Endometriosis is a benign growth of the endometrium, the mucous membrane of the uterus. Spots of "scattered" uterine tissue settle in different places in neighbouring regions and organs. These primarily include ovaries, fallopian tubes, intestines, bladder or peritoneum. But in general, any organ can be affected.
The symptoms of endometriosis arise because the uterine tissue builds up and breaks down depending on the cycle due to the hormone changes. This leads to bleeding and severe pain. Unlike in the uterus, however, the blood in the foci cannot flow outwards. Blood-filled cysts or adhesions form which must be treated as quickly as possible. Diagnostic
The precise diagnosis of endometriosis lesions or endometriosis cysts is the first step towards your individual and best possible treatment.
We offer the following diagnostic procedures
- Detailed discussion with the doctor about the type and duration of the complaints and the general condition (anamnesis, epicrisis).
- Thorough gynaecological palpation and ultrasound examination. The rectum in the area behind the uterus (Douglas' pouch) and the uterine ligaments are also scanned.
- Diagnostic autofluorescence endoscopy (DAFE), in which the entire extent of the disease can be visualized with violet light. In this way, even the smallest growths can be detected and removed.
- Laparoscopy to determine the location, severity and growth type of the foci or cysts with subsequent removal of tissue and fine tissue examination.
Depending on the symptoms and question or in case of recurring complaints, further examinations such as rectal or bladder endoscopy, magnetic resonance imaging or computer tomography may be necessary.
How is endometriosis treated?
At the beginning it is important to clarify the aim of the treatment in a detailed conversation with you. For women with persistent complaints, the achievement of freedom from pain is more important than for patients who primarily hope to have a child. Depending on the requirements, differentiated treatment Concept tailored to your needs will be developed.
The use of medication is just as conceivable as a surgical procedure in the context of a gentle minimally invasive intervention, such as laparoscopy. In this procedure, which is also used for diagnostics, diagnosed foci can be directly removed.
After an operation, the further therapy options, such as the primarily used hormone treatment and pain therapy, are adapted to your wishes and needs.
At our centre, we work closely and interdisciplinarily with a team of medical specialists from the fields of pain therapy, psychosomatics and holistic medicine in order to find the best way for you to deal with the disease.