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While pharmacological and surgical options are standard care, evidence supports lifestyle and dietary factors as complementary tools for symptom management and potentially disease progression. Regular physical activity may reduce systemic inflammation, improve hormonal regulation, and support psychological wellbeing. Anti-inflammatory dietary patterns, micronutrients, and selected supplements show promising yet variable benefits.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-role-of-lifestyle-and-diet-in-the-treatment-of-endometriosis-a-review/467358/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-role-of-lifestyle-and-diet-in-the-treatment-of-endometriosis-a-review/467358.png","ImageObject",300,407,{"name":92,"@type":93},"Mafia Boss","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What role do lifestyle and diet play in endometriosis treatment?","Question",{"text":113,"@type":114},"Lifestyle and dietary factors may complement conventional care by helping manage symptoms and potentially influencing disease progression.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How can physical activity affect endometriosis-related symptoms?",{"text":118,"@type":114},"Regular physical activity appears to attenuate systemic inflammation, improve hormonal regulation, and support psychological wellbeing.",{"name":120,"@type":111,"acceptedAnswer":121},"Which dietary components are associated with better or worse outcomes?",{"text":122,"@type":114},"Dietary patterns rich in anti-inflammatory components (such as Mediterranean-style and low-inflammatory diets) are linked to reduced pain and improved gastrointestinal symptoms, while higher intake of red and processed meats may increase disease risk.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},467358,1791046861,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962090760730,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Review  \nThe Role of Lifestyle and Diet in the Treatment of Endometriosis: A Review  \nDóra Boroncsok 1,2, Anna Filó 1, Marianna Török 3, *, Hajnalka Vágó 4, Nándor Ács 3 and Gábor Sobel 3  \nAcademic Editor: Marika Cordaro  \nReceived: 8 December 2025  \nRevised: 27 December 2025  \nAccepted: 30 December 2025  \nPublished: 1 January 2026  \nCopyright: © 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.  \n1 Faculty of Medicine, Semmelweis University, 1088 Budapest, Hungary; [boroncsok.dora@stud.semmelweis.hu](boroncsok.dora@stud.semmelweis.hu) (D.B.); [filo.panni@gmail.com](filo.panni@gmail.com) (A.F.)  \n2 School of PhD Studies, Semmelweis University, 1085 Budapest, Hungary  \n3 Department of Obstetrics and Gynaecology, Semmelweis University, 1082 Budapest, Hungary; [acs.nandor@semmelweis.hu](acs.nandor@semmelweis.hu) (N.Á .); [sobel.gabor@semmelweis.hu](sobel.gabor@semmelweis.hu) (G.S.)  \n4 Department of Sports Medicine, Semmelweis University, 1122 Budapest, Hungary; [vagoha@gmail.com](vagoha@gmail.com)  \n* Correspondence: [torok.marianna@semmelweis.hu](torok.marianna@semmelweis.hu)  \nAbstract  \nEndometriosis is a chronic, oestrogen-dependent inflammatory condition affecting approximately 10% of women of reproductive age, frequently associated with chronic pelvic pain, dysmenorrhoea and infertility, substantially impairing quality of life. While pharmacological and surgical therapies represent the standard of care, growing evidence indicates that lifestyle and dietary factors play an important complementary role in symptom management and may influence disease progression. Regular physical activity appears to attenuate systemic inflammation, improve hormonal regulation and support psychological wellbeing. Dietary patterns rich in anti-inflammatory components, particularly Mediterraneandiets and low-inflammatory diets, have been associated with reduced pain and improved gastrointestinal symptoms, whereas high consumption of red and processed meats may increase disease risk. Micronutrients and selected supplements, including vitamins C, E and D, magnesium, zinc, folate, omega-3 fatty acids, N-acetylcysteine, curcumin, probiotics and green tea polyphenols, show promising but variable evidence for symptom relief. Additional lifestyle factors, such as avoiding endocrine-disrupting chemicals, moderating alcohol intake, ensuring adequate sleep and managing psychological stress, may further modulate inflammatory and hormonal pathways relevant to the disorder. Overall, current evidence indicates that integrating lifestyle interventions alongside conventional treatments offers clinically relevant benefits, although larger, well-designed clinical studies are needed to clarify the magnitude of these effects and to explore further promising lifestyle-based therapeutic approaches.  \nKeywords: endometriosis; Mediterranean-diets; physical activity; micronutrients  \n1. Introduction  \nEndometriosis is a chronic, oestrogen-dependent, inflammatory disease characterised by the presence of endometrium-like cells and tissues outside the uterine cavity. These ectopic endometrial lesions may appear on the ovaries, fallopian tubes, peritoneum, bladder, rectum and less commonly, on the diaphragm, lungs or even more distant organs. These nodes react similarly to the endometrium to the hormonal cycle, causing inflammation, pain and bleeding [1] .  \nThe disease most frequently affects women of reproductive age, but it can also occur rarely in premenarcheal or postmenopausal women. Its prevalence among women of  \nreproductive age worldwide is estimated at around 10%, but endometriosis can be detected in up to 30–50% of cases of infertility or chronic pelvic pain [2,3] . Diagnosis is often delayed for years because the symptoms are not always specific and may overlap with several gynaecological or gastrointestinal conditions [4","cbCaimyWK0ZpSld8","https://ap.wps.com/l/cbCaimyWK0ZpSld8","pdf",336345,"English","# Abstract\n# Introduction\n# Methods","[{\"question\":\"What role do lifestyle and diet play in endometriosis treatment?\",\"answer\":\"Lifestyle and dietary factors may complement conventional care by helping manage symptoms and potentially influencing disease progression.\"},{\"question\":\"How can physical activity affect endometriosis-related symptoms?\",\"answer\":\"Regular physical activity appears to attenuate systemic inflammation, improve hormonal regulation, and support psychological wellbeing.\"},{\"question\":\"Which dietary components are associated with better or worse outcomes?\",\"answer\":\"Dietary patterns rich in anti-inflammatory components (such as Mediterranean-style and low-inflammatory diets) are linked to reduced pain and improved gastrointestinal symptoms, while higher intake of red and processed meats may increase disease risk.\"}]","The Role of Lifestyle and Diet in the Treatment of Endometriosis - A Review | PDF",1790772754,48]