Endometriose — Epidemiologie, Ätiologie und therapeutische Aspekte

G. Leyendecker, L. Wildt
In: Leuprorelinacetat — Ein neues GnRH-Analogon · 1992 · pp. 1–10 · doi:10.1007/978-3-642-77666-3_1 · W84392352
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Endometriosis involves endometrial-like tissue outside the uterus, most often affecting pelvic organs with varying severity that may correlate with symptoms.

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This review article defines endometriosis as the presence of endometrium-like tissue outside the uterine cavity, typically manifesting as external genital endometriosis confined to the pelvic organs. The authors outline a spectrum of disease severity ranging from small plaques and ovarian endometriomas to complete pelvic adhesions involving multiple organs, noting that clinical symptoms do not always correlate with the anatomical extent of the lesions. The text serves as an epidemiological and etiological overview, contextualizing these pathological features within broader therapeutic discussions of GnRH analogs. This paper is centrally about endometriosis — specifically providing a foundational definition and classification of its anatomical presentations and severity grades.

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Zusammenfassung Das Auftreten von dem Endometrium ähnlichen Gewebe außerhalb des Cavum uteri wird als Endometriose bezeichnet. Sie begegnet uns am häufigsten als Endometriosis genitalis externa mit Beschränkung der Herde auf die Organe des kleinen Beckens und tritt in unterschiedlichen Schweregraden auf, die von wenigen Endometrioseplaques über Endometriome des Ovars und Adnexadhäsionen zu einer völligen Verschwartung des kleinen Beckens mit Involvierung sämtlicher Organe reichen können. In der Regel korreliert der Schweregrad mit dem Beschwerdebild, was jedoch keineswegs zwingend ist. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Bartosik D, Jakobs SL, Kelly LJ (1986) Endometrial tissue in pertoneal fluid. Fertil Steril 46: 796 Bergqvist A, Rannevik G, Thoreil J (1981) Estrogen and progesterone cytosol receptor concentration in endometriotic tissue and intrauterine endometrium. Acta Obstet Gynecol Scand Suppl 101: 53 Bremen T, Leyendecker G (1992) Die Hysteroszintigraphie, eine Methode zur Untersuchung der uterinen/tubaren Transportfunktion. Arch Gynecol (im Druck) Brosens I A, Koninekx PR, Corveleyn PA (1978) A study of plasma progesterone, estradiol- 17ß, prolactin and LH-levels and of the luteal phase appearance of the ovaries in patients with endometriosis and infertility. Br J Obstet Gynaecol 85: 246 Coulam CB, Peters AJ, Gentry M, Gentry W, Criser E, Critser K (1991) Pregnancyrates after peritoneal ovum-sperm.-transfer. Am J Obstet Gynecol 164: 1447 D’Hooge TM, Bambra CS, Cornille FJ, Isahakia M, Koninekx PR (1991) Prevalence of laparoscopic appearance of spontaneaous endometriosis in the baboon. Biol Reprod 45: 411 Gordts S (1989) Sterilitätstherapie bei Endometriose. Gynäkologe 22: 315 Hartman CG (1962) Science and the safe period. A compendium of human reproduction. Williams and Wilkins, Baltimore Houston DE, Noller KL, Melton LJ, Selwyn BJ, Hardy RJ (1987) Incidence of pelvic endometriosis in Rochester, Minnesota, 1970–1979. Am J Epidemiol 125: 959 Hull ME, Moghissi KS, Magyar DF, Hayes MF (1986) Comparison of different treatment modalities of endometriosis in infertile women. Fertil Steril 47: 40 Jänne O, Kauppilla A, Kokko E, Lantto T, Rönnberg L,Vihko R (1981) Estrogen and progestin receptors in endometriosis lesions, comparison with endometrial tissue. Am J Obstet Gynecol 141: 562 Jenkins S, Olive DL, Haney AF (1986) The location of endometriosis lesions in an infertile patient population. Obstet Gynecol 67: 335 Li, T-C, Dockery P, Cooke ID (1991) Endometrial development in the luteal phase of women with various types of intertility: comparison with women of normal fertility. Hum Reprod 6: 325 Moen MH (1991) Is a long period without childbirth a risk factor for developing endometriosis? Hum Reprod 6: 1404 Moen MH, Muus KM (1991) Endometriosis in pregnant and non-pregnant women at tubar sterilization. Hum Reprod 6: 699 Sampsom JA (1925) Heterotopic or misplaced endometrial tissue. Am J Obstet Gynecol 10: 649 Schweppe K-W (1984) Zur Histogenese und endokrinen Abhängigkeit der Endometriose. In: Kaiser R (Hrsg.) Klinische Forschung in der Gynäkologie und Geburtshilfe. Thieme, Stuttgart, S. 144 Schweppe, K-W (1989) Pathophysiologic der Endometriose. Gynäkologe 22: 279 Westman A (1937) Investigations into transit of ovain man. J Obstet Gynaecol Br Emp 44: 821 Wilcox AJ et al. (1988) Incidence of early loss of pregnancy. N Engl J Med 319: 189 Wildt L, Becker P, Siebzehnrübl E, Wolf D, Frobenius W (1992) Gating of gamete transport: a new concept of fallopian tube function based on hystero-salping- scintigraphy. Lancet (im Druck) Editor information Editors and Affiliations Rights and permissions Copyright information © 1992 Springer-Verlag Berlin Heidelberg About this paper Cite this paper Leyendecker, G., Wildt, L. (1992). Endometriose — Epidemiologie, Ätiologie und therapeutische Aspekte. In: Runnebaum, B., Breckwoldt, M. (eds) Leuprorelinacetat — Ein neues GnRH-Analogon. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77666-3_1 Download citation DOI: https://doi.org/10.1007/978-3-642-77666-3_1 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-55721-0 Online ISBN: 978-3-642-77666-3 eBook Packages: Springer Book Archive

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