Endometriosis is a chronic disease that may require surgical intervention under certain circumstances. Although the condition itself is associated with impaired fertility in 30-50% of affected individuals, surgical treatment may further red…
With both its academic disciplines, gynaecology and obstetrics, the classical clinical subject of "gynaecology" in a wider sense was established mainly on the basis of a normal and, above all, abnormal, pathological morphology. It's a fact …
Chronic pelvic pain often means for patients as well as for their physicians a dilemma concerning diagnosis and therapy: the common medical approach does often not fit for essential therapeutic needs, which should include somatic examinatio…
Since 1985 the revised American Fertility Society (r-AFS) classification (renamed later American Society for Reproductive Medicine's classification--ASRM classification) has been a widely accepted system of categorizing the extent of endome…
Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. Its pathogenesis ist still not definitely clear. The incidence today is stated very differently, most studies report an incidence of 10-15% for women…
Surgical treatment of endometriosis should be done during laparoscopy, which is obligatory for the diagnosis of the disease. In case of continuing postoperative symptoms, a medical treatment should be administered. As endometriosis is a hor…
Operative treatment of endometriosis is the most important part of the therapeutic concept. It is important for the verification of the diagnosis and offers also the possibility to remove all visible lesions and to restore partially destroy…
Up to now no benefit of screening for ovarian cancer, using serum tumormarker and/or sonography has been proven. The following problems have to be taken into consideration: 1) With the low prevalence of ovarian cancer a screening test would…
The current therapy study with 50 patients showed that a reversible down regulation of the ovaries is possible. Particularly in cases with severe endometriosis a rapid release of pain can usually be achieved. Further development of the dise…
A variety of desirable and undesirable side effects of oral contraceptives is attributed to the progestins. The favourable effects can be of considerable importance but are not suitable for therapeutic use. The occurrence of possibly severe…