CHRONIC pelvic pain affects up to one in seven women and often overlaps with conditions such as endometriosis, irritable bowel syndrome, or musculoskeletal disorders. While medications and surgery remain important treatments, nutrition and movement are increasingly recognised as valuable partners in care.

Nutrition

The anti-inflammatory diet has become a cornerstone of pain management. This pattern of eating emphasises fruits, vegetables, whole grains, nuts, seeds, and fatty fish, while minimising processed foods and red meats. Research has shown that women with endometriosis who consume more omega-3 fatty acids report less severe pain.

Supplements can strengthen this effect. Fish oil lowers prostaglandins, the chemical messengers that trigger cramps and pain. Turmeric’s active ingredient curcumin reduces inflammatory signals and in animal studies has been shown to shrink endometriotic lesions.

One of my favourites these days is N-acetylcysteine (NAC). In 2023, researchers studied women with endometriosis who were not taking hormonal medications. Those given NAC for three months reported less pain, smaller lesions, and in some cases improved fertility. I have implemented NAC in my own practice and have seen similar improvements in pain control.

Other supportive nutrients include antioxidants like vitamins C and E, which help reduce oxidative stress in pelvic tissues. Together, these nutritional strategies can lessen pain flare-ups and improve quality of life.

Movement

Physical activity reduces systemic inflammation and enhances blood flow to the pelvis. Many cases of chronic pelvic pain are multifactorial, and hidden pelvic floor dysfunction often complicates treatment. Low-impact aerobic exercise, yoga, and stretching help relax pelvic floor muscles and ease stiffness. Strength training builds core stability, improves posture, and reduces stress on the pelvis while also releasing natural endorphins that dampen pain perception.

Even 20 to 30 minutes of gentle movement most days, along with weekly strength sessions, can reduce pain sensitivity and improve pelvic stability, helping women reclaim control from chronic pain.

A diet rich in anti-inflammatory foods combined with consistent, tailored movement gives women a powerful, drug-free approach to calming chronic pelvic pain.

Dr Ryan Halsall, MBBS DMOG FACOG FMAS, is a consultant OBGYN and minimally invasive surgeon. He operates ILAP Medical, Suite 2, 22 Windsor Avenue, Kingston.

Dr Ryan Halsall.