Evidence mapPaperPMID 41767335Full record

ReviewAmerican journal of lifestyle medicine2026

What is the Evidence on Lifestyle Interventions for the Symptom Management of Pelvic Pain in Women With Endometriosis or Adenomyosis? A Scoping Review.

Bethany Hough, Natalie Drever, Sam Manger

Abstract readReview
In one paragraph

Review in American journal of lifestyle medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Bethany HoughDepartment of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia (BH, ND, SM).ORCID https://orcid.org/0009-0004-3004-5936
Natalie DreverDepartment of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia (BH, ND, SM).
Sam MangerDepartment of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia (BH, ND, SM).ORCID https://orcid.org/0000-0001-7959-3811

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometriosis and adenomyosis are chronic, debilitating, inflammatory conditions affecting women of reproductive age. Current management primarily focuses on pharmacologic therapies and surgical interventions; however, many individuals adopt self-directed lifestyle modifications despite limited evidence-based guidance to support these approaches. This scoping review aimed to collate and evaluate the available evidence for lifestyle interventions in the management of pelvic pain among women with endometriosis and/or adenomyosis, with consideration of key lifestyle medicine domains including nutrition, physical activity, mind-body practices, social connection, sleep, substance cessation, and self-management. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Electronic databases (MEDLINE [OVID], CINAHL, and Scopus) were systematically searched to identify relevant interventional studies. Following abstract and full-text screening, 21 studies met inclusion criteria. Included studies demonstrated substantial heterogeneity in methodology, sample size, intervention type, and duration of follow-up. Only one study specifically included participants with adenomyosis. Findings suggested potential benefits of dietary modification, physical activity, mindfulness-based interventions, yoga, digital health programs, and transcutaneous electrical nerve stimulation (TENS) for pelvic pain management. However, small sample sizes and methodological variability limit the strength of conclusions. Overall, the current evidence base remains limited and underscores the need for rigorously designed interventional studies. Future research should incorporate broader outcome domains, including quality of life, fertility, and mental health, and should more comprehensively address lifestyle domains such as sleep and substance use. Greater inclusion of individuals with adenomyosis is also essential to inform evidence-based lifestyle recommendations in this population.

Indexed as

adenomyosisendometriosislifestyle interventionmind-bodynutritionpelvic painphysical activity

Identifiers

PMID41767335
PMCPMC12935590

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.