Chronischer unterbauchschmerz am beispiel der endometriose - Problempatientin in der gynäkologie?

Purpose: Endometriosis is a common finding during the reproductive phase of women. The standard therapeutic concept i.e. a combination of operative treatment with drug therapy, often fails and results in a high percentage of recurrence. Persistant pain decreases the quality of life. Materials and Methods: Using the German Pain Questionnaire, a modular questionnaire based on the model of biopsychosocial pain, parameters of pain topography and intensity, quality of life, pain-related disturbance and depression were evaluated. Results: The presented case shows the great influence of endometriosis on chronic pain and loss of quality of life. Multiple surgical interventions and the early resection of genital organs also promoted chronic pain. Pain still persists after elimination of pain stimulus. Conclusion: Based on profound anamnesis supplemented by psychological assessment further therapeutic steps can be planned. The results can be integrated into a multidisciplinary therapeutic model to minimize biopsychosocial consequences.