Störung der Tubenfunktion und Endometriose

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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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Zusammenfassung Der Ausschluss eines tubaren Faktors bei unerfülltem Kinderwunsch sollte heute nicht mehr obligater Bestandteil der primären Diagnostik sein, sondern individuell indiziert werden. Die Notwendigkeit der initialen Tubenabklärung ergibt sich dabei aus der Kenntnis anderer Faktoren, welche die Subfertilität erklären könnten (Zyklusstörungen bis hin zur Amenorrhö als Hinweis auf eine Follikelreifungsstörung, andrologische Subfertilität etc.), sowie dem Vorliegen anamnestischer Risikofaktoren für eine Tubenerkrankung. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur American Society for Reproductive Medicine (1997) Revised American Society for Reproductive Medicine classification of endometriosis. Fertil Steril 67: 817–821 Bonneau C, Chanelles O, Sifer C, Poncelet C (2012) Use of laparoscopy in unexplained infertility. Eur J Obstet Gynecol Reprod Biol 163: 57–61 Broeze KA, Opmeer BC, Coppus SF, Van Geloven N, Alves MF, Anestad G, Bhattacharya S, Allan J, Guerra-Infante MF, Den Hartog JE, Land JA, Idahl A, Van der Linden PJ, Mouton JW, Ng EH, Van der Steeg JW, Steures P, Svenstrup HF, Tiitinen A, Toye B, Van der Veen F, Mol BW (2011) Chlamydia antibody testing and diagnosing tubal pathology in subfertile women: an individual patient data meta-analysis. Hum Reprod Update 17: 301–310 Coppus SF, Opmeer BC, Logan S, van der Veen F, Bhattacharya S, Mol BW (2007) The predictive value of medical history taking and Chlamydia IgG ELISA antibody testing (CAT) in the selection of subfertile women for diagnostic laparoscopy: a clinical prediction model approach. Hum Reprod 22: 1353–1358 Coppus SF, Land JA, Opmeer BC, Steures P, Eijkemans MJ, Hompes PG, Bossuyt PM, van der Veen F, Mol BW, van der Steeg JW (2011) Chlamydia trachomatis IgG seropositivity is associated with lower natural conception rates in ovulatory subfertile women without visible tubal pathology. Hum Reprod 26: 3061–3067 Fauconnier A, Chapron C (2005) Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Update 11: 595–606 Jacobson TZ, Duffy JM, Barlow D, Farquhar C, Koninckx PR, Olive D (2010) Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev 1: CD001398 Lim CP, Hasafa Z, Bhattacharya S, Maheshwari A (2011) Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup? Hum Reprod 26: 967–971 Luttjeboer FY, Verhoeve HR, van Dessel HJ, van der Veen F, Mol BW, Coppus SF (2009) The value of medical history taking as risk indicator for tuboperitoneal pathology: a systematic review. Br J Obstet Gynaecol 116: 612–625 Meuleman C, Vandenabeele B, Fieuws S, Spiessens C, Timmerman D, D’Hooghe T (2009) High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil Steril 92: 68–74 The Practice Committee of the American Society for Reproductive Medicine (2012) Endometriosis and infertility: a committee opinion. Fertil Steril 98: 591–598 Wei L, Macdonald T, Shimi S (2012) Association between appendicectomy in females and subsequent pregnancy rate: a cohort study. Fertil Steril 98: 401–405 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Nawroth, F. (2014). Störung der Tubenfunktion und Endometriose. In: Gnoth, C., Mallmann, P. (eds) Perikonzeptionelle Frauenheilkunde. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38023-5_25 Download citation DOI: https://doi.org/10.1007/978-3-642-38023-5_25 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-38022-8 Online ISBN: 978-3-642-38023-5 eBook Packages: Medicine (German Language)

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