Effect of Tele-Yoga on Pain, Fatigue, and Quality of Life in Endometriosis

November 20, 2025 updated by: Melek Hava Köprülü, Ankara University

The Effect of Tele-Yoga Application on Chronic Pelvic Pain, Fatigue and Quality Of Life In Women With Endometriosis Diagnosis

This study aims to examine the effects of Tele-yoga on chronic pelvic pain, fatigue, and quality of life in patients diagnosed with endometriosis. It will be conducted as a single-center, randomized controlled experimental study design.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Endometriosis is a chronic, estrogen-dependent condition affecting approximately 10% of women of reproductive age worldwide. In Türkiye, it is estimated that around 2.4 million women are diagnosed with endometriosis. The disease is commonly associated with symptoms such as chronic pelvic pain (CPP), dysmenorrhea, dyspareunia, and infertility, among which CPP is the most prevalent. Endometriosis-related pain is typically recurrent and progressive, significantly impairing women's daily activities and overall quality of life.

Fatigue is another frequently reported symptom among women with endometriosis. Evidence indicates that fatigue is substantially more common in this population compared to the general female population and has a detrimental impact on both physical and psychological well-being. The coexistence of chronic pain and fatigue further exacerbates the negative effects of endometriosis on quality of life.

In recent years, there has been growing interest in Complementary and Integrative Health Approaches (CIHA) for managing pain and fatigue associated with endometriosis. The National Institute for Health and Care Excellence (NICE) guidelines emphasize the importance of multidisciplinary and mind-body-based strategies in endometriosis management. Yoga, recognized by the World Health Organization (WHO) as a complementary health practice, integrates physical postures, breathing exercises, and meditation. It is a low-cost, non-invasive intervention known to promote relaxation and reduce pain, stress, and fatigue.

Telerehabilitation enables the remote delivery of such interventions through digital technologies, improving accessibility and continuity of care. However, there is a limited number of studies investigating telerehabilitation-based yoga interventions among women experiencing chronic pelvic pain due to endometriosis.

Therefore, this project aims to examine the effects of Tele-yoga on chronic pelvic pain, fatigue, and quality of life in women diagnosed with endometriosis. The findings of this research are expected to contribute to developing holistic, accessible, and evidence-based management strategies for women living with endometriosis

Study Type

Interventional

Enrollment (Estimated)

66

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Voluntarily agree to participate in the research
  • Able to communicate effectively and have no language barriers
  • Have at least a primary school education
  • Are 18 years of age or older and premenopausal
  • Are not pregnant
  • Have no health problems that would prevent them from practicing yoga
  • Do not exercise regularly / do not exercise more than three times per week
  • Have not received physical therapy within the past three months
  • Have not undergone any pelvic surgery within the past year
  • Do not have surgical treatment planned for endometriosis
  • Do not have any other injury or disease causing pelvic pain
  • Have mild (1-3) or moderate (4-6) chronic pelvic pain
  • Have access to a computer, phone, or tablet with a camera and an available internet connection to participate in online sessions

Exclusion Criteria:

  • Those who wish to withdraw at any stage of the research
  • Those who do not attend all Tele-yoga sessions
  • Those who begin regular exercise or physical therapy during the study period
  • Those who become pregnant during the study
  • Those who use any Complementary or Alternative Medicine (CAM) method during the intervention
  • Those who undergo surgical treatment during the course of the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control Group
No intervention will be applied to the control group. Participants will be followed for eight weeks, and they will be expected to complete the scales at the end of the eighth week
Experimental: Tele-Yoga Group
The researcher will conduct online Tele-yoga sessions with patients diagnosed with endometriosis and experiencing pain in the intervention group using a computer or tablet. The program will include a total of 16 individual sessions, held twice a week for eight weeks, each lasting 60 minutes. Sessions will be conducted live via the Google Meet platform between the researcher and the participant. The schedule for the following week will be determined after the second session each week. All sessions will take place in a private setting chosen by the participant, ensuring privacy and comfort, and no screenshots or video recordings will be taken during the sessions.The intervention will begin with breathing exercises and a 10-minute meditation in the Sukhasana pose, followed by a 10-minute warm-up of stretching and mobilization. Then, a 35-minute yoga flow combining various asanas with breathing techniques will be performed, ending with 5 minutes of deep relaxation in the Savasana pose
Behavioral: Tele-Yoga Group
Tele-yoga is a telerehabilitation method that enables the delivery of yoga-based rehabilitation services through electronic systems. Initially developed for emergency management, this approach has become effective in daily practice with the increasing cost of treatment and the privatization of healthcare services. Yoga is a practice that can be adapted to the individual needs of each woman. In women with endometriosis, yoga helps develop a different response to pain through mindful attention to painful areas, relaxation postures, breathing techniques, and movement sequences

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numerical Rating Scale (NRS)
Time Frame: The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week)
In patients diagnosed with endometriosis, the Numerical Rating Scale (NRS) is used to assess pain intensity by having the patient rate their perceived pain on a scale from 0 to 10.A value of 0 is considered "no pain," while a value of 10 is considered "the worst pain imaginable." Patients are asked to circle the number representing the amount of pain they experience during the assessment. As the number on the scale increases, the pain increases.
The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The Fatigue Severity Scale (FSS)
Time Frame: The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week).
The Fatigue Severity Scale (FSS) is used to determine how fatigued the patient has felt over the past week, including the day the test is administered.
The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week).
The Endometriosis Health Profile-5 (EHP-5)
Time Frame: The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week)
The Endometriosis Health Profile-5 (EHP-5) is used to assess the impact of endometriosis on women's quality of life.
The scale will be administered to all groups before the intervention begins and after the intervention is completed (at the end of the eighth week)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ankara University

Investigators

  • Principal Investigator: Funda Özdemir, Ankara University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 30, 2026

Study Registration Dates

First Submitted

November 17, 2025

First Submitted That Met QC Criteria

November 17, 2025

First Posted (Estimated)

November 21, 2025

Study Record Updates

Last Update Posted (Actual)

November 25, 2025

Last Update Submitted That Met QC Criteria

November 20, 2025

Last Verified

November 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • AnkaraU-HEM-RK-02

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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