Endometriosis, Pelvic Pain
Conditions
Keywords
Pelvic Pain, Yoga, Fatigue, Quality of Life, Endometriosis
Brief summary
This study aims to examine the effects of Tele-yoga on chronic pelvic pain, fatigue, and quality of life in patients diagnosed with endometriosis. It will be conducted as a single-center, randomized controlled experimental study design.
Detailed description
Endometriosis is a chronic, estrogen-dependent condition affecting approximately 10% of women of reproductive age worldwide. In Türkiye, it is estimated that around 2.4 million women are diagnosed with endometriosis. The disease is commonly associated with symptoms such as chronic pelvic pain (CPP), dysmenorrhea, dyspareunia, and infertility, among which CPP is the most prevalent. Endometriosis-related pain is typically recurrent and progressive, significantly impairing women's daily activities and overall quality of life. Fatigue is another frequently reported symptom among women with endometriosis. Evidence indicates that fatigue is substantially more common in this population compared to the general female population and has a detrimental impact on both physical and psychological well-being. The coexistence of chronic pain and fatigue further exacerbates the negative effects of endometriosis on quality of life. In recent years, there has been growing interest in Complementary and Integrative Health Approaches (CIHA) for managing pain and fatigue associated with endometriosis. The National Institute for Health and Care Excellence (NICE) guidelines emphasize the importance of multidisciplinary and mind-body-based strategies in endometriosis management. Yoga, recognized by the World Health Organization (WHO) as a complementary health practice, integrates physical postures, breathing exercises, and meditation. It is a low-cost, non-invasive intervention known to promote relaxation and reduce pain, stress, and fatigue. Telerehabilitation enables the remote delivery of such interventions through digital technologies, improving accessibility and continuity of care. However, there is a limited number of studies investigating telerehabilitation-based yoga interventions among women experiencing chronic pelvic pain due to endometriosis. Therefore, this project aims to examine the effects of Tele-yoga on chronic pelvic pain, fatigue, and quality of life in women diagnosed with endometriosis. The findings of this research are expected to contribute to developing holistic, accessible, and evidence-based management strategies for women living with endometriosis
Interventions
BEHAVIORALTele-Yoga Group
Tele-yoga is a telerehabilitation method that enables the delivery of yoga-based rehabilitation services through electronic systems. Initially developed for emergency management, this approach has become effective in daily practice with the increasing cost of treatment and the privatization of healthcare services. Yoga is a practice that can be adapted to the individual needs of each woman. In women with endometriosis, yoga helps develop a different response to pain through mindful attention to painful areas, relaxation postures, breathing techniques, and movement sequences
Sponsors
Ankara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
A comprasion of the two groups to be assigned as experimental and control groups will be made.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Voluntary willingness to participate in the study. * Ability to communicate effectively, with no language barriers. * Completion of at least primary school education. * Aged 18 years or older. * Premenopausal. * Mild (1-3) or moderate (4-6) chronic pelvic pain. * Not pregnant. * No use of any complementary and integrative health practice during the study period. * No regular exercise (defined as exercising more than three times per week). * No physiotherapy within the previous 3 months. * No pelvic surgery within the previous year. * No planned surgical treatment for endometriosis. * No other injury or medical condition causing pelvic pain. * Access to a computer, smartphone, or tablet with a camera and a stable internet connection to participate in the online sessions.
Exclusion criteria
* Participant's request to withdraw from the study at any stage. * Failure to attend all tele-yoga sessions. * Initiation of regular exercise or physiotherapy during the study period. * Pregnancy during the study period. * Decision to undergo surgical treatment during the study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale (NRS) | The scale was administered to all groups before the intervention began and after the intervention was completed (at the end of the eighth week). | In patients diagnosed with endometriosis, the Numerical Rating Scale (NRS) is used to assess pain intensity by having the patient rate their perceived pain on a scale from 0 to 10.A value of 0 is considered "no pain," while a value of 10 is considered "the worst pain imaginable." Patients are asked to circle the number representing the amount of pain they experience during the assessment. As the number on the scale increases, the pain increases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Fatigue Severity Scale (FSS) | The scale was administered to all groups before the intervention and after the intervention was completed (at the end of the eighth week). | The Fatigue Severity Scale (FSS) is used to determine how fatigued the patient has felt over the past week, including the day the test is administered. |
| The Endometriosis Health Profile-5 (EHP-5) | The scale was administered to all groups before the intervention began and after the intervention was completed (at the end of the eighth week). | The Endometriosis Health Profile-5 (EHP-5) is used to assess the impact of endometriosis on women's quality of life. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORFunda Özdemir
Ankara University
Outcome results
None listed