2024/09/03 by İnci Türkoğlu, I. Türkoğlu, Koray Görkem Saçıntı +8 · 8 citations
Medicine · #Bioinformatics #Biology #CINAHL #Cochrane Library #Endometrial and Cervical Cancer Treatments #Endometriosis #Endometriosis Research and Treatment #Gut flora #Immunology #Internal medicine #MEDLINE #Medicine #Pelvic pain #Pregnancy-related medical research #Psychiatry #Randomized controlled trial #Surgery
paper · doi:10.1093/nutrit/nuae120
published in Nutrition Reviews 83(5), 869-879 (Oxford University Press)
openalex publication_date 2024/09/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30
Endometriosis is a chronic gynecological disorder affecting millions of women worldwide, causing chronic pelvic pain, dyspareunia, dysmenorrhea, and infertility, and severely impacting their quality of life. Treatment primarily involves hormonal therapies and surgical excision, but high recurrence rates and the economic burden are substantial. With these challenges, significant discussion surrounds the potential role of dietary patterns in managing endometriosis, making it necessary to bridge this critical gap. This review investigates the current scientific evidence on the dietary patterns (eg, Mediterranean, vegetarian, anti-inflammatory, low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols [low-FODMAP], and Western-style diets) associated with endometriosis and provides a concise, yet thorough, overview on the subject. In addition, antioxidants, microbiota, and artificial intelligence (AI) and their potential roles were also evaluated as future directions. An electronic-based search was performed in MEDLINE, Embase, Cochrane Library, CINAHL, ClinicalTrials.gov, Scopus, and Web of Science. The current data on the topic indicate that a diet based on the Mediterranean and anti-inflammatory diet pattern, rich in dietary fiber, omega-3 fatty acids, plant-based protein, and vitamins and minerals, has a positive influence on endometriosis, yielding a promising improvement in patient symptoms. Preclinical investigations and clinical trials indicate that dietary antioxidants and gut microbiota modulation present potential new approaches in managing endometriosis. Also, AI may offer a promising avenue to explore how dietary components interact with endometriosis. Ultimately, considering genetic and lifestyle factors, a healthy, balanced, personalized approach to diet may offer valuable insights on the role of diet as a means of symptom improvement, facilitating the utilization of nutrition for the management of endometriosis.