Endometriose

P. Bielfeld, Jan-Steffen Krüssel
In: 54. Kongress der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe · 2003 · pp. 321–327 · doi:10.1007/978-3-642-18257-0_82 · W4246812993
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-14 ⓘ

Endometriosis is a common benign gynecological condition affecting about 10% of women of reproductive age, with foci found in 2-4% during sterilizations and 15-51% during infertility investigations.

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The paper provides an overview of endometriosis epidemiology, stating that it is a common benign gynecologic disease with an estimated incidence of about 10% of clinically apparent cases in reproductive age. It cites that endometriotic lesions are described at laparoscopy in roughly 2–4% of women undergoing sterilization procedures and in approximately 15–51% of patients evaluated for infertility. A stated limitation is that these figures reflect clinically apparent disease and lesion detection in selected clinical settings rather than a comprehensive population-based estimate. This paper is centrally about endometriosis — it summarizes incidence and how frequently lesions are found during sterilization and infertility investigations.

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Zusammenfassung Die Endometriose ist eine häufige gutartige Erkrankung der Frau mit einer geschätzten Inzidenz von etwa 10% klinisch apparenter Verlaufsformen im fortpflanzungsfähigen Alter. Bei Pelviskopien werden im Rahmen von Sterilisationen in 2—4% der Fälle, bei der Infertilitätsabklärung in ca. 15—51% der Patientinnen Endometrioseherde beschrieben [1]. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Vercellini P, Crosignani PG (1992) Epidemiology of endometriosis. In: Brosens I, Donnez J (eds) The current status of endometriosis research and management. Carnforth, Pearl River (Parthenon) Tinkanen H, Kujansuu E (2000) In vitro fertilzation in patients with ovarian endometriomas. Acta Obstet Gynecol Scand 79:119–122 Greb RR, Heinig J, Kiesel L (2002) Endometriose. Geburtsh Frauenheilk 62: R21–R40 Nisolle M, Donnez J (1997) Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68: 585–596 Schweppe KW (1989) Pathophysiologie der Endometriose. Gynäkologe 22: 279–288 Bischoff FZ, Simpson JL (2000) Heritability and molecular genetic studies of endometriosis. Hum Reprod Update 6(1): 37–44 Bergqvist A, Ljungberg O, Skoog L (1993) Immunohistochemical analysis of oestrogen and progesterone receptors in endometriotic tissue and endometrium. Hum Reprod 8:1915–1922 Noble LS, Simpson ER, Johns A, Bulun SE (1996) Aromatase expression in endometriosis. J Clin Endocrinol Metab 81:174–179 Zeitoun K, Takayama K, Sasano H et al. (1998) Deficient 17ß-hydroxysteroid dehydrogenase type 2 expression in endometriosis: failure to metabolize 17ß-estradiol. J Clin Endocrinol Metab 83: 4474–4480 Ebert AD, Starzinski-Powitz A (2002) Aromatase und Cyclooxygenase-2 — neue Ansätze in der Endometriosetherapie. Gynäkologe 35: 250–254 Lebovic DI, Mueller MD, Taylor RN (2001) Immunobiology of endometriosis. Fertil Steril 75:1–10 Vinatier D, Dufour P,Oosterlynck D (1996) Immunological aspects of endometriosis. Hum Reprod Update 2(5): 371–384 Oral E, Olive DL, Arici A (1996) The peritoneal environment in endometriosis. Hum Reprod Update 2(5): 385–398 Koninckx PR, Kennedy SH, Barlow DH (1998) Endometriotic disease: the role of peritoneal fluid. Hum Reprod Update 4(5): 741–751 Greb RR, Löbbecke K, Paletta JRJ, Kiesel L (2002) Immunmodulation der Endometriose. Gynäkologe 35:238–242 Malik E, Kressin P, Buchweitz O, Diedrich K (2002) Endometriose und Aktivität. Gynäkologe 35: 232–237 Cahill DJ, Hull MGR (2000) Pituitary-ovarian dysfunction and endometriosis. Hum Reprod Update 6(1): 56–66 Takayama K, Zeitoun K, Gunby RT et al. (1998) Treatment of severe postmenopausal endometriosis with an aromatase inhibitor. Fertil Steril 69: 709–713 Schweppe KW (2002) Therapie der Endometriose unter Berücksichtigung der Aktivitätsgrade. Gynäkologe 35: 255–261 Marcoux S, Maheux R, Berube S (1997) Laparoscopic surgery in infertile women with minimal or mild endometriosis. N Engl J Med 337: 217–222 Parazzini F (1999) Ablation of lesions or no treatment in minimal-mild endometriosis in infertile woman: a randomized trial. Gruppo Italiano per lo Studio dell’ Endometriosi. Hum Reprod 14: 1332–1334 Kodama H, Fukuda J, Karube H et al. (1996) Benefit of in vitro fertilization treatment for endometriosis-associated infertility. Fertil Steril 66: 974–979 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2003 Springer-Verlag Berlin Heidelberg About this paper Cite this paper Bielfeld, P., Krüssel, J.S. (2003). Endometriose. In: Bender, H.G., Dall, P. (eds) 54. Kongress der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18257-0_82 Download citation DOI: https://doi.org/10.1007/978-3-642-18257-0_82 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-62125-3 Online ISBN: 978-3-642-18257-0 eBook Packages: Springer Book Archive

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