Buggio L, et al. – In this narrative review, researchers plan to evaluate most updated proof on these alternative approaches implicated in the self–management of the disease. Based on these outcomes, they discuss the significance of integrating psychological interventions (including psychotherapy) and sexual therapy in endometriosis treatment.

• Endometriosis has a multifactorial etiology.
• The onset and progression of the disease are believed to be identified with different pathogenic mechanisms.
• Among them, the environment and lifestyle may play significant roles.
• Diet, dietary supplements, physical exercise, osteopathy, massage, acupuncture, transcutaneous electrical nerve stimulation, and Chinese herbal medicine may represent a complementary and feasible approach in the treatment of symptoms related to the disease.
• In addition, several studies have shown that endometriosis may adversely affect mental health and quality of life, recommending that influenced women may have an increased risk of developing psychological suffering and also sexual problems because of the presence of pain.