategies to help manage it’, explains Sandra G. Lumbreras. Expressing emotions and learning to ask for help when needed is also important. ‘Unlike a visible injury, such as a broken leg or arm, endometriosis is an invisible condition, which makes it difficult for others to understand the pain you may feel and its impact on your daily life. We provide guidance on how to express emotions and communicate needs in a way that encourages greater social support and understanding’, Sandra adds.

We hope you have found this post useful!

If you would like more information, feel free to contact our Endometriosis Unit team.