Datenlage zur Endometriose

Zusammenfassung Die Endometriose ist eine sehr komplexe Erkrankung, und die Symptome sind sehr unterschiedlich. Eine definitive Diagnose kann nur über einen operativen Eingriff gestellt werden, denn bildgebende Verfahren können kleinere Läsionen nicht ausreichend sicher darstellen. Endoskopische Zusatzuntersuchungen wie z. B. die Rektosigmoidoskopie oder Zystoskopie sind nur indiziert beim Vorliegen konkreter Symptome, z. B. zyklisch rezidivierende Hämaturie. Die Endometriose ist die zweithäufigste Erkrankung der Frau im reproduktionsfähigen Alter. Trotz dieser Häufigkeit sind die vorhandenen Daten in der Literatur sehr inhomogen. Die vorhandenen Daten zeigen, dass die Endometriose viel zu selten diagnostiziert wird und vom Auftreten der ersten Symptome bis zur korrekten Diagnosestellung etwa 7 Jahre vergehen. Allein diese Tatsache belegt, dass die Symptome und die Beschwerden der Endometriose mehr in das Bewusstsein der behandelnden Ärzte rücken muss, damit die Endometriose nicht mehr als „Krankheit ohne Lobby“ bezeichnet wird. Abstract Endometriosis is a very complex disease with highly variable symptoms. A definitive diagnosis can only be made operatively as imaging techniques cannot clearly distinguish small lesions. Additional endoscopic examination such as rectosigmoidoscopy or cytoscopy are only indicated when concrete symptoms are present, e.g. by cyclically recurrent hematuria. Endometriosis is the second most common disease in women of reproductive age. Nevertheless, the data in the literature are very heterogeneous. These show that endometriosis is diagnosed too infrequently and that the time from the beginning of symptoms to a correct diagnosis lasts about 7 years. 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