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Schwangerschaft trotz Endometriose

Pregnancy despite endometriosis

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Der Gynäkologe Aims and scope

Zusammenfassung

Hintergrund

Ein Zusammenhang zwischen Endometriose und Infertilität ist noch nicht zufriedenstellend geklärt, auch wenn in letzter Zeit davon ausgegangen wird, dass sowohl die Eizellqualität als auch die Eizellreserve bei Frauen mit Endometriose verändert ist. Dementsprechend fehlen bisher definierte Behandlungsalgorithmen. Es stehen z. B. individuelle hormonelle Stimulationsprotokolle mit und ohne nachfolgende assistierte Reproduktion zur Verfügung, außerdem stellt sich die Frage, ob eine operative Intervention in Hinblick auf den Kinderwunsch sinnvoll ist, also die Schwangerschaftsrate verbessert.

Ziel

Ziel dieses Übersichtsartikels ist es, die verschiedenen Therapieoptionen im Kontext mit der aktuellen Literatur bezüglich der Schwangerschaftschancen zu diskutieren.

Abstract

Background

The reasons for infertility in patients with endometriosis are still not satisfactorily clarified even if in recent years it has been assumed that oocyte quality as well as the ovarian reserve are altered. This implies that the treatment cannot be standardized for every patient but must be individualized; however, the usefulness of surgery and the different stimulation protocols followed by assisted reproduction need to be evaluated.

Objective

The aim of this study was to review the literature about the different therapies in the context of the pregnancy rates.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Rodewald, T. Gundelach, E. Bauer, P. Widschwendter, W. Janni und K. Hancke geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Sektion für gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsfrauenklinik Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland

    M. Rodewald, T. Gundelach, E. Bauer, P. Widschwendter, W. Janni &  K. Hancke

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  1. M. Rodewald
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  2. T. Gundelach
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  3. E. Bauer
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  4. P. Widschwendter
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  5. W. Janni
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  6. K. Hancke
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Corresponding author

Correspondence to K. Hancke.

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Rodewald, M., Gundelach, T., Bauer, E. et al. Schwangerschaft trotz Endometriose. Gynäkologe 48, 216–220 (2015). https://doi.org/10.1007/s00129-014-3420-2

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  • DOI: https://doi.org/10.1007/s00129-014-3420-2

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