Operative Behandlung der Adenomyose
摘要
Adenomyosis is a severe disease picture, which is accompanied by endometriosis. In many cases chronic pain and substantial bleeding disorders lead to a hysterectomy. This is not an option in cases of an unfulfilled desire to have children. Pathophysiologically, adenomyosis is a highly complex cause of infertility. In the diagnostics and treatment of infertility this complexity must be adequately taken into account both with respect to a possible spontaneous conception as well as during treatment with assisted reproductive technology (ART) procedures. Can a fertility-preserving surgical procedure lead to success and also to a reduction of the complaints and a subsequent conception? According to the current state of knowledge pharmaceutical treatment approaches or ART techniques are given priority; however, surgical strategies should also be considered to enable an individualized treatment.