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Tests oxygen chamber therapy for pain from endometriosis

Tests a high-oxygen chamber alongside standard care in adults with endometriosis pain.

Plain-language title generated from the registry record
Registry title: The HEROES Trial: Hyperbaric Oxygen Therapy for Endometriosis-Related Pain

Key facts

Where
Toronto, CanadaSee the site

Where in Canada

  • Sunnybrook Health Sciences CentreToronto, CanadaTaking people

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Trial details

Who runs it
Sunnybrook Health Sciences Centre
Trial code
NCT06579040
Record updated
15 April 2026
Original description
Endometriosis, is a condition where tissue from the uterus, called endometrium, grows outside of the uterus. This effects up to 10% of women, and can lead to long-lasting, moderate to severe pelvic pain, infertility and other symptoms. This can affect a woman's quality of life (including increased risk of depression and anxiety) and is associated with increased healthcare costs.Read full original descriptionShow less

The HEROES Trial: Hyperbaric Oxygen Therapy for Endometriosis-Related Pain: A Prospective Randomized Study

Endometriosis, is a condition where tissue from the uterus, called endometrium, grows outside of the uterus. This effects up to 10% of women, and can lead to long-lasting, moderate to severe pelvic pain, infertility and other symptoms. This can affect a woman's quality of life (including increased risk of depression and anxiety) and is associated with increased healthcare costs.

Current treatments are often limited by serious side effects, and many women resort to surgery. Surgery is also associated with complications and there are long wait times for procedures, sometimes over 3 years. This means that many women continue to suffer from symptoms while they wait for surgery. Therefore, new effective treatments for endometriosis pain are needed.

New research suggests that inflammation and stress caused by lack of oxygen in the affected areas may cause endometriosis. Hyperbaric Oxygen Therapy (HBOT), where patients are placed in a small chamber with higher than normal levels of oxygen, suppresses inflammation and promotes tissue healing. Because inflammation is central to this condition, HBOT has emerged as a potential treatment.

In this study, the investigators will test if HBOT, in addition to the standard treatments, is more effective at treating endometriosis pain than the standard treatments alone.

Inclusion: Age ≥ 18 years old; Patients having refractory pelvic pain (NRS≥4) secondary to endometriosis for \>6 months; May or may not be on traditional multi-modal treatment (pharmacological and/or non-pharmacological); On waitlist for surgical treatment.

Exclusion: Patients with chronic pain resulting from disease processes unrelated to the pathophysiology of endometriosis-related symptoms (e.g. irritable bowel syndrome, migraine headache, fibromyalgia, chronic low back pain, and musculoskeletal injuries); Contraindications/medically unfit to receive hyperbaric treatments at an outpatient facility (e.g. pneumothorax, in-patients, requiring infusions to maintain hemodynamics, active and unstable coronary disease); Unlikely to comply with follow-up assessments (e.g. no fixed address, plans to move out of town).

ClinicalTrials.gov NCT06579040