Die medikamentöse Therapie der Patientin mit Endometriose

Johannes Lermann, I Krauss, Stefanie Burghaus, Matthias W. Beckmann, Stefan P. Renner
In: Frauenheilkunde up2date · 2023 · vol. 17(04) , pp. 361–376 · doi:10.1055/a-1794-4547 · W4385830825
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This article reviews drug therapies for endometriosis, detailing treatment types, duration, and initiation timing based on symptom severity, fertility desires, and patient age.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This article reviews the medication-based treatment of endometriosis, outlining how therapy is selected according to symptom severity, age, and current or future fertility goals, and distinguishing medical options from surgical and pain therapies at a high level. It summarizes hormonal and non-hormonal approaches, noting that non-hormonal options emphasize pain control (including NSAIDs for dysmenorrhea) and that in Germany approved hormonal agents include GnRH analogs and dienogest, while other hormonal therapies may require off-label informed consent. It also reports that guidelines differentiate first-line oral progestins (e.g., dienogest) from second-line options (including combined oral contraceptives, other progestins and GnRH analogs) and describes the recommendation for postoperative recurrence prophylaxis after surgical treatment. A caveat highlighted is that endometriosis symptom intensity can vary and does not necessarily correlate with disease severity or lesion location. This paper is centrally about endometriosis — it provides a structured overview of medication-based disease-specific therapy options, indications, and guideline-based treatment sequencing.

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Abstract

Die Therapie der Endometriose richtet sich unter anderem nach dem Ausmaß der Symptomatik, dem aktuellen bzw. dem zukünftigen Kinderwunsch sowie dem Alter der Patientin. Therapieoptionen sind die medikamentöse, die operative sowie die Schmerztherapie. Der vorliegende Artikel stellt die medikamentösen krankheitsspezifischen Therapieformen, die Art und Dauer der Therapie sowie den Zeitpunkt des Therapiebeginns vor.

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Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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License: CC0 · commercial use OK