Ganzheitliche Behandlung der Endometriose

Background The pain phenomena caused by endometriosis are manifold. In addition to nociceptive pain there is also a nociplastic reaction with central sensitization. Atypical symptoms, such as acyclic lower abdominal pain, radiating pain, nonspecific bladder and intestinal complaints or even depression increasingly occur in addition to the classical cyclic complaints, such as severe dysmenorrhea, cyclic lower abdominal pain, dyspareunia, dysuria and dyschezia. Due to the diffuse range of symptoms, affected patients often consult not just gynecologists but also specialists from other disciplines (internal medicine, gastroenterology, orthopedics, pain therapy, psychology etc.).

The complexity of endometriosis is presented. The resulting approaches to multimodal interdisciplinary holistic treatment are described.

Interdisciplinary concepts should be involved in the optimal treatment of endometriosis patients along with hormonal and surgical treatment, mostly under the supervision of a gynecologist and pain management, dietary changes, psychological support and physiotherapeutic management should also be included. This article provides an overview of possible treatment strategies for chronic symptomatic endometriosis.

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Fortbildungsorganisationen Das FORTBILDUNGSKOLLEG GmbH, Jenapharm, Gedeon Richter, Johnson & Johnson, Stiftung Endometriose-Forschung, Arbeitsgemeinschaft Endometriose (AGEM), NORSAN und Organon gehalten zu haben. Für diesen Beitrag wurden von der Autorin keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Additional information Einige Abschnitte dieses Beitrags basieren auf dem Beitrag Endometrioseschmerz beherrschen derselben Autorin [42]. QR-Code scannen & Beitrag online lesen Rights and permissions About this article Cite this article Mechsner, S. Ganzheitliche Behandlung der Endometriose. Schmerz 37, 437–447 (2023). https://doi.org/10.1007/s00482-023-00747-0 Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00482-023-00747-0 Schlüsselwörter - Nozizeptiver Schmerz - Noziplastischer Schmerz - Zentrale Sensitivierung - Chronischer Schmerz - Multimodale Therapie