Störung der Tubenfunktion und Endometriose
Tubal factors should not be a mandatory part of initial infertility diagnostics but rather individually indicated based on other subfertility causes or risk factors for tubal disease.
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The chapter argues that routine tubal assessment should no longer be mandatory in the initial diagnostic workup for couples with unfulfilled desire for children. Instead, evaluation of tubal factors must be individually indicated based on other explanatory causes of subfertility, such as ovulatory disorders or male factor infertility, alongside specific anamnestic risk factors for tubal disease. The text reviews literature linking Chlamydia infection and pelvic pathology to impaired fertility, noting that endometriosis is a significant risk factor for tuboperitoneal issues. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
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