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. 2020 Jun 1;2020(2):hoaa028. doi: 10.1093/hropen/hoaa028

Table I.

Self-management strategies for patients with endometriosis to consider using during self-isolation and beyond, and recommendation statements.

Strategy Recommendation
Problem-focused strategies
 Education about endometriosis Patients could access information from reputable organizations that have demonstrated clear dedication to advancing the care of those with endometriosis.
 Managing work and study Patients could be honest with employers/educators about anticipated and possibly unanticipated episodes of pain.
Patients could discuss modifications of work/school obligations during times of pain exacerbation, if appropriate.
 Social activities Patients should make a strong effort to maintain social activities (in the context of current isolation rules).
Patients could use video conferencing applications, social media portals or websites to best replace their typical social activities.
 Social support Patients should consider connecting with their social supports by video link instead of messaging or the telephone.
Patients could consider joining online endometriosis support groups.
 Sleep Patients should talk to their family physician/general practitioner about dysfunctional sleep or improving sleep before initiating over-the-counter treatments.
 Physical exercise Patients could initiate or maintain exercise based on their personal experiences and take a graduated approach to increase physical activity.
Patients could access a large selection of online material to support exercise activities.
 Yoga Patients could initiate or maintain an at-home yoga program, guided by online material.
 Pelvic exercise and physiotherapy Patients could consider at-home pelvic exercises but should do so with caution and most ideally with the past/current guidance of a physiotherapist.
 Diet Patients could consider trialing modifications in their diet. Possible considerations include: anti-inflammatory diet; gluten-free diet; low FODMAP diet.
 Heat Patients could consider trialing stick-on heat patches that provide a stable temperature for long durations (8–12 h at a time).
 Cannabis Patients could consider medicinal cannabis as a potential option if they live in a location with legal access.
Emotion-focused strategies
 Relaxation and mindfulness Patients should consider trialing relaxation, breathing exercises and mindfulness.
Patients could access online material to support relaxation through websites or smartphone applications.
 Acceptance and commitment therapy Patients could consider self-initiating aspects of Acceptance and Commitment Therapy using online resources. Alternative methods to learn how to ‘accept’ endometriosis could be utilized.
 Adopting a positive attitude Patients could consider self-initiating the process of learning to adopt a positive attitude using online resources and social support (e.g. online endometriosis groups).

FODMAP, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.