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Article

Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study

1
Il Melograno, Maternity and Childbirth Empowerment Centres, 00179 Rome, Italy
2
Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy
3
Department of Obstetrics and Gynecology, Santa Maria Della Stella Hospital, 05018 Orvieto, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Agnieszka Drosdzol-Cop
Int. J. Environ. Res. Public Health 2021, 18(20), 10602; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010602
Received: 11 August 2021 / Revised: 5 October 2021 / Accepted: 7 October 2021 / Published: 10 October 2021
Endometriosis is a gynecological estrogen-dependent disease whose commonest pain symptoms are dysmenorrhea, dyspareunia, and acyclic chronic pelvic pain (CPP). Hormonal changes occurring during breastfeeding seem to reduce pain and disease recurrence. The aim of this observational prospective study was to assess the effect of breastfeeding on pain and endometriotic lesions in patients with endometriosis and to evaluate a possible correlation between the duration of breastfeeding, postpartum amenorrhea, and pain. Out of 156 pregnant women with endometriosis enrolled, 123 who breastfed were included in the study and were monitored for 2 years after delivery; 96/123 exclusively breastfed for at least 1 month. Mode of delivery, type and duration of breastfeeding, intensity of pain symptoms, and lesion size before pregnancy and during the 24-month follow-up were analyzed. All patients experienced a significant reduction in dysmenorrhea proportional to the duration of breastfeeding. CPP was significantly reduced only in women who exclusively breastfed. No significant improvement in dyspareunia was observed. Ovarian endometriomas were significantly reduced. Therefore, breastfeeding, particularly if exclusive, may cause improvement in dysmenorrhea and CPP proportional to the duration of breastfeeding, as well as a reduction in the size of ovarian endometriomas. View Full-Text
Keywords: endometriosis; breastfeeding; exclusive breastfeeding; acyclic chronic pelvic pain; dysmenorrhea; postpartum amenorrhea endometriosis; breastfeeding; exclusive breastfeeding; acyclic chronic pelvic pain; dysmenorrhea; postpartum amenorrhea
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MDPI and ACS Style

Prosperi Porta, R.; Sangiuliano, C.; Cavalli, A.; Hirose Marques Pereira, L.C.; Masciullo, L.; Piacenti, I.; Scaramuzzino, S.; Viscardi, M.F.; Porpora, M.G. Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study. Int. J. Environ. Res. Public Health 2021, 18, 10602. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010602

AMA Style

Prosperi Porta R, Sangiuliano C, Cavalli A, Hirose Marques Pereira LC, Masciullo L, Piacenti I, Scaramuzzino S, Viscardi MF, Porpora MG. Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study. International Journal of Environmental Research and Public Health. 2021; 18(20):10602. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010602

Chicago/Turabian Style

Prosperi Porta, Romana, Chiara Sangiuliano, Alessandra Cavalli, Laila C. Hirose Marques Pereira, Luisa Masciullo, Ilaria Piacenti, Sara Scaramuzzino, Maria F. Viscardi, and Maria G. Porpora. 2021. "Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study" International Journal of Environmental Research and Public Health 18, no. 20: 10602. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010602

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