Endometriosis - Lifestyle Changes

Some evidence suggests that soy products (e.g., tofu, soy milk) may protect against endometriosis. Soy contains estrogen-like compounds that may actually protect against problems that are triggered by a woman's own estrogen. More research is needed.

Alcohold and cigarettes smoking may also be associated with endometriosis. It is unclear whether caffeine is a significant risk factor.

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Contrast Sitz Baths

A sitz bath is simply sitting in a basin of water. Some people report relief by alternating between sitting three minutes in a hot water basin and then one minute in a cold water basin. This is repeated three times. The procedure is performed twice a day three to four days a week, except during menstruation.

Kegel Exercise

Kegel exercises are designed to strengthen the muscles of the pelvic floor that both support the bladder and close the sphincters, and some people find they help endometriosis. The exercises consist of tightening and releasing the pelvic muscle. Since the muscle is internal and is sometimes difficult to isolate, doctors often recommend practicing while urinating on the toilet. The patient tries to contract the muscle until the flow of urine is slowed or stopped and then releases it. (It is important to note, however, that, once learned, Kegel exercises should not be regularly performed while urinating; such a practice may eventually weaken the muscles.)

Exercise

Exercise may be very helpful for women with endometriosis. It relieves stress and tension and may reduce hormonal levels that could contribute to endometrial growth.

Alternative Treatments

Certain integrative methods may be helpful for relieving menstrual cramps, especially techniques that ease muscle and joint pain and inflammation throughout the body. It is not clear if these approaches have any benefits for women with endometriosis, however. Patients should always approach alternative treatments that involve untested herbal or so-called natural remedies with caution, however. It is certainly possible that some may be helpful, but patients should always be wary of unproven claims for quick cures.

Applying Heat. A 2001 study found that continuously applying a heated abdominal pad for 12 hours two days in a row was as effective in reducing menstrual cramps as ibuprofen (Advil). A warm bath may also be helpful

Acupuncture and Acupressure. Some studies, including a small well-conducted trial, have reported relief from pelvic pain after acupuncture or acupressure, a technique that applies small pins or pressure to specific points on the body. It is believed to work by exciting nerve receptors in those locations that interact with pain blockers in the brain.