Endometriose

Zusammenfassung Patientinnen mit Endometriose präsentieren sich in der täglichen Praxis mit vielfältigen Symptomen. Die Erkrankung kann asymptomatisch bestehen oder mit starken Beschwerden assoziiert sein, oft stehen die Dysmenorrhö und der chronischer Unterbauchschmerz im Vordergrund. Die genaue Prävalenz ist unbekannt, dürfte aber bis zu 30 % betragen. Leider wird die Erkrankung trotz starker Beschwerden von nicht oder spät erkannt. Dabei wäre häufig ein „Drandenken“ ausreichend, um der Diagnose näher zu kommen. Die Definition von Risikofaktoren ist schwierig, einige scheinen aber zu bestehen und werden genannt. Auch die Entstehung von Endometriose ist nicht eindeutig geklärt, verschiedene Theorien existieren, werden weiterentwickelt und ergänzen sich gegenseitig. Die Diagnostik liegt mit einfachen Mitteln und Möglichkeiten eindeutig in den Händen der Gynäkologen, hierzu sind unsere Standarduntersuchungsverfahren meist ausreichend. Im Vordergrund stehen Anamnese, klinische Untersuchung mittels Spekulum, rektovaginale Untersuchung und die Sonografie. Selten werden Zusatzuntersuchungsverfahren nötig sein, sollten aber nicht ganz aus dem diagnostischen Repertoire verbannt werden. Insbesondere die Therapie ist von der Lebenssituation der Patientin abhängig und erfordert speziell bei Kinderwunschpatientinnen die Ausarbeitung eines Gesamtkonzepts unter Berücksichtigung aller Parameter. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur Adamson GD, Pasta DJ (2010) Endometriosis fertility index: the new, validated endometriosis staging system. Fertil Steril 94:1609–1615 Aghaey Meibody F et al (2011) Diagnosis of endometrial nerve fibers in women with endometriosis. 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Int J Mol Med 21:335–344 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2024 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature About this chapter Cite this chapter Renner, S.P., Müller, A. (2024). Endometriose. In: Strowitzki, T., Ortmann, O. (eds) Klinische Endokrinologie für Frauenärzte. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65517-7_12 Download citation DOI: https://doi.org/10.1007/978-3-662-65517-7_12 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-65516-0 Online ISBN: 978-3-662-65517-7 eBook Packages: Medicine (German Language)