Aktualisierung der Endometriose-Leitlinie

In: Die Gynäkologie · 2024 · doi:10.1007/s00129-024-05282-2 · W4402772188
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The updated S2k guidelines for endometriosis diagnostics and treatment include expanded sections on assisted reproduction, ovarian reserve, and fertility preservation for women desiring children.

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This paper updates the forthcoming German S2k guideline on diagnostics and treatment for endometriosis, with a major expansion in the chapter addressing management for patients with a desire for children. It describes additions covering the use of medically assisted reproductive techniques, the impact of endometriosis on ovarian reserve, and fertility preservation measures. The guideline is presented as comprehensive and enabling access to the latest diagnostic and treatment information, but the paper itself does not report original patient studies or provide new empirical results beyond summarizing the guideline updates. This paper is centrally about endometriosis — it reviews the content and expansions of the updated S2k guideline, particularly around fertility-related management in endometriosis.

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Zusammenfassung Die Endometriose zählt zu den häufigsten, jedoch oft erst spät diagnostizierten Erkrankungen der Frau und kann die Fertilität signifikant beeinträchtigen, was wiederum Auswirkungen auf die Familienplanung der Betroffenen hat. Die in Kürze verfügbare aktualisierte S2k-Leitlinie zur Diagnostik und Therapie der Endometriose beinhaltet umfassende Neuerungen, insbesondere im Kapitel zum Vorgehen bei Kinderwunsch. Dieses wurde erheblich erweitert und um wichtige Themen, wie den Einsatz medizinisch assistierter Reproduktionsverfahren, den Einfluss der Erkrankung auf die ovarielle Reserve und die Fertilitätsprotektion, ergänzt. Diese Aktualisierungen ermöglichen es Patientinnen und ihren Behandlern, auf die neuesten Informationen für Diagnostik und Therapie zurückzugreifen. Abstract Endometriosis is among the most common conditions in women but is often diagnosed late and can significantly impair fertility, which in turn affects the family planning of those affected. The soon to be released updated S2k guidelines for the diagnostics and treatment of endometriosis includes comprehensive updates, particularly in the chapter on management of patients with a desire to have children. This has been significantly expanded to include important topics, such as the use of medically assisted reproductive techniques, the impact of the disease on the ovarian reserve and fertility preservation. These updates enable patients and healthcare providers to access and use the latest information on diagnostics and treatment. Similar content being viewed by others Literatur Alborzi S, Zahiri Sorouri Z, Askari E et al (2019) The success of various endometrioma treatments in infertility: A systematic review and meta-analysis of prospective studies. Reprod Med Biol 18:312–322 Anderson RA, Amant F, Braat D et al (2020) ESHRE guideline: female fertility preservation. 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Reprod Biomed Online 43:853–863 Somigliana E, Viganò P, Benaglia L et al (2019) Ovarian stimulation and endometriosis progression or recurrence: a systematic review. Reprod Biomed Online 38:185–194 Tal R, Seifer DB (2017) Ovarian reserve testing: a user’s guide. Am J Obstet Gynecol 217:129–140 Tummon IS, Asher LJ, Martin JS et al (1997) Randomized controlled trial of superovulation and insemination for infertility associated with minimal or mild endometriosis. Fertil Steril 68:8–12 Van Der Houwen LE, Schreurs AM, Schats R et al (2014) Efficacy and safety of intrauterine insemination in patients with moderate-to-severe endometriosis. Reprod Biomed Online 28:590–598 Younis JS, Shapso N, Ben-Sira Y et al (2022) Endometrioma surgery‑a systematic review and meta-analysis of the effect on antral follicle count and anti-Müllerian hormone. Am J Obstet Gynecol 226:33–51.e37 Danksagung Die Überarbeitung der S2k-Leitlinie ist nur durch Engagement vieler mit dem Thema vertrauter Personen möglich. Am Kapitel zum Kinderwunsch bei Endometriose haben u. a. folgende Personen mitgewirkt und dieses durch ihren Beitrag erheblich verbessert und erweitert: Prof. Karl-Jürgen Bär, Dr. Julia Bartley, Prof. Beate Ditzen, Prof. Ricardo E. Felberbaum, Prof. Katharina Hancke, Prof. Sylvia Mechsner, Prof. Nicole Sänger, Dr. Sebastian Schäfer, Prof. Tewes Wischmann, PD Dr. Monika Wölfler. Author information Authors and Affiliations Corresponding author Ethics declarations Interessenkonflikt F. von Versen-Höynck gibt an, dass kein Interessenkonflikt besteht. Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Additional information Redaktion Klaus Diedrich, Lübeck Ricardo Felberbaum, Kempten Katharina Hancke, Ulm Wolfgang Küpker, Baden-Baden Thomas Strowitzki, Heidelberg Hinweis des Verlags Der Verlag bleibt in Hinblick auf geografische Zuordnungen und Gebietsbezeichnungen in veröffentlichten Karten und Institutsadressen neutral. QR-Code scannen & Beitrag online lesen Rights and permissions About this article Cite this article von Versen-Höynck, F. Aktualisierung der Endometriose-Leitlinie. Gynäkologie 57, 693–697 (2024). https://doi.org/10.1007/s00129-024-05282-2 Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00129-024-05282-2

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