Diagnostik und Therapie der Endometriose bei Kinderwunsch
Unexplained infertility warrants endometriosis evaluation, and surgical interventions may improve conception chances for affected women, with or without assisted reproduction.
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This paper reviews diagnostic and therapeutic approaches for endometriosis in women seeking pregnancy, emphasizing that infertility can occur with or without typical pain symptoms and that careful assessment is recommended, ideally in specialized centers. It summarizes major disease phenotypes (endometriomas, superficial peritoneal disease, deep infiltrating endometriosis, and adenomyosis) and highlights that lesion extent does not always correlate with symptom severity or fertility impact. Key points include the need for systematic classification using rASRM (noting limitations in capturing certain aspects) together with ENZIAN for deep infiltrating disease, while also citing gaps in real-world guideline adherence. This paper is centrally about endometriosis — it specifically focuses on how to diagnose and manage endometriosis in the context of fertility and child-wish care, including discussion of associated adenomyosis.
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