Endometriose und Kinderlosigkeit

Zusammenfassung Es gibt keine einzelne allgemeingültige Erklärung für das Auftreten einer Sterilitätsproblematik bei Patientinnen mit Endometriose. Bei kritischer Evaluation der vorhandenen Daten kann nicht einmal gefolgert werden, dass eine Endometriose grundsätzlich eine Sterilitätsproblematik nach sich zieht. Dennoch ist seit langem bekannt, dass Endometriose häufiger bei Frauen mit Sterilitätsproblematik als bei fertilen Frauen vorliegt. „Klassische“ Arbeiten konnten zeigen, dass bei 6% bis 58% aller Sterilitätspatientinnen eine Endometriose vorliegt, und dass 30% bis 50% aller Frauen mit Endometriose eine Sterilitätsproblematik auf weisen (Hull et al. 1985; Buttram et al. 1985). Neuere Studien im Rahmen laparoskopischer Eingriffe verglichen das Auftreten von Endometriose bei Sterilitätspatientinnen und bei Patientinnen, die sich zur Tubensterilisation vorstellten. Sie konnten ebenfalls zeigen, dass Endometriose häufiger bei Sterilitätspatientinnen als bei fertilen Frauen auftritt. Eine Vielzahl von Sterilitätsmechanismen, die durch Endometriose verursacht sein könnten, wurde und wird diskutiert (Tabelle 1). Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Acosta AA, Buttram VC, Besch PK, Malinak LR, Franklin RR, Vanderheyden JD (1973) A proposed classification of pelvic endometriosis. Obstet Gynecol 42: 19–26 Balasch J, Vanrell JA (1985) Mild endometriosis and luteal function. Int J Fertil 30: 4–6 Beretta P, Franchi M, Ghezzi F, Busacca M, Zupi E, Bolis P (1998) Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation. 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