Schmerztherapie bei Patientinnen mit Endometriose

Zusammenfassung Die durch Endometriose bedingten Schmerzphänomene sind vielfältig. Neben nozizeptiven Schmerzen kommt es auch zu einer noziplastischen Reaktion mit zentraler Sensitivierung. Daher treten neben den klassischen zyklischen Beschwerden wie schwerer Dysmenorrhö, zyklischen Unterbauchschmerzen, Dyspareunie, Dysurie und Dyschezie auch zunehmend atypische Schmerzen wie azyklische Unterbauchschmerzen, Ausstrahlung der Schmerzen, unspezifische Blasen- und Darmbeschwerden oder auch Depressionen auf. Mithilfe einer multimodalen Therapie unter Berücksichtigung der komplexen pathophysiologischen Veränderungen können die komplexen Beschwerden, die die Lebensqualität signifikant einschränken, deutlich verbessert werden. Abstract The pain phenomena caused by endometriosis are diverse. In addition to nociceptive pain, patients also experience a nociplastic reaction with central sensitization. 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Additional information Redaktion Ludwig Kiesel, Münster Wolfgang Küpker, Baden-Baden Ricardo Felberbaum, Kempten Brigitte Leeners, Zürich QR-Code scannen & Beitrag online lesen Rights and permissions About this article Cite this article Mechsner, S. Schmerztherapie bei Patientinnen mit Endometriose. Gynäkologische Endokrinologie 21, 176–183 (2023). https://doi.org/10.1007/s10304-023-00520-7 Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10304-023-00520-7 Schlüsselwörter - Nozizeptiver Schmerz - Noziplastischer Schmerz - Zentrale Sensitivierung - Chronischer Schmerz - Multimodale Therapie