Condimentary plants to alleviate the symptoms of endometriosis: an integrative review

Authors

DOI:

https://doi.org/10.17765/2176-9192.2025v27e13589

Keywords:

Anti-Inflammatory, Antioxidant, Biological Activity, Therapeutic Potential

Abstract

Endometriosis is a chronic inflammatory disease characterized by the abnormal growth of endometrial tissue outside the uterus, causing pain and menstrual dysfunction. An emerging alternative for its complementary treatment is the use of herbal medicines, substances derived from plants with therapeutic properties. Condimentary plants such as garlic, turmeric, and ginger have been highlighted in recent research as potential anti-inflammatory and antioxidant agents. This study aimed to conduct an integrative review investigating the use of condimentary plants, including garlic, turmeric, and ginger, to alleviate the symptoms of endometriosis. The databases ScienceDirect, PubMed, and SciELO were used, selecting articles in Portuguese and English published between 2014 and 2024. Studies demonstrated a high anti-inflammatory and antioxidant activity from garlic, mainly due to allicin, which inhibits the production of nitric oxide and prostaglandins, preventing the inflammatory process. Ginger showed significant therapeutic potential in relieving symptoms of chronic inflammatory diseases through phenolic compounds, particularly gingerol and shogaol, which inhibit the arachidonic acid cascade and block the production of pro-inflammatory molecules by suppressing cyclooxygenase-2 (COX-2). Turmeric’s therapeutic potential is mainly attributed to curcumin, which can inhibit factors associated with the inflammatory response and interfere with the arachidonic acid cascade. Garlic, turmeric, and ginger emerge as promising adjuvants in the complementary treatment of endometriosis, proving effective in reducing inflammatory markers and oxidative stress. In addition to being low-cost, they contribute to improving the quality of life of countless women facing the symptoms caused by the disease.

Author Biographies

Júlia Eliza de Souza Fernandes , UniCesumar

Graduanda em Nutrição - UNICESUMAR.

Vivian Cristina Ito, UniCesumar

Nutricionista. Doutora em Ciência e Tecnologia de Alimentos - UEPG. Docente na UniCesumar e no PPG em Ciência e Tecnologia de Alimentos – UEPG. Atua em alimentos funcionais, PANCs e desenvolvimento de alimentos.

References

Abramiuk, M., Mertowska, P., Frankowska, K., ?wiechowska-Starek, P., Satora, M., Polak, G., Dymanowska-Dyjak, I., & Grywalska, E. (2024). How Can Selected Dietary Ingredients Influence the Development and Progression of Endometriosis? Nutrients, 16 (1), 154. DOI: https://doi.org/10.3390/nu16010154.

ADJEI-MENSAH, B et al. Antiviral potentials of garlic (Allium sativum) in poultry production: A mini review. Vet Med Sci, v. 9, n. 6, 2023. Disponível em: DOI: https://doi.org/10.1002/vms3.1247.

AHMED, T, WANG, C-K. Black garlic and its bioactive compounds on human health diseases: a review. Molecules, v 26, n. 16, 2021. Disponível em: DOI: https://doi.org/10.3390/molecules26165028.

Allaire, C., Bedaiwy, M. A., & Yong, P. J. (2023). Diagnosis and management of endometriosis. CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne, 195(10), E363–E371. DOI: https://doi.org/10.1503/cmaj.220637.

ALMEIDA, P. H. F. et al. The anti-inflammatory action of Curcuma longa L. as a herbal medicine: a literature review. Research, Society and Development, v. 11, n. 14, 2022. Disponível em: DOI: https://doi.org/10.33448/rsd-v11i14.36644.

AMIRSALARI, S. et al. The Effect of Garlic Tablets on the Endometriosis-Related Pains: A Randomized Placebo-Controlled Clinical Trial. Evidence-Based Complementary and Alternative Medicine, 2021. Disponível em: DOI: https://doi.org/10.1155/2021/5547058.

Arab, A., Karimi, E., Vingrys, K., Kelishadi, M. R., Mehrabani, S., & Askari, G. (2022). Food groups and nutrients consumption and risk of endometriosis: a systematic review and meta-analysis of observational studies. Nutrition journal, 21(1), 58. DOI: https://doi.org/10.1186/s12937-022-00812-x.

ARAÚJO, D. F. et al. Potencial terapêutico do alho (Allium sativum L.) em processos inflamatórios. Revista COOPEX, v. 14, n. 4, p. 2825-2840, 2023. DOI: https://doi.org/10.61223/coopex.v14i4.390.

ARAÚJO, F. W. C.; SCHMIDT, D. B. Endometriose um problema de saúde pública: revisão de literatura. Revista Saúde e Desenvolvimento, v. 14, n. 18, 2020. Disponível em: https://www.revistasuninter.com/revistasaude/index.php/saudeDesenvolvimento/article/view/989.

AYUSTANINGWARNO, F. et al. A critical review of Ginger's (Zingiber officinale) antioxidant, anti-inflammatory, and immunomodulatory activities. Front Nutr, v. 11, 2024. Disponível em: DOI: https://doi.org/10.3389/fnut.2024.1364836.

Bahat, Y., P., Ayhan, I., Üreyen Özdemir, E., ?nceboz, Ü., & Oral, E. (2022). Dietary supplements for treatment of endometriosis: A review. Acta bio-medica: Atenei Parmensis, 93(1), e2022159. DOI: https://doi.org/10.23750/abm.v93i1.11237.

BAHRAMI, A. et al. Effects of curcumin on menstrual pattern, premenstrual syndrome, and dysmenorrhea: a triple-blind, placebo-controlled clinical trial. Sussex Research, v. 1, 2021. Disponível em: DOI: https://doi.org/10.1002/ptr.7314.

Balan, A., Moga, M. A., Dima, L., Dinu, C. G., Martinescu, C. C., Panait, D. E., Irimie, C. A., & Anastasiu, C. V. (2021). An Overview on the Conservative Management of Endometriosis from a Naturopathic Perspective: Phytochemicals and Medicinal Plants. Plants (Basel, Switzerland), 10(3), 587. DOI: https://doi.org/10.3390/plants10030587.

BALLESTER, P. et al. Atividade antioxidante em extratos da família Zingiberaceae: cardamomo, cúrcuma e gengibre. Molecules, v. 28, n. 10, 2023. Disponível em: DOI: https://doi.org/10.3390/molecules28104024.

BALLESTER, P. et al. Effect of Ginger on Inflammatory Diseases. Molecules, v. 27, n. 21, 2022. Disponível em: DOI: https://doi.org/10.3390/molecules27217223.

BARNARD, N. D. et al. Nutrition in the prevention and treatment of endometriosis: a review. Front. Nutr., v. 10, 2023. Disponível em: DOI: https://doi.org/10.3389/fnut.2023.1089891

BATIHA, G. E. et al. Chemical Constituents and Pharmacological Activities of Garlic (Allium sativum L.): A Review. Nutrients, v. 12, n. 3, 2020. Disponível em: DOI: https://doi.org/10.3390/nu12030872.

BERNAL, M. A. O.; FAZLEABAS, A. T. The known, the unknown and the future of the pathophysiology of endometriosis. Int. J. Mol. Sci. 2024, 25(11), 5815; DOI: https://doi.org/10.3390/ijms25115815.

BISCHOFF-KONT, I.; FÜRST, R. Benefits of Ginger and Its Constituent 6-Shogaol in Inhibiting Inflammatory Processes. Pharmaceuticals, v. 14, n. 6, 2021. Disponível em: DOI: https://doi.org/10.3390/ph14060571.

CHAICHIAN, S. It Is the Time to Treat Endometriosis Based on Pathophysiology. J Reprod Infertil, v. 20, n. 1, p. 1-2, 2019. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386790/.

CHUMBROENPHAT, T. et al. Changes in curcuminoids and chemical components of turmeric (Curcuma longa L.) under freeze-drying and low-temperature drying methods. Food Chemistry, v. 339, 2021. Disponível em:

DOI: https://doi.org/10.1016/j.foodchem.2020.128121.

CLOWER, L. et al. Targeting oxidative stress involved in endometriosis and its pain. Biomolecules 2022, 12(8), 1055; DOI: https://doi.org/10.3390/biom12081055.

CONCEIÇÃO, K. P. P. Efeito anti-inflamatório do gengibre. Dissertação (Mestrado Integrado em Ciências Farmacêuticas) – Instituto Universitário Egas Moniz, Almada, 2019. Disponível em: http://hdl.handle.net/10400.26/29767.

DUARTE, A. N.; RIGHI, M. Associação entre endometriose e infertilidade feminina: uma revisão de literatura. Acta Elit Salutis, v. 4, n. 1, 2021. Disponível em: DOI: https://doi.org/10.48075/aes.v4i1.26895.

Ele, Y.; Yue, Y.; Zheng, X.; Zhang, K.; Chen, S.; Du, Z. Curcumina, inflamação e doenças crônicas: como elas estão relacionadas? Moléculas 2015, 20, 9183-9213. DOI: https://doi.org/10.3390/molecules20059183.

ELIZONDO-LUEVANO, J. H. et al. Berberina, curcumina e quercetina como agentes potenciais com capacidade antiparasitária. Rev. trop, San José, v. 4, p. 1241-1249, 2020. DOI: http://dx.doi.org/10.15517/rbt.v68i4.42094.

EZEORBA, T. P. C. et al. Health-promoting properties of bioactive proteins and peptides of garlic (Allium sativum). Food Chemistry, v. 435, 2024. DOI: https://doi.org/10.1016/j.foodchem.2023.137632.

FERNANDES, C. P. M.; FÉLIX, S. R.; NOBRE, M. O. Toxicidade dos fitoterápicos de interesse do SUS: uma revisão. Semina: Ciências Biológicas e da Saúde, v. 37, n. 1, p. 91-104, 2016. DOI: https://doi.org/10.5433/1679-0367.2016v37n1p91

França, P. R. C., Lontra, A. C. P., & Fernandes, P. D. (2022). Endometriosis: A Disease with Few Direct Treatment Options. Molecules (Basel, Switzerland), 27(13), 4034. DOI: https://doi.org/10.3390/molecules27134034.

FROTA, L. A. FRANCO, L. J.; ALMEIDA, S. G. Nutrição e suas implicações para a endometriose. Research, Society and Development, v. 11, n. 5, 2022. DOI: https://doi.org/10.33448/rsd-v11i5.28017.

Golubkina N, Nemtinov V, Amagova Z, Skrypnik L, Nadezhkin S, Murariu OC, Tallarita AV, Caruso G. Biofortificação com selênio de espécies de Allium . Plantações. 2024; 4(4):602-622. DOI: https://doi.org/10.3390/crops4040042.

GOMES, M. O.; ROCHA, M. P.; LIMA, C. M. A. M. Os benefícios nutricionais para redução de sintomas e progressão da endometriose. Research, Society and Development, v. 11, n. 9, 2022. Disponível em: https://doi.org/10.33448/rsd-v11i9.31584.

GONÇALVES, D. S. et al. Influência da nutrição em mulheres com endometriose: revisão de literatura. Revista Científica Multidisciplinar Núcleo do Conhecimento, v. 17, n. 6, p. 73-108, 2021. Disponível em: https://www.nucleodoconhecimento.com.br/nutricao/nutricao-em-mulheres#:~:text=Resultados%20principais%3A%20Um%20tratamento%20nutricional,da%20doen%C3%A7a%20e%20melhora%20da.

GOUVEIA, S. S.; PINHEIRO, A. A. F. Ensaios Clínicos Duplo Cego Randomizados Sobre a Utilização Do Gengibre no Tratamento da Dor – Uma Revisão Integrativa. Revista Textura, v. 17, n. 1, p. 43-69, 2023. DOI: https://doi.org/10.22479/texturav17n1p43_70.

IWEALA, E. J. et al. Curcuma longa (Turmeric): Ethnomedicinal uses, phytochemistry, pharmacological activities and toxicity profiles - A review. Pharmacological Research - Modern Chinese Medicine, v. 6, 2023. DOI: https://doi.org/10.1016/j.prmcm.2023.100222.

JYOTIRMAYEE, B; MAHALIK, G. A review on selected pharmacological activities of Curcuma longa L. International Journal of Food Properties, v. 25, n. 1, p. 1377–1398, 2022. DOI: https://doi.org/10.1080/10942912.2022.2082464.

KAVULURU, P. A study to assess the effectiveness of ginger preparation on dysmenorrhea among adolescent girls. International Journal of Applied Research, v. 3, n. 3, p. 22-25, 2017. Disponível em: https://www.allresearchjournal.com/archives/2017/vol3issue3/PartA/3-2-79-951.pdf?utm_medium=email&utm_source=transaction.

KOLLER, D. et al. Epidemiologic and genetic associations of endometriosis with depression, anxiety and eating disorders. JAMA Network Open, v. 6, n. 1, 2023. Disponível em: https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2800556.

Liu, C. et al. Oral administration of turmeric-derived exosome-like nanovesicles with anti-inflammatory and pro-resolving bioactions for murine colitis therapy. Journal of nanobiotechnology, v. 20, n. 1, 2022. DOI: https://doi.org/10.1186/s12951-022-01421-w.

MARQUES, C. C. Fitoterapia na endometriose. Dissertação de mestrado, Universidade do Algarve, 2022. Disponível em: https://sapientia.ualg.pt/bitstream/10400.1/19207/1/Tese%20Fitoterapia%20na%20Endometriose%20-%20Carina%20Marques.pdf.

MATTHES, A. L. B. et al. Endometriose - uma revisão abrangente sobre patogenia e epidemiologia, investigação diagnóstica, abordagem clínica e cirúrgica. Brazilian Journal of Health Review, v. 7, n. 2, 2024. DOI: https://doi.org/10.34119/bjhrv7n2-256

MENDONÇA, M. F. M. et al. Endometriose: manifestações clínicas e diagnóstico – revisão bibliográfica / Endometriose: manifestações clínicas e diagnóstico - revisão bibliográfica. Brazilian Journal of Health Review, v. 4, n. 1, p. 3584–3592, 2021. DOI: https://doi.org/10.34119/bjhrv4n1-280.

MORIHARA, N. et al. Aged garlic extract suppresses inflammation in apolipoprotein E-knockout mice. Mol. Nutr. Food Res, n. 61, 2017. DOI: https://doi.org/10.1002/mnfr.201700308.

NICÁCIO, G. L. S. Breve revisão sobre as propriedades fitoterápicas do Zingiber officinale - o gengibre. Sinapse Múltipla, v. 7, n. 2, p. 74-80, 2018. Disponível em: https://periodicos.pucminas.br/index.php/sinapsemultipla/article/view/15612.

Ochoa Bernal, MA; Fazleabas, AT O conhecido, o desconhecido e o futuro da fisiopatologia da endometriose. Int. J. Mol. Sci. 2024, 25, 5815. DOI: https://doi.org/10.3390/ijms25115815.

PÂRVU, M. et al. Allium sativum Extract Chemical Composition, Antioxidant Activity and Antifungal Effect against Meyerozyma guilliermondii and Rhodotorula mucilaginosa Causing Onychomycosis. Molecules, v. 24, n. 21, 2019.

DOI: https://doi.org/10.3390/molecules24213958.

PEREIRA, A. C. C. et al. Comparação entre contraceptivos hormonais combinados e progestágenos isolados na eficácia do tratamento da endometriose: uma revisão de literatura. Revista Brasileira de Saúde, v. 4, n. 2, p. 4081-4093, 2021. DOI: https://doi.org/10.34119/bjhrv4n2-008.

PERSOONS, E. et al. Mimicking Sampson’s Retrograde Menstrual Theory in Rats: A New Rat Model for Ongoing Endometriosis-Associated Pain. Int. J. Mol. Sci, v. 21, n. 2326, 2020. DOI: https://doi.org/10.3390/ijms21072326.

PORFÍRIO, G. P. et al. O papel da dieta na etiologia da endometriose. BRASPEN Journal, v. 32, n. 2, p. 183-188, 2017. DOI: http://dx.doi.org/10.37111/braspenj.2017.32.2.16

RAHAMAN, M. M. et al. The Genus Curcuma and Inflammation: Overview of the Pharmacological Perspectives. Plants, v. 10, n. 63, 2021. DOI: https://doi.org/10.3390/plants10010063.

Rapti, E.; Adamantidi, T.; Efthymiopoulos, P.; Kyzas, GZ; Tsoupras, A. Aplicações potenciais das propriedades anti-inflamatórias, antitrombóticas e antioxidantes promotoras da saúde da curcumina: uma revisão crítica. Nutraceuticals 2024, 4, 562-595. DOI: https://doi.org/10.3390/nutraceuticals4040031

RAVINDRA, J. et al. Allicin extracted from Allium sativum shows potent anti-cancer and antioxidant properties in zebrafish. Biomedicine & pharmacotherapy, 169, 2023. DOI: https://doi.org/10.1016/j.biopha.2023.115854.

RECINELLA, L. et al. Anti-Inflammatory and Antioxidant Effects Induced by Allium sativum L. Extracts on an Ex Vivo Experimental Model of Ulcerative Colitis. Foods, v. 11, n. 22, 2022. Disponível em: https://doi.org/10.3390/foods11223559.

RODRIGUES, L. A. et al. Análise da influência da endometriose na qualidade de vida. Fisioterapia em movimento, v. 35, 2022. DOI: https://doi.org/10.1590/fm.2022.35124.

Sadeghi, M. et al. Curcumin and chemokines: mechanism of action and therapeutic potential in inflammatory diseases. Inflammopharmacology, v. 31, n. 3, p. 1069–1093. DOI: https://doi.org/10.1007/s10787-023-01136-w.

SANTOS, J. C. B. et al. Associação entre a endometriose e o estresse oxidativo: uma revisão de literatura. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 5, p. 1096–1115, 2024. Disponível em: https://doi.org/10.36557/2674-8169.2024v6n5p1096-1115

SHANG, A. et al. Bioactive Compounds and Biological Functions of Garlic (Allium sativum L.). Foods, v. 5, n. 7, 2019. DOI: https://doi.org/10.3390/foods8070246.

Shaukat, MN; Nazir, A.; Fallico, B. Bioativos do gengibre: uma revisão abrangente dos benefícios para a saúde e potenciais aplicações alimentares. Antioxidantes 2023, 12, 2015. DOI: https://doi.org/10.3390/antiox12112015.

SILVA, C. M. et al. Experiências das mulheres quanto às suas trajetórias até o diagnóstico de endometriose. Escola Anna Nery, v. 25, n. 4, 2021. DOI: https://doi.org/10.1590/2177-9465-EAN-2020-0374

X. Shao , JL Li , HD Zhang , XH Zhang , CZ Sun , X. Ouyang , e outros.

Efeitos anti-inflamatórios e mecanismos moleculares de polissacarídeos de pequenas moléculas bioativas do alho. Fronteiras em Nutrição, 9 (2023), Artigo 1092873. DOI: https://doi.org/10.3389/fnut.2022.1092873

SHIROOYE, P. et al. A clinical comparative study of oral and topical ginger on severity and duration of primary dysmenorrhea. Research Journal of Pharmacognosy (RJP), v. 4, n. 1, p. 23-32, 2017. Disponível em: https://www.rjpharmacognosy.ir/article_41132_0bf31f8008cb0ce8ebbc5ee59dad1bad.pdf.

SHIVKANYA, F. et al. A Comprehensive Review on the Therapeutic Potential of Curcuma longa Linn. in Relation to its Major Active Constituent Curcumin. Frontiers in Pharmacology, v. 13, 2022. DOI: https://doi.org/10.3389/fphar.2022.820806.

SOUSA, L. S; PROENÇA, D. C. Os benefícios do gengibre (Zingiber officinale) para a saúde humana. Saúde E Meio Ambiente: Revista Interdisciplinar, v. 12, p. 79–92, 2023. DOI: https://doi.org/10.24302/sma.v12.4675.

TEODORO, R. C.; DAVID, S. D. Influência do consumo de ácidos graxos, vitamina D e antioxidantes na endometriose: Revisão de literatura. Revista Científica nº 35 - IAMSPE, v. 12, n. 3, p. 70-88, 2023. Disponível em: https://ojs.iamspe.sp.gov.br/index.php/revistacientifica/article/view/123.

TESFAYE, A. Revealing the Therapeutic Uses of Garlic (Allium sativum) and Its Potential for Drug Discovery. The Scientific World Journal, v. 2021, n. 2021, p. 1-7, 2021. DOI: https://doi.org/10.1155/2021/8817288.

TSAMANTIOTI, E.S.; MAHDY, H. Endometriosis. StatPearls. Treasure Island (FL): 2024. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK567777/.

UNWANIAH, A. R. et al. Efeitos anticancerígenos de Gingerol, Shogaol e Curcumina no câncer cervical: um protocolo de revisão sistemática. Advances in Human Biology, v. 13, n. 3, p. 246-251, 2023. Disponível em: https://journals.lww.com/adhb/fulltext/2023/13030/anticancer_effects_of_gingerol,_shogaol_and.4.aspx.

Wang, P. H., Yang, S. T., Chang, W. H., Liu, C. H., Lee, F. K., & Lee, W. L. (2022). Endometriosis: Part I. Basic concept. Taiwanese journal of obstetrics & gynecology, 61(6), 927–934. DOI: https://doi.org/10.1016/j.tjog.2022.08.002.

Yuandani, Jantan I, Rohani AS and Sumantri IB (2021) Immunomodulatory Effects and Mechanisms of Curcuma Species and Their Bioactive Compounds: A Review. Front. Pharmacol. 12:643119. DOI: https://doi.org/10.3389/fphar.2021.643119.

ZHANG, Y. et al. Phytochemicals of garlic: Promising candidates for cancer therapy. Biomedicine & pharmacotherapy, 2020. DOI: https://doi.org/10.1016/j.biopha.2019.109730.

ZHANG, S. et al. Zingiber officinale var. rubrum: Red Ginger's Medicinal Uses. Molecules, v. 27, n. 3, 2022. DOI: https://doi.org/10.3390/molecules27030775.

ZHANG, W. et al. Canagliflozin Attenuates Lipotoxicity in Cardiomyocytes by Inhibiting Inflammation and Ferroptosis through Activating AMPK Pathway. International journal of molecular sciences, v. 24, n. 1, 2023. DOI: https://doi.org/10.3390/ijms24010858.

Published

2025-07-29

How to Cite

Fernandes , J. E. de S., & Ito, V. C. (2025). Condimentary plants to alleviate the symptoms of endometriosis: an integrative review . Iniciação Científica Cesumar, 27, 20–36. https://doi.org/10.17765/2176-9192.2025v27e13589

Issue

Section

Espaço Institucional de Pesquisa