Table I.
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.