Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic

Mathew Leonardi*, Andrew W. Horne, Katy Vincent, Justin Sinclair, Kerry A. Sherman, Donna Ciccia, George Condous, Neil P. Johnson, Mike Armour

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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The care of patients with endometriosis has been complicated by the coronavirus disease 2019 (COVID-19) pandemic. Medical and allied healthcare appointments and surgeries are being temporarily postponed. Mandatory self-isolation has created new obstacles for individuals with endometriosis seeking pain relief and improvement in their quality of life. Anxieties may be heightened by concerns over whether endometriosis may be an underlying condition that could predispose to severe COVID-19 infection and what constitutes an appropriate indication for presentation for urgent treatment in the epidemic. Furthermore, the restrictions imposed due to COVID-19 can impose negative psychological effects, which patients with endometriosis may be more prone to already. In combination with medical therapies, or as an alternative, we encourage patients to consider self-management strategies to combat endometriosis symptoms during the COVID-19 pandemic. These self-management strategies are divided into problem-focused and emotion-focused strategies, with the former aiming to change the environment to alleviate pain, and the latter address the psychology of living with endometriosis. We put forward this guidance, which is based on evidence and expert opinion, for healthcare providers to utilize during their consultations with patients via telephone or video. Patients may also independently use this article as an educational resource. The strategies discussed are not exclusively restricted to consideration during the COVID-19 pandemic. Most have been researched before this period of time and all will continue to be a part of the biopsychological approach to endometriosis long after COVID-19 restrictions are lifted.
Original languageEnglish
Article numberhoaa028
Pages (from-to)1-11
Number of pages11
JournalHuman Reproduction Open
Issue number2
Publication statusPublished - 1 Jun 2020

Bibliographical note

Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • endometriosis
  • pelvic pain
  • COVID-19
  • coronavirus
  • self-management
  • self-care
  • mind-body therapies
  • counseling
  • lifestyle management
  • psychology


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