{"id":15438,"date":"2026-02-09T10:33:28","date_gmt":"2026-02-09T09:33:28","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/leistungen\/endometrial-microbiome-analysis\/"},"modified":"2026-10-06T15:17:36","modified_gmt":"2026-10-06T14:17:36","slug":"endometrial-microbiome-analysis","status":"publish","type":"leistungen","link":"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/endometrial-microbiome-analysis\/","title":{"rendered":"Endo\u00adme\u00adtri\u00adal Micro\u00adbio\u00adme Ana\u00adly\u00adsis"},"content":{"rendered":"\n
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Endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons<\/h2>\n\n\n\n

The ute\u00adri\u00adne lining plays a cru\u00adcial role in implan\u00adta\u00adti\u00adon and the ear\u00adly deve\u00adlo\u00adp\u00adment of a pregnan\u00adcy. In sel\u00adec\u00adted situa\u00adtions, fur\u00adther inves\u00adti\u00adga\u00adti\u00adons of the endo\u00adme\u00adtri\u00adum may the\u00adr\u00ade\u00adfo\u00adre be useful in cases of repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure or recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges<\/a>. <\/p>\n\n\n\n

The focus is in par\u00adti\u00adcu\u00adlar on test\u00ading for chro\u00adnic endo\u00adme\u00adtri\u00adtis, an inflamm\u00ada\u00adti\u00adon of the ute\u00adri\u00adne lining that often cau\u00adses few sym\u00adptoms and can be dia\u00adgno\u00adsed by detec\u00adting CD138-posi\u00adti\u00adve plas\u00adma cells in an endo\u00adme\u00adtri\u00adal bio\u00adpsy.<\/p>\n\n\n\n

In addi\u00adti\u00adon, depen\u00adding on your indi\u00advi\u00addu\u00adal medi\u00adcal histo\u00adry, other endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons may be con\u00adside\u00adred, such as an ana\u00adly\u00adsis of the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme. The sci\u00aden\u00adti\u00adfic evi\u00addence for the\u00adse pro\u00adce\u00addu\u00adres varies: in par\u00adti\u00adcu\u00adlar, the signi\u00adfi\u00adcan\u00adce of the ute\u00adri\u00adne micro\u00adbio\u00adme, opti\u00admal cut-off values, and the bene\u00adfit of the\u00adra\u00adpies deri\u00adved from it are still being inves\u00adti\u00adga\u00adted sci\u00aden\u00adti\u00adfi\u00adcal\u00adly. <\/p>\n\n\n\n

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When are endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons useful in cases of an as-yet unful\u00adfil\u00adled wish to have a child?<\/h3>\n\n\n\n

Fur\u00adther inves\u00adti\u00adga\u00adti\u00adons of the ute\u00adri\u00adne lining are not part of rou\u00adti\u00adne basic fer\u00adti\u00adli\u00adty dia\u00adgno\u00adstics. They may be con\u00adside\u00adred in par\u00adti\u00adcu\u00adlar if pregnan\u00adci\u00ades repea\u00adted\u00adly do not occur or if the\u00adre are recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges. Which test is appro\u00adpria\u00adte depends on the indi\u00advi\u00addu\u00adal medi\u00adcal histo\u00adry. <\/p>\n\n\n\n

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\n\"Logo\n\n\n\nRepea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If pregnan\u00adcy does not occur despi\u00adte repea\u00adted trans\u00adfers of good-qua\u00adli\u00adty embry\u00ados, fur\u00adther inves\u00adti\u00adga\u00adti\u00adon of the endo\u00adme\u00adtri\u00adum may be useful. In par\u00adti\u00adcu\u00adlar, chro\u00adnic endo\u00adme\u00adtri\u00adtis can be asses\u00adsed by detec\u00adting CD138-posi\u00adti\u00adve plas\u00adma cells. In sel\u00adec\u00adted cases, a micro\u00adbio\u00adme ana\u00adly\u00adsis or spe\u00adcial inves\u00adti\u00adga\u00adti\u00adons such as ute\u00adri\u00adne kil\u00adler cells may also be dis\u00adcus\u00adsed. Howe\u00adver, the cli\u00adni\u00adcal bene\u00adfit of the\u00adse addi\u00adtio\u00adnal tests has not yet been cle\u00adar\u00adly estab\u00adlished. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nRecur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, chro\u00adnic endo\u00adme\u00adtri\u00adtis can be inves\u00adti\u00adga\u00adted as a pos\u00adsi\u00adble addi\u00adtio\u00adnal fac\u00adtor. For this pur\u00adpo\u00adse, a small sam\u00adple of the ute\u00adri\u00adne lining is taken and exami\u00adned for CD138-posi\u00adti\u00adve plas\u00adma cells. Micro\u00adbio\u00adme and immu\u00adno\u00adlo\u00adgi\u00adcal inves\u00adti\u00adga\u00adti\u00adons may be dis\u00adcus\u00adsed as an adjunct in spe\u00adcial con\u00adstel\u00adla\u00adti\u00adons, but they are not part of rou\u00adti\u00adne\u00adly recom\u00admen\u00added mis\u00adcar\u00adria\u00adge dia\u00adgno\u00adstics. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nSuspec\u00adted chro\u00adnic endo\u00adme\u00adtri\u00adtis<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Chro\u00adnic endo\u00adme\u00adtri\u00adtis often cau\u00adses no sym\u00adptoms or only non-spe\u00adci\u00adfic sym\u00adptoms and may the\u00adr\u00ade\u00adfo\u00adre go unno\u00adti\u00adced. If the medi\u00adcal histo\u00adry sug\u00adgests it, an endo\u00adme\u00adtri\u00adal bio\u00adpsy with test\u00ading for CD138-posi\u00adti\u00adve plas\u00adma cells can pro\u00advi\u00adde indi\u00adca\u00adti\u00adons of chro\u00adnic inflamm\u00ada\u00adti\u00adon. Depen\u00adding on the fin\u00addings and the cli\u00adni\u00adcal ques\u00adti\u00adon, an addi\u00adtio\u00adnal micro\u00adbio\u00adlo\u00adgi\u00adcal or mole\u00adcu\u00adlar bio\u00adlo\u00adgi\u00adcal test for spe\u00adci\u00adfic patho\u00adgens or the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme may be useful. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\"Couple<\/figure>\n\n\n\n
<\/figure>\n<\/div>\n<\/div>\n\n
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\n\"Logo\n\n\n\n

What endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons are available?<\/h2>\n\n\n\n

We the\u00adr\u00ade\u00adfo\u00adre do not recom\u00admend exten\u00added endo\u00adme\u00adtri\u00adal dia\u00adgno\u00adstics rou\u00adti\u00adne\u00adly, but rather sel\u00adec\u00adtively based on your indi\u00advi\u00addu\u00adal medi\u00adcal histo\u00adry and pre\u00advious fer\u00adti\u00adli\u00adty tre\u00adat\u00adment.<\/p>\n<\/div>\n\n\n\n

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\nC<\/strong>HRONIC E<\/strong>NDOMETRITIS & CD138-<\/strong>POSITIVE PLASMA CELLS<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Chro\u00adnic endo\u00adme\u00adtri\u00adtis is an inflamm\u00ada\u00adti\u00adon of the ute\u00adri\u00adne lining that usual\u00adly cau\u00adses few sym\u00adptoms or goes com\u00adple\u00adte\u00adly unno\u00adti\u00adced. It is asso\u00adcia\u00adted with recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges and pos\u00adsi\u00adbly also with repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure. <\/p>\n\n\n\n

For dia\u00adgno\u00adsis, we take a small sam\u00adple of the ute\u00adri\u00adne lining. This is exami\u00adned his\u00adto\u00adlo\u00adgi\u00adcal\u00adly and, in par\u00adti\u00adcu\u00adlar, che\u00adcked for CD138-posi\u00adti\u00adve plas\u00adma cells. Evi\u00addence of increased plas\u00adma cells may indi\u00adca\u00adte chro\u00adnic endo\u00adme\u00adtri\u00adtis. <\/p>\n\n\n\n

Howe\u00adver, the\u00adre is curr\u00adent\u00adly no inter\u00adna\u00adtio\u00adnal\u00adly uni\u00adform cut-off value for the num\u00adber of plas\u00adma cells abo\u00adve which cli\u00adni\u00adcal\u00adly rele\u00advant chro\u00adnic endo\u00adme\u00adtri\u00adtis is pre\u00adsent. We the\u00adr\u00ade\u00adfo\u00adre always assess the fin\u00addings in the con\u00adtext of your indi\u00advi\u00addu\u00adal medi\u00adcal histo\u00adry and pre\u00advious fer\u00adti\u00adli\u00adty tre\u00adat\u00adments. <\/p>\n\n\n\n

If cli\u00adni\u00adcal\u00adly rele\u00advant chro\u00adnic endo\u00adme\u00adtri\u00adtis is dia\u00adgno\u00adsed, anti\u00adbio\u00adtic tre\u00adat\u00adment may be con\u00adside\u00adred. Stu\u00addies show more favorable repro\u00adduc\u00adti\u00adve out\u00adco\u00admes, par\u00adti\u00adcu\u00adlar\u00adly when chro\u00adnic endo\u00adme\u00adtri\u00adtis is no lon\u00adger detec\u00adta\u00adble after tre\u00adat\u00adment; at the same time, the evi\u00addence on impro\u00adving the live birth rate has not yet been con\u00adclu\u00adsi\u00adve\u00adly cla\u00adri\u00adfied. <\/p>\n\n\n\nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nENDOMETRIAL MICROBIOME<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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The endo\u00adme\u00adtri\u00adum is the lining that covers the insi\u00adde of the ute\u00adrus. It is colo\u00adni\u00adzed by bac\u00adte\u00adria, pri\u00adma\u00adri\u00adly pro\u00adtec\u00adti\u00adve lac\u00adto\u00adba\u00adcil\u00adli (lac\u00adtic acid bac\u00adte\u00adria). Modern mole\u00adcu\u00adlar bio\u00adlo\u00adgi\u00adcal methods can detect bac\u00adte\u00adri\u00adal DNA and dif\u00adfe\u00adrent bac\u00adte\u00adri\u00adal pro\u00adfiles in the endo\u00adme\u00adtri\u00adum. Among other things, this exami\u00adnes whe\u00adther lac\u00adto\u00adba\u00adcil\u00adli domi\u00adna\u00adte or whe\u00adther the\u00adre are indi\u00adca\u00adti\u00adons of so-cal\u00adled dysbiosis\u2014an alte\u00adred bac\u00adte\u00adri\u00adal com\u00adpo\u00adsi\u00adti\u00adon. <\/p>\n\n\n\n

Stu\u00addies show asso\u00adcia\u00adti\u00adons bet\u00adween cer\u00adtain micro\u00adbi\u00adal pat\u00adterns and the chan\u00adces of pregnan\u00adcy. Howe\u00adver, it has not yet been con\u00adclu\u00adsi\u00adve\u00adly cla\u00adri\u00adfied how an \u201copti\u00admal\u201d endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme should be defi\u00adned, which cut-off values are cli\u00adni\u00adcal\u00adly rele\u00advant, and whe\u00adther tar\u00adge\u00adted modi\u00adfi\u00adca\u00adti\u00adon of the micro\u00adbio\u00adme impro\u00adves pregnan\u00adcy or live birth rates. The micro\u00adbio\u00adme ana\u00adly\u00adsis is the\u00adr\u00ade\u00adfo\u00adre not a rou\u00adti\u00adne test. In sel\u00adec\u00adted patients\u2014especially after repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure and in con\u00adjunc\u00adtion with fur\u00adther indi\u00adca\u00adti\u00adons of chro\u00adnic endometritis\u2014it can be used as an addi\u00adtio\u00adnal dia\u00adgno\u00adstic tool. <\/p>\n\n\n\nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nUTERINE NATURAL KILLER CELLS (uNK)<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Ute\u00adri\u00adne natu\u00adral kil\u00adler cells are a natu\u00adral com\u00adpo\u00adnent of the immu\u00adne sys\u00adtem of the ute\u00adri\u00adne lining and play an important role in implan\u00adta\u00adti\u00adon, pla\u00adcen\u00adtal deve\u00adlo\u00adp\u00adment, and immu\u00adno\u00adlo\u00adgi\u00adcal com\u00admu\u00adni\u00adca\u00adti\u00adon bet\u00adween mother and embryo.<\/p>\n\n\n\n

In cases of repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure or mis\u00adcar\u00adri\u00ada\u00adges, the num\u00adber and func\u00adtion of the\u00adse cells are being inten\u00adsi\u00adve\u00adly stu\u00addi\u00aded sci\u00aden\u00adti\u00adfi\u00adcal\u00adly. Howe\u00adver, the\u00adre are still no uni\u00adform refe\u00adrence ran\u00adges and suf\u00adfi\u00adci\u00adent\u00adly vali\u00adda\u00adted methods to relia\u00adbly deri\u00adve a cau\u00adse or the\u00adra\u00adpy from an increased or decreased uNK value. <\/p>\n\n\n\n

Deter\u00admi\u00adning ute\u00adri\u00adne NK cells is the\u00adr\u00ade\u00adfo\u00adre not part of rou\u00adti\u00adne\u00adly recom\u00admen\u00added fer\u00adti\u00adli\u00adty dia\u00adgno\u00adstics. In spe\u00adcial situa\u00adtions, par\u00adti\u00adcu\u00adlar\u00adly after repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure, it may be per\u00adfor\u00admed as an addi\u00adtio\u00adnal test fol\u00adlo\u00adwing indi\u00advi\u00addu\u00adal coun\u00adseling. <\/p>\n\n\n\nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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What role does the micro\u00adbio\u00adme play when try\u00ading to con\u00adcei\u00adve?<\/h2>\n\n\n\n

The ute\u00adri\u00adne lining plays a cen\u00adtral role in the implan\u00adta\u00adti\u00adon of an embryo. In recent years, inten\u00adsi\u00adve rese\u00adarch has the\u00adr\u00ade\u00adfo\u00adre exami\u00adned whe\u00adther chro\u00adnic inflamm\u00ada\u00adti\u00adon and chan\u00adges in the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme can con\u00adtri\u00adbu\u00adte to repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure or mis\u00adcar\u00adri\u00ada\u00adges. <\/p>\n\n\n\n

Chro\u00adnic endo\u00adme\u00adtri\u00adtis is par\u00adti\u00adcu\u00adlar\u00adly rele\u00advant. This per\u00adsis\u00adtent inflamm\u00ada\u00adti\u00adon of the ute\u00adri\u00adne lining often cau\u00adses no sym\u00adptoms and the\u00adr\u00ade\u00adfo\u00adre usual\u00adly remains unde\u00adtec\u00adted wit\u00adhout tar\u00adge\u00adted test\u00ading. It can be detec\u00adted by an endo\u00adme\u00adtri\u00adal bio\u00adpsy and test\u00ading for CD138-posi\u00adti\u00adve plas\u00adma cells. The cli\u00adni\u00adcal evi\u00addence for this dia\u00adgno\u00adstic approach is stron\u00adger than for many other spe\u00adcia\u00adli\u00adzed endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons. <\/p>\n\n\n\n

Stu\u00addies also show asso\u00adcia\u00adti\u00adons bet\u00adween chan\u00adges in the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme and implan\u00adta\u00adti\u00adon and the cour\u00adse of pregnan\u00adcy. Among other things, redu\u00adced domi\u00adnan\u00adce of lac\u00adto\u00adba\u00adcil\u00adli and an increased pre\u00adsence of cer\u00adtain other bac\u00adte\u00adria are being inves\u00adti\u00adga\u00adted. Howe\u00adver, it has not yet been con\u00adclu\u00adsi\u00adve\u00adly cla\u00adri\u00adfied which com\u00adpo\u00adsi\u00adti\u00adon of the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme should be con\u00adside\u00adred opti\u00admal and whe\u00adther tar\u00adge\u00adted tre\u00adat\u00adment of dys\u00adbio\u00adsis impro\u00adves pregnan\u00adcy or live birth rates. <\/p>\n\n\n\n

In our view, exten\u00added endo\u00adme\u00adtri\u00adal dia\u00adgno\u00adstics should the\u00adr\u00ade\u00adfo\u00adre not be per\u00adfor\u00admed rou\u00adti\u00adne\u00adly for every pati\u00adent try\u00ading to con\u00adcei\u00adve. Howe\u00adver, in cases of repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure, recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, or sel\u00adec\u00adted com\u00adplex fer\u00adti\u00adli\u00adty his\u00adto\u00adries, it can pro\u00advi\u00adde addi\u00adtio\u00adnal infor\u00adma\u00adti\u00adon. Which test is appro\u00adpria\u00adte in an indi\u00advi\u00addu\u00adal case is deci\u00added based on your medi\u00adcal histo\u00adry, pre\u00advious tre\u00adat\u00adments, and exis\u00adting findings\u2014also taking into account the vary\u00ading sci\u00aden\u00adti\u00adfic evi\u00addence for the indi\u00advi\u00addu\u00adal pro\u00adce\u00addu\u00adres. <\/p>\n\n\n\n

Addi\u00adtio\u00adnal dia\u00adgno\u00adstics when try\u00ading to con\u00adcei\u00adve<\/h3>\n\n\n\n
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\nHORMONAL DIAGNOSTICS<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Hor\u00admo\u00adn\u00adal fac\u00adtors can influence the cycle, ovu\u00adla\u00adti\u00adon, and the build-up of the ute\u00adri\u00adne lining. Depen\u00adding on the cli\u00adni\u00adcal ques\u00adti\u00adon, we may exami\u00adne, for exam\u00adp\u00adle, thy\u00adro\u00adid values<\/a>, pro\u00adlac\u00adtin, est\u00adra\u00addi\u00adol and pro\u00adges\u00adte\u00adro\u00adne, as well as other hor\u00admo\u00adnes, in order to iden\u00adti\u00adfy pos\u00adsi\u00adble hor\u00admo\u00adn\u00adal cau\u00adses. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nHys\u00adtero\u00adsco\u00adpy<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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A hys\u00adtero\u00adsco\u00adpy allows the ute\u00adri\u00adne cavi\u00adty to be asses\u00adsed direct\u00adly. For exam\u00adp\u00adle, polyps, submu\u00adco\u00adsal fibro\u00adids, adhe\u00adsi\u00adons, or other chan\u00adges that may impair implan\u00adta\u00adti\u00adon can be detec\u00adted. If nee\u00added, tar\u00adge\u00adted tis\u00adsue samples can also be taken during the pro\u00adce\u00addu\u00adre. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nOther cau\u00adses of implan\u00adta\u00adti\u00adon fail\u00adure and mis\u00adcar\u00adri\u00ada\u00adges<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In cases of repea\u00adted implan\u00adta\u00adti\u00adon fail\u00adure or recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, we do not only look at the ute\u00adri\u00adne lining. Depen\u00adding on your medi\u00adcal histo\u00adry, fur\u00adther inves\u00adti\u00adga\u00adti\u00adons may be useful\u2014for exam\u00adp\u00adle, of ute\u00adri\u00adne ana\u00adto\u00admy, gene\u00adtics, coagu\u00adla\u00adti\u00adon, immu\u00adno\u00adlo\u00adgy, or male fac\u00adtors<\/a>. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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Pro\u00adce\u00addu\u00adre for endo\u00adme\u00adtri\u00adal dia\u00adgno\u00adstics<\/h2>\n\n\n\n

At our pri\u00adva\u00adte fer\u00adti\u00adli\u00adty cen\u00adter in Munich, we gui\u00adde you step by step through dia\u00adgno\u00adstics and pos\u00adsi\u00adble tre\u00adat\u00adment opti\u00adons. Which test is appro\u00adpria\u00adte and when the tis\u00adsue sam\u00adple is taken depends on the spe\u00adci\u00adfic cli\u00adni\u00adcal ques\u00adti\u00adon. Some tests can be per\u00adfor\u00admed fle\u00adxi\u00adbly within the cycle, while others requi\u00adre a pre\u00adcis\u00ade\u00adly defi\u00adned time point. <\/p>\n\n\n\n

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Step by step through the exami\u00adna\u00adti\u00adon<\/h4>\n<\/div>\n<\/div>\n\n\n\n
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  1. \n

    Indi\u00advi\u00addu\u00adal plan\u00adning<\/h4>\n\n\n\n

    First, we dis\u00adcuss which endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adon is appro\u00adpria\u00adte in your situa\u00adti\u00adon. The timing of the bio\u00adpsy is plan\u00adned accor\u00addin\u00adgly: tests for chro\u00adnic endo\u00adme\u00adtri\u00adtis or CD138-posi\u00adti\u00adve plas\u00adma cells and the micro\u00adbio\u00adme can gene\u00adral\u00adly be per\u00adfor\u00admed in dif\u00adfe\u00adrent pha\u00adses of the cycle. Spe\u00adcial tests such as ute\u00adri\u00adne kil\u00adler cells, on the other hand, requi\u00adre a spe\u00adci\u00adfi\u00adcal\u00adly defi\u00adned time point in the cycle, in the lute\u00adal pha\u00adse. <\/p>\n\n\n\nMake an appoint\u00adment<\/a>\n<\/li>\n\n\n\n

  2. \n

    Taking the tis\u00adsue sam\u00adple<\/h4>\n\n\n\n

    Using a thin cathe\u00adter, we take a small sam\u00adple of the ute\u00adri\u00adne lining. The exami\u00adna\u00adti\u00adon takes only a few minu\u00adtes and is usual\u00adly per\u00adfor\u00admed on an out\u00adpa\u00adti\u00adent basis. Depen\u00adding on the test, the bio\u00adpsy is per\u00adfor\u00admed, for exam\u00adp\u00adle, in the first half of the cycle, around ovu\u00adla\u00adti\u00adon, or spe\u00adci\u00adfi\u00adcal\u00adly in the second half of the cycle. <\/p>\n<\/li>\n\n\n\n

  3. \n

    Labo\u00adra\u00adto\u00adry ana\u00adly\u00adsis<\/h4>\n\n\n\n

    Depen\u00adding on the cli\u00adni\u00adcal ques\u00adti\u00adon, the sam\u00adple is exami\u00adned in dif\u00adfe\u00adrent ways. Opti\u00adons include his\u00adto\u00adlo\u00adgi\u00adcal and immu\u00adn\u00ado\u00adhi\u00ads\u00adto\u00adche\u00admi\u00adcal test\u00ading for CD138-posi\u00adti\u00adve plas\u00adma cells, a mole\u00adcu\u00adlar bio\u00adlo\u00adgi\u00adcal ana\u00adly\u00adsis of the endo\u00adme\u00adtri\u00adal micro\u00adbio\u00adme, or deter\u00admi\u00adna\u00adti\u00adon of ute\u00adri\u00adne kil\u00adler cells. <\/p>\n<\/li>\n\n\n\n

  4. \n

    Dis\u00adcus\u00adsion of results<\/h4>\n\n\n\n

    Once the results are available, we dis\u00adcuss the fin\u00addings with you in detail and inter\u00adpret them tog\u00ade\u00adther in the con\u00adtext of your medi\u00adcal histo\u00adry and pre\u00advious fer\u00adti\u00adli\u00adty tre\u00adat\u00adments. Espe\u00adci\u00adal\u00adly with spe\u00adcia\u00adli\u00adzed endo\u00adme\u00adtri\u00adal inves\u00adti\u00adga\u00adti\u00adons, it is important not to assess indi\u00advi\u00addu\u00adal labo\u00adra\u00adto\u00adry values in iso\u00adla\u00adti\u00adon. <\/p>\n<\/li>\n\n\n\n

  5. \n

    Indi\u00advi\u00addu\u00adal Tre\u00adat\u00adment<\/h4>\n\n\n\n

    If chro\u00adnic endo\u00adme\u00adtri\u00adtis is con\u00adfirm\u00aded, for exam\u00adp\u00adle, anti\u00adbio\u00adtic the\u00adra\u00adpy may be appro\u00adpria\u00adte. In the case of micro\u00adbio\u00adme chan\u00adges or other abnor\u00adma\u00adli\u00adties, we assess indi\u00advi\u00addu\u00adal\u00adly whe\u00adther this leads to a the\u00adra\u00adpeu\u00adtic con\u00adse\u00adquence. In doing so, we also take into account the vary\u00ading sci\u00aden\u00adti\u00adfic evi\u00addence for the respec\u00adti\u00adve tre\u00adat\u00adment. <\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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    \n\"Close-up\n\n\n\n

    Endo\u00adme\u00adtri\u00adal dia\u00adgno\u00adstics in Munich \u2013 indi\u00advi\u00addua\u00adli\u00adzed and evi\u00addence-based<\/h2>\n\n\n\n

    With spe\u00adcia\u00adli\u00adzed inves\u00adti\u00adga\u00adti\u00adons of the ute\u00adri\u00adne lining, it is not only the labo\u00adra\u00adto\u00adry fin\u00adding that mat\u00adters, but abo\u00adve all its inter\u00adpre\u00adta\u00adti\u00adon in the con\u00adtext of your indi\u00advi\u00addu\u00adal fer\u00adti\u00adli\u00adty histo\u00adry.<\/p>\n\n\n\nArran\u00adge a con\u00adsul\u00adta\u00adti\u00adon appoint\u00adment<\/a>\n<\/div>\n\n\n\n

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