{"paper_id":"1ddf2349-2ad1-4d93-b1f1-cda363172152","body_text":"Zusammenfassung\nDie Endometriose zählt zu den häufigsten gutartigen Erkrankungen der geschlechtsreifen Frau. Trotz des charakteristischen Symptoms der Dysmenorrhö – häufig in Kombination mit Begleitsymptomen wie chronischen Unterbauchschmerzen, Dyschezie, Dysurie und Dyspareunie – dauert es immer noch zu lange, bis die Diagnose gestellt wird. Einfache Methoden der rektovaginalen Untersuchung sind hinweisend. Die Laparoskopie sollte zur Diagnosesicherung frühzeitig angestrebt werden. Eine postoperative Rezidivprophylaxe kann – bei fehlendem Kinderwunsch – sinnvoll sein. In der Rezidivsituation gilt es, individuell und im Konsens mit der Patientin das optimale Behandlungskonzept zu finden. Neben Rezidivoperationen kommen medikamentöse Maßnahmen zum Einsatz: neben Schmerzmedikamenten Gestagene, orale Kontrazeptiva im Langzyklus sowie Gonadotropin-releasing-Hormon(GnRH)-Analoga.\nAbstract\nEndometriosis is one of the most common benign diseases of the mature woman. In spite of characteristic symptoms like dysmenorrhea—often in combination with accompanying symptoms such as chronic pelvic pain, dyschezia, dysuria and dyspareunia—it still takes too long for the correct diagnosis to be made. Simple methods like rectovaginal exam are indicative. Laparoscopy to confirm the diagnosis should be sought at an early stage. Postoperative recurrence prevention can—if there is no desire for children—make sense. In recurrent endometriosis, therapy must be individually made in consensus with the patient to find the optimal treatment plan. Besides recurrence operations, pharmacological treatment is often used. 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Rev Recent Clin Trials 5:143–146\nChapron C et al (2011) Oral contraceptives and endometriosis: the past use of oral contraceptives for treating severe primary dysmenorrhea is associated with endometriosis, especially deep infiltrating endometriosis. Hum Reprod 26:2028–2035\nInteressenkonflikt\nDer korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nRenner, S., Burghaus, S., Hackl, J. et al. Endometriose. Gynäkologische Endokrinologie 11, 115–128 (2013). https://doi.org/10.1007/s10304-013-0556-4\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s10304-013-0556-4\nSchlüsselwörter\n- Dysmenorrhö\n- Chronische Unterbauchschmerzen\n- Laparoskopie\n- Tief infiltrierende Endometriose\n- Gonadotropin-releasing-Hormon","source_license":"CC0","license_restricted":false}