Schmerztherapie bei Patientinnen mit Endometriose

The pain phenomena caused by endometriosis are diverse. In addition to nociceptive pain, patients also experience a nociplastic reaction with central sensitization. Therefore, in addition to the classic cyclical symptoms such as severe dysmenorrhea, cyclical lower abdominal pain, dyspareunia, dysuria, and dyschezia, there is also an increasing occurrence of atypical pain such as acyclical lower abdominal pain, radiating pain, non-specific bladder and bowel symptoms, and even depression. Multimodal therapy that takes into account the complex pathophysiological changes is able to significantly improve the complex symptoms that significantly limit quality of life.