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13.11.2018 12:50:35
In our interview with Dr. Ing. med. We go into detail about Johannes Lermann, the head physician of the gynecological clinic, and the deputy head of the breast and gynecological cancer center of the Bayreuth Hospital.
Pain in the lower abdomen, during sexual intercourse or urination, an unfulfilled desire for children: In about 30 percent of women of childbearing age endometriosis is the trigger. Behind this name hides the appearance of uterine lining outside the actual uterine cavity. It is the most common benign disease in women, sometimes causing tremendous pain and often remains unrecognized in many affected women for years. That's why Dr. Johannes Lermann, the head physician of the gynecological clinic in the Klinikum Bayreuth, education is so important. He will talk about causes, clinical picture and treatment options as part of a medical lecture. We talked to the speaker in advance.
In women, uterine lining is usually transported outwards as part of the menstrual period. If endometriosis is present, the lining of the uterus is also located outside of the uterine cavity where it may grow into a patchy hearth or nodular structure. This can happen, for example, in the abdomen, especially in the pelvis, but also in the vagina, the ovaries, the intestine or the bladder.
Typical are pain before and during menstruation, pelvic pain, but also problems with bowel movements, urination or discomfort during sexual intercourse. The treacherous thing is that the disease does not always cause pain and therefore remains undetected for a long time. In 30 to 50 percent of women with unmet desire to have an endometriosis cause.
At the beginning, unfortunately, women have to answer a series of potentially unpleasant questions about their bowel movements or their sexual life. The answers are of great importance to us on the way to a confirmed diagnosis in order to find the cause of the complaints. This is followed by a palpation and ultrasound examination of the small pelvis. This can be a bit uncomfortable and may be painful for endometriosis patients. But unfortunately it is also essential. In many cases, there is already a suspected diagnosis, often a clear clarification is only possible through a laparoscopy.
It depends on many factors: Does the patient have a desire to have children? Or severe pain? Is there a suspicion of deep infiltrating endometriosis? Treatment can be surgical. This should always be done using a keyhole technique (laparoscopy). This will remove the endometrial implants. If necessary, any existing adhesions can be solved and / or the patency of the fallopian tubes can be checked. In addition, preparations for drug therapy are available. We always coordinate the treatment individually with the patient. The women must know their treatment options, be fully informed and then make the decision together with the treating physician.
All data suggest that a drug-based prevention of recurrence makes sense. Also sports and a healthy diet seem to have an influence.
