O papel da fisioterapia na dor genitopélvica de mulheres com endometriose: uma revisão da literatura
Year: 2026
Type: article
Study design: Systematic Review
Abstract: Endometriosis can cause chronic pelvic pain, dyspareunia and other types of pain that often continue despite hormonal or surgical treatment, which is why physiotherapy has been studied as a complementary treatment. This study aimed to analyze the evidence on the effects of physiotherapy on genitopelvic pain in women with endometriosis. An integrative review was carried out, with searches between June and August 2026 in PubMed/MEDLINE, BVS and SciELO, including clinical trials published from 2016 to 2026 in Portuguese or English. Five clinical trials were included, covering electrotherapy, pelvic floor physiotherapy, manual therapy and supervised exercise. TENS combined with hormonal treatment reduced chronic pelvic pain. Thiele massage improved pelvic floor relaxation and superficial dyspareunia. Manual therapy reduced pain compared with placebo, with effects maintained at six months. Supervised exercise reduced current pelvic or genital pain, but not the worst reported pain, and a lumbopelvic exercise program reduced dyspareunia and improved quality of life. In the trials that assessed deep dyspareunia, it did not improve more than in the control group. Physiotherapy helps control endometriosis-related pain, especially when a muscular component is involved. However, small samples, the lack of a placebo group in most trials and the variety of protocols limit these conclusions.
Source: Revista fisio&terapia.
DOI: 10.69849/fmt5hr76
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7225848139