Atuação da fisioterapia pélvica no manejo da endometriose e seus sintomas

Kelley Cristina Coelho, Isabela Peternelli de Lima, Letícia Ferreira Leocadio, Karine Franciele Toldo, Karine Franciele Toldo de Toledo, Mateus Dias Antunes
In: Arquivos do Mudi · 2026 · vol. 30(4) , pp. e81744 · doi:10.4025/arqmudi.v30i4.81744 · W7214995203
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A literature review indicates that pelvic physiotherapy reduces pain and improves functionality and quality of life in endometriosis patients, serving as a safe conservative treatment option despite the need for further standardized clinical trials.

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This literature review evaluates the efficacy of pelvic floor physiotherapy in managing endometriosis and its clinical manifestations, analyzing studies published between 2020 and 2025 across multiple databases. The findings indicate that pelvic floor interventions offer significant benefits, particularly in reducing pain, improving functionality, and enhancing quality of life for affected patients. However, the authors note limitations regarding the current evidence base and emphasize the need for larger, standardized randomized controlled trials to confirm these outcomes. This paper is centrally about endometriosis — specifically examining conservative management strategies through pelvic floor physiotherapy to alleviate symptoms such as dyspareunia and chronic pelvic pain.

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Abstract

Objective: to review the scientific evidence regarding the effectiveness of pelvic physiotherapy in the management of endometriosis and its clinical manifestations, as well as to evaluate the outcomes obtained with the different techniques employed. Methods: this is a literature review conducted in the PubMed, SciELO, LILACS, Science Direct, Scopus, Embase, Web of Science, PEDro, and Wiley databases, in addition to Google Scholar, covering articles published between 2020 and 2025. Results: despite the observed limitations, the findings indicate that pelvic physiotherapy provides relevant benefits, especially in pain reduction, improvement of functionality, and promotion of quality of life. Conclusion: pelvic physiotherapy constitutes a conservative and safe alternative with potential positive impact in the treatment of endometriosis; however, further clinical trials with larger samples and methodological standardization of interventions are required.
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Atuação da fisioterapia pélvica no manejo da endometriose e seus sintomas DOI: https://doi.org/10.4025/arqmudi.v30i4.81744Palavras-chave: Assoalho Pélvico, Endometriose, Modalidades de FisioterapiaResumo Objetivo: revisar as evidências científicas acerca da eficácia da fisioterapia pélvica no manejo da endometriose e de suas manifestações clínicas, além de avaliar os resultados obtidos com as diferentes técnicas empregadas. Métodos: trata-se de uma revisão de literatura conduzida nas bases PubMed, SciELO, LILACS, Science Direct, Scopus, Embase, Web of Science, PEDro e Wiley, além do Google Scholar, abrangendo artigos publicados entre 2020 e 2025. Resultados: apesar das limitações observadas, os achados indicam que a fisioterapia pélvica apresenta benefícios relevantes, especialmente na redução da dor, na melhora da funcionalidade e na promoção da qualidade de vida. Conclusão: a fisioterapia pélvica constitui uma alternativa conservadora, segura e com potencial de impacto positivo no tratamento da endometriose, embora sejam necessários novos ensaios clínicos com amostras mais amplas e padronização metodológica das intervenções. Downloads Referências 1. Cano-Herrera G, et al. Endometriosis: a comprehensive analysis of the pathophysiology, treatment, and nutritional aspects, and its repercussions on the quality of life of patients. Biomedicines. 2024;12(7):1476. 2. Imperiale L, et al. Three types of endometriosis: pathogenesis, diagnosis and treatment. State of the art. J Clin Med. 2023;12(3):994. 3. Wójcik M, Szczepaniak R, Placek K. Physiotherapy management in endometriosis. Int J Environ Res Public Health. 2022;19(23):16148. 4. Del Forno S, et al. Effects of pelvic floor muscle physiotherapy on urinary, bowel, and sexual functions in women with deep infiltrating endometriosis: a randomized controlled trial. Medicina (Kaunas). 2023;60(1):67. 5. Del Forno S, et al. Assessment of pelvic floor muscles with 3D/4D transperineal ultrasound in women with deep infiltrating endometriosis and superficial dyspareunia treated with pelvic floor muscle physiotherapy: a randomized controlled trial. Ultrasound Obstet Gynecol. 2021;57(5). 6. Del Forno S, et al. Transperineal ultrasound visual feedback assisted pelvic floor muscle physiotherapy in women with deep infiltrating endometriosis and dyspareunia: a pilot study. J Sex Marital Ther. 2020;46:1–9. 7. Tennfjord MK, et al. Can general exercise training and pelvic floor muscle training be used as an empowering tool among women with endometriosis? Experiences among women with endometriosis participating in the intervention group of a randomized controlled trial. BMC Womens Health. 2024;24(1). 8. Mansfield C, et al. Impact of pelvic floor physical therapy on function in adolescents and young adults with biopsy-confirmed endometriosis at a tertiary children’s hospital: a case series. J Pediatr Adolesc Gynecol. 2022. 9. Shrikhande A, et al. A comprehensive treatment protocol for endometriosis patients decreases pain and improves function. Int J Womens Health. 2023;15:91–101. 10. Patil S, et al. Neuromuscular treatment approach for women with chronic pelvic pain syndrome improving pelvic pain and functionality. Neurourol Urodyn. 2022;41(1):220–228. 11. Muñoz-Gómez E, et al. Effectiveness of a manual therapy protocol in women with pelvic pain due to endometriosis: a randomized clinical trial. J Clin Med. 2023;12(9):3310. 12. Carralero-Martínez A, et al. Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: a randomized controlled trial. Neurourol Urodyn. 2022;41(4):962–972. 13. Wójcik M, et al. The effect of osteopathic visceral manipulation on quality of life and postural stability in women with endometriosis and women with pelvic organ prolapse: a non-controlled before-after clinical study. J Clin Med. 2025;14(3):767. Downloads Publicado Edição Seção Licença Copyright (c) 2026 Arquivos do Mudi Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License. DECLARAÇÃO DE ORIGINALIDADE E DIREITOS AUTORAIS Declaro que o presente artigo é original, não tendo sido submetido à publicação em qualquer outro periódico nacional ou internacional, quer seja em parte ou em sua totalidade. Os direitos autorais pertencem exclusivamente aos autores. Os direitos de licenciamento utilizados pelo periódico é a licença Creative Commons Attribution 4.0 (CC BY ): são permitidos o acompartilhamento (cópia e distribuição do material em qualqer meio ou formato) e adaptação (remix, transformação e criação de material a partir do conteúdo assim licenciado para quaisquer fins, inclusive comerciais. Recomenda-se a leitura desse link para maiores informações sobre o tema: fornecimento de créditos e referências de forma correta, entre outros detalhes cruciais para uso adequado do material licenciado.

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