Sind endometriale Nervenfasern und Hormone an Endometrioseschmerzen beteiligt?

In: Geburtshilfe und Frauenheilkunde · 2025 · vol. 85(09) , pp. 901–902 · doi:10.1055/a-2628-9387 · W4413938677
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This study investigated the role of endometrial nerve fibers and sex hormones estradiol and progesterone in the development of endometriosis pain.

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This brief commentary explores the unresolved mechanisms behind endometriosis-associated pain, noting that clinical studies have identified a high density of nerve fibers within endometriotic lesions that correlates with specific symptomatic presentations. The authors highlight that nerve fibers are also present in eutopic endometrium and question their contribution to pain generation alongside the roles of estradiol and progesterone in neurogenesis. While the text establishes the presence of these neural and hormonal factors, it serves as an introductory overview rather than presenting new primary data or detailed experimental results. This paper is centrally about endometriosis — specifically investigating the potential involvement of endometrial nerve fibers and sex hormones in the pathophysiology of endometriosis-related pain.

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Abstract

Der Schmerzmechanismus bei Endometriose ist nicht endgültig geklärt. Klinische Studien fanden in Endometrioseherden eine hohe Dichte von Nervenfasen, die mit der spezifischen Schmerzsymptomatik korrelierte. Nervenfasen sind auch im eutopen Endometrium vorhanden. Haben sie Anteil an der Entstehung der Schmerzen und welche Rolle spielen die Sexualhormone Östradiol und Progesteron, die, wie man weiß, in die Neurogenese involviert sind?
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Geburtshilfe Frauenheilkd 2025; 85(09): 901-902 DOI: 10.1055/a-2628-9387 DOI: 10.1055/a-2628-9387 GebFra Magazin Aktuell referiert Sind endometriale Nervenfasern und Hormone an Endometrioseschmerzen beteiligt? Authors Der Schmerzmechanismus bei Endometriose ist nicht endgültig geklärt. Klinische Studien fanden in Endometrioseherden eine hohe Dichte von Nervenfasen, die mit der spezifischen Schmerzsymptomatik korrelierte. Nervenfasen sind auch im eutopen Endometrium vorhanden. Haben sie Anteil an der Entstehung der Schmerzen und welche Rolle spielen die Sexualhormone Östradiol und Progesteron, die, wie man weiß, in die Neurogenese involviert sind? Publication History Article published online: 02 September 2025 © 2025. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

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