[Administration of micronized palmitoylethanolamide (PEA)-transpolydatin in the treatment of chronic pelvic pain in women affected by endometriosis: preliminary results]

Minerva Ginecol. 2013 Aug;65(4):453-63.
[Article in Italian]

Abstract

Aim: Aim of the study was to evaluate the effectiveness of micronized palmitoylethanolamide (PEA)-transpolydatin in the treatment of chronic pelvic pain in women affected by endometriosis.

Methods: Twenty-four patients with suspected endometriosis affected by severe pelvic pain were enrolled. All patients received two tablets a day of PEA 400 mg and 40 mg polydatin for 90 days consecutively. A Visual Analogic Scale was used for the assessment of the severity of global pain, dysmenorrhea, dyspareunia, dysuria and dischezia. A second questionnaire was submitted to patients to assess the quality of life. The compilation of a diary lead us to evaluate the monthly assumption of any painkillers. Patients were evaluated at the begin of the treatment and then monthly until the end of the study (90 days). The statistical analysis was performed by using the ANOVA for the analysis of variance.

Results: Statistically significant results were found in relation to pelvic pain, dysmenorrhea and dyspareunia compared to the initial evaluation of patients. Results related to dysuria and dischezia were not statistically significant (P>0.05). The decrease in pelvic pain leads to an improvement of the quality of life of patients. A decreased assumption of nonsteroidal anti-inflammatory drugs (NSAIDs) was also observed.

Conclusion: PEA could be considered an effective supplement to conventional analgesic therapies in the management of pelvic pain related to endometriosis.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Amides
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Chronic Pain / drug therapy
  • Chronic Pain / etiology
  • Chronic Pain / psychology
  • Drug Combinations
  • Dysmenorrhea / drug therapy
  • Dysmenorrhea / etiology
  • Dyspareunia / drug therapy
  • Dyspareunia / etiology
  • Endocannabinoids / administration & dosage
  • Endocannabinoids / therapeutic use*
  • Endometriosis / complications*
  • Ethanolamines / administration & dosage
  • Ethanolamines / therapeutic use*
  • Female
  • Glucosides / administration & dosage
  • Glucosides / therapeutic use*
  • Humans
  • Middle Aged
  • Palmitic Acids / administration & dosage
  • Palmitic Acids / therapeutic use*
  • Particle Size
  • Pelvic Pain / drug therapy*
  • Pelvic Pain / etiology
  • Pelvic Pain / psychology
  • Pilot Projects
  • Quality of Life
  • Stilbenes / administration & dosage
  • Stilbenes / therapeutic use*
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Amides
  • Anti-Inflammatory Agents, Non-Steroidal
  • Drug Combinations
  • Endocannabinoids
  • Ethanolamines
  • Glucosides
  • Palmitic Acids
  • Stilbenes
  • pelvilen
  • palmidrol
  • polydatin