Our certified endometriosis centre in Munich: Certified cutting-edge medicine with heart
Strong Period pains, that determine your life. Pain during sexual intercourse, that put a strain on your relationship. A Unfulfilled desire to have children, which becomes a burden month after month. Many women with endometriosis are familiar with these situations and many other complaints - and they often have a long ordeal behind them before they are finally diagnosed with endometriosis.
The certified endometriosis centre of the MIC Centre Munich at the Dr. Geisenhofer Women's Clinic is one of the leading certified clinical endometriosis centres in Munich and Germany. We offer you state-of-the-art diagnostics, the most gentle treatment and the personal attention you deserve in this situation.
Your health and well-being are at the centre of our work - in every single one of the many cases we treat.
Get in touch with usYour advantages at the Endometriosis Centre Munich
Highest level of expertise:
- One of the largest endometriosis centres in the German-speaking world
- Treatment of most complex cases (Benchmarking Annual Report of the Endometriosis Research Foundation)
- Highly certified surgeons (MIC III)
- State-of-the-art endoscopic techniques
Holistic support:
- Individual therapy planning according to your needs
- Close cooperation with the fertility centre
- Aftercare concept for recurrence prevention
The path to a new quality of life
Endometriosis is a chronic disease, but it doesn't have to rule your life. With our expertise and Using state-of-the-art surgical techniques, we can relieve your pain, optimise your fertility and significantly improve your quality of life.
We understand that a diagnosis of endometriosis is often an emotional burden. That's why we take time for you - for your questions, fears and hopes. Together we will find the best treatment path for you.
Our range of treatments
Minimally invasive surgical therapy
We offer state-of-the-art endoscopic techniques for the treatment of endometriosis. Our MIC III-certified surgeons also perform complex endometriosis operations in which endometriosis lesions in the bowel, bladder or other organs are gently removed.
Interdisciplinary co-operation
For complex cases, we work together with specialists from urology, visceral surgery and other specialities.
Personalised support
At the MIC and Endometriosis Centre of the Dr. Geisenhofer Women's Clinic, further, differentiated diagnostics are carried out after a comprehensive medical history has been taken. The resulting treatment recommendations are discussed in detail in our specialised consultation hours. If necessary, you will be referred to network partners (e.g. fertility centre, outpatient pain clinic, psychosomatics, physiotherapy, etc.).
If surgical measures are required, these are carried out in our centre for minimally invasive surgery, if necessary with the involvement of visceral surgeons and urologists. If required, our social services can assist with the initiation of follow-up treatment or rehabilitation measures. The focus is always on trusting care, taking into account the respective, always very individual life situation.
Contact usWhat is endometriosis? Simply explained
Endometriosis is a benign, usually chronic disease in which tissue that resembles the lining of the uterus (the endometrium) grows outside the uterine cavity.
How does endometriosis develop?
Normally, the lining of the uterus only lines the inside of the uterus. In endometriosis, this tissue is also found in other parts of the bodyThe most common causes are: on the ovaries (so-called endometriomas), on the peritoneum, in the uterine wall (adenomyosis) or, in rare cases, on the bowel, bladder or other organs in the abdominal cavity.
These Endometriosis centres react like the normal uterine lining to the hormones of the menstrual cycle. They build up during the cycle and bleed during menstruation. However, as the blood cannot drain away like during normal menstruation, inflammation, adhesions and pain occur.
Symptoms & disease progression of endometriosis
The symptoms of endometriosis can vary greatly. How severe the symptoms are does not necessarily depend on the extent of the disease. Some women with extensive endometriosis may have no problems at all, while others with minimal disease may suffer from severe symptoms.
Main symptoms:
- Painful menstruation: Often increasing, cramp-like lower abdominal pain that begins before or with the onset of menstruation and can last longer than the usual one to two days
- Chronic lower abdominal pain: Also occurring outside of menstruation, often dull and pulling
- Pain during sexual intercourse: Especially with deep penetration, which may indicate infiltration of the posterior vaginal vault or the sigmoid rectum area
- Infertility (infertility): About 30-50% of women affected by infertility have endometriosis
Other symptoms depending on localisation:
- Intestinepainful defecation, cyclical bleeding in the stool, constipation, diarrhoea
- Urinary tract/urinary bladder: Pain when urinating, blood in the urine, frequent urination
- Rarer localisations: Pleura with cyclical pneumothorax, scar endometriosis after surgical interventions, e.g. caesarean section
Which women are prone to endometriosis?
Endometriosis can affect any woman of childbearing age. The disease usually begins at a young age, often in girls after their first menstrual period.
Risk factors and frequency
Around 7-15% of all women of childbearing age are affected by endometriosis. The disease can run in families, which indicates a genetic component. Women whose mothers or sisters have endometriosis have an increased risk.
Early first periods, short cycle lengths and childless women appear to be more frequently affected. Women with anatomical features that impede menstrual flow also have an increased risk.
What triggers endometriosis?
The exact causes of endometriosis have not yet been fully researched. Various theories are being discussed in endometriosis research:
Current research findings
One theory is that during menstruation, the lining of the uterus passes backwards through the fallopian tubes into the abdominal cavity and settles there. Another theory assumes that certain cells in the body can transform into endometrium-like tissue.
Hormonal factors, immune system disorders and genetic predisposition probably all play a role in the development of endometriosis. Endometriosis research is continuously working to better understand the causes and develop new treatment options.
Is endometriosis curable?
Endometriosis is a chronic disease that is currently not completely curable. However, very effective treatment options are available today that can significantly alleviate the symptoms and considerably improve quality of life.
Modern treatment approaches
The treatment of endometriosis is individualised and can include drug therapy, surgery or a combination of both. At our centre, we rely on evidence-based standards and take your personal wishes and life situation into account.
We only use minimally invasive endoscopic techniques for operations. Our principle of „as much as necessary - as little as possible“ means that we perform operations as gently as possible and endeavour to preserve organs. Most patients can leave the hospital after 1-3 days and quickly return to their everyday lives.
When is surgery necessary for endometriosis?
The decision in favour of surgical treatment of endometriosis is always individual and depends on your personal situation. Surgery should be considered for
Chronic pain:
- Severe menstrual pain that does not respond adequately to painkillers
- Pain during sexual intercourse
- Chronic lower abdominal pain outside of menstruation
- Pain during bowel movements or urination
Unfulfilled desire to have children:
- Suspicion of endometriosis-related infertility
- Adhesions in the area of the fallopian tubes and ovaries
- Endometriosis cysts (so-called chocolate cysts) on the ovaries
Organ infestation:
- Deep infiltrating endometriosis affecting the bowel, bladder or ureter
- Impending organ damage
- Bleeding disorders due to adenomyosis
After a detailed diagnosis, which includes a gynaecological examination, ultrasound and, if necessary, MRI, we will work with you to create an individual treatment plan. In doing so, we take into account your life situation, your desire to have children and your personal needs.
Surgical endometriosis treatment at the Geisenhofer Clinic
Our experienced team of highly certified surgeons (MIC III) has decades of expertise in the treatment of even the most complex endometriosis cases. As one of the largest endometriosis centres with the most complex cases in the DACH region (benchmarking annual report of the Endometriosis Research Foundation), we offer you the entire spectrum of modern surgical techniques.
Endometriosis resection in the desire to have children
For women who wish to have children, organ-preserving and fertility-sparing surgery is the top priority. During laparoscopic endometriosis resection, we precisely remove all visible endometriosis lesions while sparing healthy tissue and the reproductive organs as much as possible.
Our approach:
- Careful inspection of the entire abdominal cavity
- Removal of all endometriosis centres using special techniques
- Restoration of normal anatomy
- Checking the patency of the fallopian tubes
- Use of adhesion barriers for prophylaxis
The operation is minimally invasive and involves small abdominal incisions (five to ten millimetres in size). State-of-the-art HD camera systems and special instruments enable us to work precisely and gently on the tissue.
Loosening adhesions
Endometriosis-related adhesions can lead to pain, organ dysfunction and infertility. Laparoscopic adhesiolysis (removal of adhesions) is an important part of endometriosis surgery.
Technique and procedure:
- Careful separation of the adhesions with special instruments
- Restoration of free movement of the organs
- Special care in the area of the fallopian tubes and ovaries
- Application of modern anti-adhesion barriers
Our gentle surgical technique minimises the risk of new adhesions and optimises your chances of pregnancy.
Removal of deep infiltrating endometriosis
Deep infiltrating endometriosis poses a particular challenge as it grows in depth and can affect other organs such as the bowel, bladder or ureter. The highest level of expertise is required here.
Even with extensive infestation, we can perform minimally invasive surgery in most cases. The complete removal of deep infiltrating endometriosis often leads to a significant reduction in pain and an improvement in quality of life.
Treatment of endometriosis cysts
Endometriosis cysts (endometriomas or „chocolate cysts“) on the ovaries can impair the egg reserve and should be operated on particularly gently if you wish to have children.
Our operational strategy:
- Careful exfoliation of the cyst while protecting the ovarian tissue
- Haemostasis by means of bipolar coagulation
- Sclerotherapy using highly concentrated alcohol to maintain a maximum ovarian reserve
- If you want to have children: combination with fertility diagnostics
After the operation, we will monitor your ovarian reserve and advise you on the best time for pregnancy.
Certified endometriosis centre
The MIS Centre (Centre for Minimally Invasive Surgery) at the Dr Geisenhofer Women's Clinic in Munich has been a certified endometriosis centre since 1 July 2015. This certification guarantees you the highest quality standards in the treatment of endometriosis.
In addition to surgical treatment, all options for optimised treatment of this often chronic disease are available within the framework of the associated network of various medical disciplines. There are close contacts with endometriosis self-help groups and information events are organised for doctors and affected patients to provide continuous information on this still little-known gynaecological disease.
Quality criteria for our certification
- Interdisciplinary treatment team of gynaecologists, surgeons, urologists and other specialists
- Specialised surgeons with proven expertise
- Minimum number of endometriosis operations per year
- Continuous training, lectures and participation in endometriosis research
- Quality-assured treatment processes
- Regular external review of standards
Our team of experts
Dr Thomas Füger and Dr Sebastian Reicke are head physicians at the MIC Centre Munich and have decades of experience in endometriosis treatment. Both are MIC III certified surgeons and specialises in minimally invasive procedures.
Arrange your consultation appointment
Let our experts advise you. We will clarify your individual situation in a detailed consultation and develop a treatment plan together that suits you.
Contact:
Direct appointment:
+49 (0) 89 54 19 60 51 0
Online appointment booking available
Consultation hours:
Mon-Fri 8:00-18:00
Trust in our experience - for a life without endometriosis pain.