Endometriose

Zusammenfassung Die Endometriose zählt zu den häufigsten gutartigen Erkrankungen der geschlechtsreifen Frau. Trotz des charakteristischen Symptoms der Dysmenorrhö – häufig in Kombination mit Begleitsymptomen wie chronischen Unterbauchschmerzen, Dyschezie, Dysurie und Dyspareunie – dauert es immer noch zu lange, bis die Diagnose gestellt wird. Einfache Methoden der rektovaginalen Untersuchung sind hinweisend. Die Laparoskopie sollte zur Diagnosesicherung frühzeitig angestrebt werden. Eine postoperative Rezidivprophylaxe kann – bei fehlendem Kinderwunsch – sinnvoll sein. In der Rezidivsituation gilt es, individuell und im Konsens mit der Patientin das optimale Behandlungskonzept zu finden. Neben Rezidivoperationen kommen medikamentöse Maßnahmen zum Einsatz: neben Schmerzmedikamenten Gestagene, orale Kontrazeptiva im Langzyklus sowie Gonadotropin-releasing-Hormon(GnRH)-Analoga. Abstract Endometriosis is one of the most common benign diseases of the mature woman. 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Hum Reprod 26:2028–2035 Interessenkonflikt Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Renner, S., Burghaus, S., Hackl, J. et al. Endometriose. Gynäkologische Endokrinologie 11, 115–128 (2013). https://doi.org/10.1007/s10304-013-0556-4 Published: Issue date: DOI: https://doi.org/10.1007/s10304-013-0556-4 Schlüsselwörter - Dysmenorrhö - Chronische Unterbauchschmerzen - Laparoskopie - Tief infiltrierende Endometriose - Gonadotropin-releasing-Hormon