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Immunologische Aspekte in der Reproduktionsmedizin

  • Michael BohlmannEmail author
Chapter
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Untersuchungen immunologischer Aspekte der embryo-maternalen Interaktionen nehmen in der Reproduktionsmedizin eine immer größere Rolle ein. Störungen von Adhäsion, Invasion und Implantation der semi-allogenen Blastozyste in das rezeptive Endometrium werden als Ursache für Fehlgeburten oder andere – spätere – Schwangerschaftskomplikationen angesehen. Bis dato sind diese hochspezifischen, synchronen Abläufe an der embryo-maternalen Grenzfläche nur unzureichend verstanden. Die Gabe von aus anderen Indikationen als wirksam bekannten Medikamenten muss sich immer vor dem Hintergrund einer korrekten „immunologischen Diagnose“, zutreffender Indikation und dem potenziellen Nebenwirkungsspektrum der Präparate messen lassen. Da aufgrund der Studienlage evidenzbasierte Vorgehensweisen in aller Regel nicht gegeben sind, ist vom routinemäßigen Einsatz immunmodulatorischer Präparate außerhalb von Studien bis dato abzuraten.

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Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2020

Authors and Affiliations

  1. 1.FrauenklinikUniversitätsmedizin MannheimMannheimDeutschland

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