(Author: G. Leyendecker)

  2. Definition: What is Endometriosis
  3. Frequency of Occurrence
  4.Currently Prevalent Theories on Causes of Endometriosis
  5. A New Theory: Endometriosis is a disease pertaining to the archimetra.
  5.1 The archimetra
  5.2 Functions of the archimetra
  5.2.1 Build-up (proliferation) and transformation of the endometrium for implanting the embryo:
  5.2.2 Uterine peristaltic movement:
  5.2.3 Defence against infection:
  5.3 Changes in the archimetra in women with endometriosis:
  5.3.1 The archimetra is broader and expands into the myometrium by infiltration and enhanced proliferation.
  5.3.2 Aberration of the uterine peristaltic activity. Presence of hyper- and dysperistalsis:
  5.3.3 Enhanced defence against infection:
  5.4 Model for the Development of Endometriosis
  6. From Adenomyosis to Endometriosis – Preferred Locations of Endometriosis (Places of Predilection)
  7. Symptoms of Endometriosis
  7.1 Painful Menstruation /Dysmenorrhea)
  7.2 Pain During Intercourse (Dyspareunia)
  7.3 Pain from Urinating (Desiree)
  7.4 Pain from Bowel Evacuation (Dyschezia)
  7.5 Diffuse Discomfort and Localised Pain in the Abdomen
  7.6 Disorder in Bleeding and the Cycle
  7.7 Inability to Conceive (Sterility)
  8. Findings in the Event of Endometriosis
  8.1 Gynaecological Examination
  8.2 Sonography
  8.3 Laparoscopy
  9. Classification by Degrees of Severity
  10. Further Development of Adenomyosis/Endometriosis
  11. On the Problem of Sterility and Subfertility with Endometriosis
  12. Treatment of Endometriosis
  13. Medication and Surgical Treatment
  14. Aims of Therapy against Endometriosis
  14.1 Acute desire to conceive and give birth
  14.2 Later pregnancy; easing pain; preventing progression of lesions
  14.3 Easing pain; preventing progression of the lesions, basically the wish to retain the organs
  14.4 Relief from pain by removing the organs
  15. Closing Remarks

Titelbild: © G. Leyendecker

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Gerhard Leyendecker