Ursachen von Endometriose: Schlussfolgerungen aus Praxiserfahrung und Nachuntersuchung

Claus Schulte-Uebbing
In: Zeitschrift für Komplementärmedizin · 2010 · vol. 2(01) , pp. 18–21 · doi:10.1055/s-0029-1240761 · W1966481910
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper analyzes treatment outcomes from 695 endometriosis patients over 15 years to draw conclusions about the disease's causes.

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The paper evaluates treatment outcomes from 695 women followed over 15 years in a practice-based review, aiming to draw inferences about causes of endometriosis. It frames endometriosis as potentially linked to factors such as inflammation, immune deficiency, and infectious exposures, with specific keywords referencing infections (e.g., Chlamydia, Ureaplasma urealyticum), and HPV, along with environmental influences. A major limitation is that the study is based on real-world practice experience and retrospective follow-up rather than a controlled design, which constrains causal conclusions. This paper is centrally about endometriosis — it uses long-term practice follow-up to discuss proposed causes, including immune, infectious, and environmental factors.

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Abstract

Die Endometriose kann schwerwiegende Symptome verursachen, die für die Patientinnen häufig sehr belastend sind. Im folgenden Beitrag werden die Behandlungsergebnisse von 695 Patientinnen aus einem Zeitraum von 15 Jahren ausgewertet, die Rückschlüsse auf die Ursachen der Endometriose zulassen.
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Subscribe to RSS Please copy the URL and add it into your RSS Feed Reader. https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000153.xml Zeitschrift für Komplementärmedizin 2010; 2(1): 18-21 DOI: 10.1055/s-0029-1240761 DOI: 10.1055/s-0029-1240761 zkm | Wissen © Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Ursachen von Endometriose: Schlussfolgerungen aus Praxiserfahrung und Nachuntersuchung Further Information Publication History Publication Date: 27 January 2010 (online) Zusammenfassung Die Endometriose kann schwerwiegende Symptome verursachen, die für die Patientinnen häufig sehr belastend sind. Im folgenden Beitrag werden die Behandlungsergebnisse von 695 Patientinnen aus einem Zeitraum von 15 Jahren ausgewertet, die Rückschlüsse auf die Ursachen der Endometriose zulassen. Schlüsselwörter Endometriose - Entzündungen - Immundefekt - Chlamydia‐Infektion - Ureaplasma urealyticum - bakterielle Infektion - HPV Literatur - 1 American Society for Reproductive Medicine (ASRM) . Revised classification of endometriosis. Fertil Steril. 1996; 67 817-821 - 2 Batt R, Mitwally M F. Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy. J Pediatr Adolesc Gynecol. 2003; 16 333-347 - 3 Bedaiwy M A, Falkone T. Laboratory testing for endometriosis. Clin Chim Acta. 2004; 340 41-56 - 4 Braun D P, Gebel H, Rotman C et al. The development of cytotoxicity in peritoneal macrophages from women with endometriosis. Fertil Steril. 1992; 57 1203-1210 - 5 Clark D A. Recurrent miscarriage and endometriosis – critical analysis of immune mechanisms and treatments. Hum Reprod Update. 2001; 7 501 - 6 Eskenazi B, Mocarelli P, Warner M, Samuels S, Vercellini P, Olive D, Needham L L, Patterson D G, Brambilla P et al. Serum dioxine concentrations and endometriosis. Env Health Perspect. 2002; 110 625-628 - 7 Garzetti G G, Ciavattini A, Provinciali M et al. Natural killer cell activity in endometriosis: correlation between serum estradiol levels and cytotoxicity. Obstet Gynecol. 1993; 81 665-668 - 8 Gazvani M R, Smith L et al. High omega-3: omega-6-fat ratios in culture medium reduce endometrial cell survival in combined endometrial gland and stromal cell cultures from women with and without endometriosis. Fertil Steril. 2001; 76 7117-7122 - 9 Gerhard I. Endometriose und Umwelt. Der Frauenarzt. 1995; 36 215-219 - 10 Gerhard I, Blank A. Berücksichtigung umweltmedizinischer Einflüsse und naturheilkundlicher Methoden. Keckstein J Endometriose – Die verkannte Frauenkrankheit. Würzburg; Diametric 1998 - 11 Gerhard I, Kiechle M et al. Gynäkologie integrativ, konventionelle und komplementäre Therapie. München; Elsevier 2008 - 12 Hill J A, Faris H M P, Schiff I et al. Characterization of leukocyte subpopulations in the peritoneal fluid of women with endometriosis. Fertil Steril. 1988; 50 216-222 - 13 Martin D C. Applying STARD criteria to the laparoscopic identification of endometriosis. Abstract. Fertil Steril. 2006; 86 (Suppl. 2) S270 - 14 Oehmke F, Suwandinata F, Deisting C, Tinneberg H. Datenlage zur Endometriose. Gynäkologe. 2007; 40 521-526 - 15 Parazzini F, Chiaraffarino F et al. Selected food intake and risk of endometriosis. Hum Reprod. 2004; 19 1755-1759 - 16 Rambout L, Hopkins L, Hutton B, Fergusson D. Prophylactic vaccination against human papillomavirus infection and disease in women: a systematic review of randomized controlled trials. CMAJ. 2007; 177 469-479 - 17 Schenken R S et al. Classification and treatment of endometriosis 2003. http://www.uptodate.com/patients/content/topic.do?topicKey=~ZtfKKr4dLaTYds (Stand 7.12.2009) - 18 Schulte-Uebbing C. Umweltbedingte Frauenkrankheiten. Stuttgart; Sonntag 1995 - 19 Schulte-Uebbing C. Angewandte Umweltmedizin. Stuttgart; Sonntag 1996 - 20 Schulte-Uebbing C. Sterilität aus umweltmedizinischer Sicht. Vortrag. München; Ludwig-Maximilians-Universität 1992 - 21 Schulte-Uebbing C. Uterus myomatosus und Endometriose – Schadstoffbedingte Gestagen- und Immun-Defizitsyndrome? Erste Untersuchungsergebnisse zur Belastung mit Schwermetallen und Holzschutzmitteln. München; Klinikum Straubing, Akadem. Lehrkrankenhaus der TU 1992 - 22 Schulte-Uebbing C, Zahn V. Endometriosis as toxic auto antibody syndrome. Schulte-Uebbing C Umweltbedingte Frauenkrankheiten. Stuttgart; Sonntag 1994 - 23 Sinaii N, Cleary S D, Ballweg M L, Niewman L K, Stratton P. High rates of autoimmune and endocrine disorders, fibromyalgia, chronic fatigue syndrome and atopic diseases among women with endometriosis: a survey analysis. Hum Reprod. 2002; 17 2715-2724 - 24 Van Langendonckt A, Casanas-Roux F, Donnez J. Oxidative stress and peritoneal endometriosis. Fertil Steril. 2002; 77 861-870 - 25 Zahn V, Schulte-Uebbing C. Lehrbuch der Angewandten Umweltmedizin. München; UM GE WE (Umweltschutz im Gesundheitswesen) 1991 Prof. Dr. med. Claus m Schulte-Uebbing, MD, PHD Gynäkologie, Onkologie, Immunologie, Endokrinologie, Infektiologie Weinstraße 7 A 80333 München Email: [email protected]

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