Table 5.

Effect of balneotherapy on chronic inflammatory pelvic disease

Trials	Study design	Internal validity score	Treatment	n	Outcome measures	Follow-up	Results
Zámbó et al. 2008	Randomised, double blind	6	Daily baths of 20 mins (38.8 °C) on ten occasions	20	Pain (VAS) elicited by palpating the uterus, the adnexes and the parametrium, parametrial and adnexal mass; psychic status (VAS); ultrasound Doppler index	3 weeks	In comparison with tap water, treatment with mineral water accomplished significantly greater improvement, as reflected by the relief of pain elicited by handling the uterus, and by the improvement of psychological status
			The same as in treatment group, but using heated tap water	20