Kinderwunsch und Schwangerschaft bei Endometriose

und Methoden In dieser Übersichtsarbeit wird die aktuelle Literatur zum Thema zusammengefasst. Ergebnisse und Schlussfolgerung Eine operative Endometriosesanierung kann die Wahrscheinlichkeit einer spontanen Konzeption erhöhen. Endometriome sollten nicht mehr automatisch vor einem Versuch der In-vitro-Fertilisation (IVF) oder intrazytoplasmatischen Spermieninjektion (ICSI) operativ behandelt werden. Auch wenn fraglich ist, ob die ovarielle, die tief infiltrierende oder auch die Rektumendometriose die Wahrscheinlichkeit einer Schwangerschaft nach IVF/ICSI-Behandlung beeinflusst, bergen diese Faktoren Risiken während einer Schwangerschaft.

Background Endometriosis is the second most frequent benign gynecological disease in women during the fertile period after uterine myoma. Endometriosis is frequently associated with infertility.

The aim of this article is to provide insights into the causes and treatment options for patients with endometriosis and a desire for children and to discuss the influence of endometriosis on pregnancy.

This article gives a review and summary of the current literature on this topic.

and conclusion Surgical removal of endometriosis can have a positive impact on the prognosis for spontaneous conception. Endometriosis should no longer be automatically surgically treated prior to in vitro fertilization (IVF) treatment or intracytoplasmic sperm injection (ICSI). Although there is no proven impact of ovarian endometriosis, deep infiltrating endometriosis and colorectal endometriosis on the probability of pregnancy after IVF or ICSI treatment, these lesions can potentially have a harmful effect during pregnancy. Similar content being viewed by others Literatur Al-Fadhli R, Kelly SM, Tulandi T, Tanr SL (2006) Effects of different stages of endometriosis on the outcome of in vitro fertilization. J Obstet Gynaecol Can 28(10):888–891 Ballester M, d’Argent EM, Morcel K, Belaisch-Allart J, Nisolle M, Daraï E (2012) Cumulative pregnancy rate after ICSI-IVF in patients with colorectal endometriosis: results of a multicentre study. 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Küpker, Baden-Baden Rights and permissions About this article Cite this article Shebl, O., Ebner, T. & Oppelt, P. Kinderwunsch und Schwangerschaft bei Endometriose. Gynäkologische Endokrinologie 14, 21–25 (2016). https://doi.org/10.1007/s10304-015-0052-0 Published: Issue date: DOI: https://doi.org/10.1007/s10304-015-0052-0 Schlüsselwörter - Operative Verfahren - Fertilität - In-vitro-Fertilisation - Intrazytoplasmatische Spermieninjektion - Adenomyose