Deutsches Arzteblatt international

BackgroundPatients with coccygodynia have chronic pain in the area of the coccyx that is worse on sitting. The prevalence of this condition is unknown, but women are affected much more frequently than men, in a 5:1 ratio.MethodsIn this narr…

BackgroundCardiovascular diseases due to arteriosclerosis are the most common causes of death and disability in both men and women. Hypercholesterolemia, a treatable risk factor, is often detected after a delay in women, and then inadequate…

BACKGROUND: The epidemiological characterization of endometri - osis, particularly with regard to its incidence, has been inadequate to date both in Germany and other countries. The goal of this study was to determine trends in the incidenc…

BackgroundAn increasing number of persons around the world are receiving the diagnosis of gender incongruence, and most of them are in their reproductive years. Safe contraception and fertility preservation are important issues for counseli…

BACKGROUND: Endometriosis is a chronic, benign disease that affects approximately 10% of women of childbearing age. Its characteristic clinical features are dysmenorrhea, dyschezia, dysuria, dyspareunia, and infertility. The manifestations …

BackgroundAcute appendicitis is the most common cause of the acute abdomen, with an incidence of 1 per 1000 persons per year. It is one of the main differential diagnoses of unclear abdominal conditions.MethodsThis review is based on pertin…

Endometriosis Is a Possible CauseI read the article on investigating hematuria with great interest (1).Unfortunately, one cause was not mentioned, although it occurs at a rate that is relevant: deeply infiltrating endometriosis of bladder o…

BackgroundFunctional dyspepsia (FD) is one of the more common functional disorders, with a prevalence of 10-20%. It affectsthe gastrointestinal tract.MethodsThis article is based on publications retrieved by a selective search of PubMed, wi…

BackgroundHematuria can be either grossly visible (macrohematuria) or only detectable under a microscope (microhematuria). Microhematuria is often asymptomatic and has a prevalence of 4-5% in routine clinical practice. It may be due to an u…

BackgroundFor many years, low back pain has been both the leading cause of days lost from work and the leading indication for medical rehabilitation. The goal of the German Disease Management Guideline (NDMG) on nonspecific low back pain is…

BackgroundHemoptysis, i.e., the expectoration of blood from the lower airways, has an annual incidence of approximately 0.1% in ambulatory patients and 0.2% in inpatients. It is a potentially life-threatening medical emergency and carries a…

BackgroundBack pain has many causes. In Germany, about 70% of adults have at least one episode of back pain per year.MethodsThis review is based on a selective literature search and on the German National Disease Management Guideline for Lo…

BackgroundChronic abdominal wall pain is a poorly recognized clinical problem despite being an important element in the differential diagnosis of abdominal pain.MethodsThis review is based on pertinent articles that were retrieved by a sele…

BackgroundHysterectomy is the second most common operation in obstetrics and gynecology after Cesarean section. Until now, there has not been any German clinical guideline with recommendations concerning the indications for hysterectomy for…

BackgroundFertility-preserving measures for women are increasingly being performed for non-medical reasons in Germany. This is now a controversial matter.MethodsThe authors searched the PubMed database for pertinent publications on the basi…

BackgroundChronic abdominal pain, bloating, constipation, diarrhea, and stool irregularity are common symptoms in primary care and gastroenterology. A routine diagnostic evaluation fails to reveal any underlying somatic condition in about h…

BackgroundIn Germany today, one-third of the 20 million women of child-bearing age use combined oral contraceptives (COCs). In this article, we summarize the current knowledge of the mode of action, wanted and unwanted side effects, and lon…

BackgroundHysterectomy is among the more common surgical procedures in gynecology. The aim of this study was to calculate population-wide rates of hysterectomy across Germany and to obtain information on the different modalities of hysterec…

BackgroundIrritable bowel syndrome is characterized by chronic abdominal symptoms and irregular bowel movements without any cause than can be revealed by routine diagnostic assessment. In recent years, its pathophysiology has come to be muc…