Endometriose: Klinik und Therapie

In: Leitsymptom chronischer Unterbauchschmerz der Frau · 2015 · pp. 55–60 · doi:10.1007/978-3-662-43669-1_6 · W770550960
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Endometriosis is a common benign condition in women causing pain and infertility, diagnosed via laparoscopy, with treatment options including medication and surgery, often requiring a multidisciplinary approach.

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This paper is a German-language clinical overview describing endometriosis as a common benign condition associated with pain and potential infertility, noting that its symptoms overlap with other causes of chronic lower abdominal pain. It states that diagnosis should be confirmed histologically via laparoscopy and that treatment includes both medication and surgical options, often requiring a multidisciplinary approach. The chapter’s main limitation is that it is not a primary study but a narrative summary, so it does not provide new comparative evidence or quantify outcomes for specific interventions. This paper is centrally about endometriosis — it focuses on endometriosis clinical presentation and diagnostic and therapeutic approaches.

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Zusammenfassung Endometriose ist eine häufige gutartige Erkrankung der Frau, die mit Schmerzen und Sterilität einhergehen kann. Das klinische Erscheinungsbild überschneidet sich stark mit anderen Ursachen des chronischen Unterbauchschmerzes. Die Diagnose soll durch eine Laparoskopie histologisch gesichert werden. Zur Therapie bestehen medikamentöse und operative Optionen, oft ist ein multidisziplinärer Ansatz erforderlich. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur American Society For Reproductive Medicine (1997) Revised American Society for Reproductive Medicine classification of endometriosis. Fertility and Sterility 67: 817–21 Dmowski WP1, Lesniewicz R, Rana N, Pepping P, Noursalehi M (1997) Changing trends in the diagnosis of endometriosis: a comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertility. Fertil Steril 67(2): 238–43 Dunselman GA, Vermeulen N, Becker C et al. (2014) European Society of Human Reproduction and Embryology. ESHRE guideline: management of women with endometriosis. Hum Reprod 29(3): 400–12 Ebert AD, Ulrich U, Keckstein J et al. (2013) Endometriosis Research Foundation, and the European Endometriosis League Implementation of certified endometriosis centers: 5-year experience in German-speaking Europe Gynecol Obstet Invest 76(1): 4–9 Hadfield R, Mardon H, Barlow D, Kennedy S (1996) Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK. Hum Reprod 11(4): 878–80 Hornstein MD, Gleason RE, Orav J et al. (1993) The reproducibility of the revised American Fertility Society classification of endometriosis. Fertil Steril 59(5): 1015–21 Hudelist G, Fritzer N, Thomas A et al. (2012) Diagnostic delay for endometriosis in Austria and Germany: causes and possible consequences. Hum Reprod 27(12): 3412–6 Ling FW (1999) Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group. Obstet Gynecol 93(1): 51–8 Matalliotakis IM, Cakmak H, Fragouli YG, Goumenou AG, Mahutte NG, Arici A (2008) Epidemiological characteristics in women with and without endometriosis in the Yale series. Arch Gynecol Obstet 277(5): 389–93 Ruffo G, Scopelliti F, Manzoni A et al. (2014) Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: a single-center experience after 900 cases. Biomed Res Int 2014: 463058 Schweppe, K.-W. (1984) Mortphologie und Klinik der Endometriose. Schattauer, Stuttgart Strowitzki T, Marr J, Gerlinger C, Faustmann T, Seitz C (2010) Dienogest is as effective as leuprolide acetate in treating the painful symptoms of endometriosis: a 24-week, randomized, multicentre, open-label trial. Hum Reprod 25(3): 633–41 Sutton CJ, Pooley AS, Ewen SP, Haines P (1997) Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis. Fertil Steril 68(6): 1070–4 Tuttlies F, Keckstein J, Ulrich U et al. (2005) Der ENZIAN-Score, eine Klassifikation der tief infiltrierenden Endometriose. Zentralbl Gynakol. 127(5):275–281. Ulrich U, Buchweitz O, Greb R et al. (2013) Interdisciplinary S2k Guidelines for the Diagnosis and Treatment of Endometriosis: Short Version - AWMF Registry No. 015-045. Geburtshilfe Frauenheilkd 73(9): 890–898 Ulrich U, Schmidt D, Wardelmann E et al. (im Druck) Endometriose-assoziierte Malignome. Der Gynäkologe (im Druck) Urbach DR, Reedijk M, Richard CS, Lie KI, Ross TM (1998) Bowel resection for intestinal endometriosis. Dis Colon Rectum 41(9): 1158–64 Vercellini P, Crosignani PG (1992) Epidemiology of endometriosis. In: Brosens I, Donnez J (1992) The current status of endometriosis – research and management. Parthenon, Carnforth, Pearl River Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2015 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Sillem, M. (2015). Endometriose: Klinik und Therapie. In: Sillem, M., Siedentopf, F., Mechsner, S. (eds) Leitsymptom chronischer Unterbauchschmerz der Frau. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43669-1_6 Download citation DOI: https://doi.org/10.1007/978-3-662-43669-1_6 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-43668-4 Online ISBN: 978-3-662-43669-1 eBook Packages: Medicine (German Language)

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