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Endometriose

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Reproduktionsmedizin

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Zusammenfassung

Endometriose, die wahrscheinlich häufigste benigne Erkrankung in der Frauenheilkunde, bedeutet für die betroffenen Frauen eine oftmals unerträgliche Zeit von etwa 8–10 Jahren bis zur Diagnosesicherung. Ein intensives Gespräch mit der Patientin, eine genaue gynäkologische Spiegel- und Tastuntersuchung und eine Transvaginalsonografie ermöglichen die Diagnose. Die Diagnose bedarf der Absicherung. Hier kann die MRT-Technologie einen wichtigen Beitrag liefern. Einen spezifischen Marker aus Blut oder Serum gibt es bis dato nicht – trotz intensiver Beforschung einer solchen sicherlich eleganten Option. Ob es einen hinreichend beweiskräftigen Marker geben wird und ob ein solcher wirklich sinnvoll sein kann, bleibt abzuwarten. Bis dato gilt immer noch die operative Abklärung per laparoscopiam als Goldstandard.

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Author information

Authors and Affiliations

  1. Zentrum für Minimal Invasive Gynäkologie, Endometriose und Reproduktionsmedizin, Klinikum Mittelbaden, Bühl, Deutschland

    Wolfgang Küpker

  2. Klinik für Frauenheilkunde und Geburtshilfe, Krankenhaus Mühlacker, Mühlacker, Deutschland

    Admir Agic

Authors
  1. Wolfgang Küpker
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  2. Admir Agic
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Correspondence to Wolfgang Küpker .

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Editors and Affiliations

  1. Facharzt-Zentrum für Kinderwunsch Pränatale Medizin, Endokrinologie und Osteologie Hamburg GmbH, amedes experts, Hamburg, Germany

    Klaus Diedrich

  2. SYNLAB Holding Deutschland GmbH, Augsburg, Germany

    Michael Ludwig

  3. Sektion für gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinikum Schleswig-Holstein – Campus Lübeck, Lübeck, Germany

    Georg Griesinger

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Küpker, W., Agic, A. (2020). Endometriose. In: Diedrich, K., Ludwig, M., Griesinger, G. (eds) Reproduktionsmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57636-6_35

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  • DOI: https://doi.org/10.1007/978-3-662-57636-6_35

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