Endometriose und Fertilitätsprotektion – sinnvoll oder nicht?

Zusammenfassung Endometriose ist eine der häufigsten gynäkologischen Erkrankungen. Sie ist per se mit dem Risiko der Subfertilität behaftet. Entzündliche Reaktionen in einem veränderten peritonealen Milieu und Endometriome bzw. Endometriosezysten schädigen den Follikelpool der Ovarien und die Eizellqualität. Im vorliegenden Beitrag wird diskutiert, ob es sinnvoll ist, einer Patientin mit Endometriose Maßnahmen der Fertilitätsprotektion anzubieten. Auch auf die Frage nach dem optimalen Zeitpunkt wird dabei eingegangen. Abstract Endometriosis, a common gynecological disease, is inherently associated with subfertility. Inflammatory reactions in the pelvis and endometriomas/endometriotic cysts damage the ovaries and oocytes. In this paper, we discuss if and when routine fertility protection techniques should be offered to women with endometriosis. 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Gynäkologische Endokrinologie 17, 78–82 (2019). https://doi.org/10.1007/s10304-019-0248-9 Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10304-019-0248-9 Schlüsselwörter - Ovarialendometriose - Endometriosezysten - Weibliche Infertilität - In-vitro-Fertilisation - Chirurgische Therapie der Endometriose