{"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":"Endome\u00adtri\u00adal Micro\u00adbio\u00adme Analy\u00adsis"},"content":{"rendered":"\n
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Endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions<\/h2>\n\n\n\n

The uter\u00adine lin\u00ading plays a cru\u00adcial role in implan\u00adta\u00adtion and the ear\u00adly devel\u00adop\u00adment of a preg\u00adnan\u00adcy. In select\u00aded sit\u00adu\u00ada\u00adtions, fur\u00adther inves\u00adti\u00adga\u00adtions of the endometri\u00adum may there\u00adfore be use\u00adful in cas\u00ades of repeat\u00aded implan\u00adta\u00adtion fail\u00adure or recur\u00adrent mis\u00adcar\u00adriages<\/a>. <\/p>\n\n\n\n

The focus is in par\u00adtic\u00adu\u00adlar on test\u00ading for chron\u00adic endometri\u00adtis, an inflam\u00adma\u00adtion of the uter\u00adine lin\u00ading that often caus\u00ades few symp\u00adtoms and can be diag\u00adnosed by detect\u00ading CD138-pos\u00adi\u00adtive plas\u00adma cells in an endome\u00adtri\u00adal biop\u00adsy.<\/p>\n\n\n\n

In addi\u00adtion, depend\u00ading on your indi\u00advid\u00adual med\u00adical his\u00adto\u00adry, oth\u00ader endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions may be con\u00adsid\u00adered, such as an analy\u00adsis of the endome\u00adtri\u00adal micro\u00adbio\u00adme. The sci\u00aden\u00adtif\u00adic evi\u00addence for these pro\u00adce\u00addures varies: in par\u00adtic\u00adu\u00adlar, the sig\u00adnif\u00adi\u00adcance of the uter\u00adine micro\u00adbio\u00adme, opti\u00admal cut-off val\u00adues, and the ben\u00ade\u00adfit of ther\u00ada\u00adpies derived from it are still being inves\u00adti\u00adgat\u00aded sci\u00aden\u00adtif\u00adi\u00adcal\u00adly. <\/p>\n\n\n\n

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When are endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions use\u00adful in cas\u00ades of an as-yet unful\u00adfilled wish to have a child?<\/h3>\n\n\n\n

Fur\u00adther inves\u00adti\u00adga\u00adtions of the uter\u00adine lin\u00ading are not part of rou\u00adtine basic fer\u00adtil\u00adi\u00adty diag\u00adnos\u00adtics. They may be con\u00adsid\u00adered in par\u00adtic\u00adu\u00adlar if preg\u00adnan\u00adcies repeat\u00aded\u00adly do not occur or if there are recur\u00adrent mis\u00adcar\u00adriages. Which test is appro\u00adpri\u00adate depends on the indi\u00advid\u00adual med\u00adical his\u00adto\u00adry. <\/p>\n\n\n\n

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\n\"Logo\n\n\n\nRepeat\u00aded implan\u00adta\u00adtion fail\u00adure<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If preg\u00adnan\u00adcy does not occur despite repeat\u00aded trans\u00adfers of good-qual\u00adi\u00adty embryos, fur\u00adther inves\u00adti\u00adga\u00adtion of the endometri\u00adum may be use\u00adful. In par\u00adtic\u00adu\u00adlar, chron\u00adic endometri\u00adtis can be assessed by detect\u00ading CD138-pos\u00adi\u00adtive plas\u00adma cells. In select\u00aded cas\u00ades, a micro\u00adbio\u00adme analy\u00adsis or spe\u00adcial inves\u00adti\u00adga\u00adtions such as uter\u00adine killer cells may also be dis\u00adcussed. How\u00adev\u00ader, the clin\u00adi\u00adcal ben\u00ade\u00adfit of these addi\u00adtion\u00adal tests has not yet been clear\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\u00adriages<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In cas\u00ades of recur\u00adrent mis\u00adcar\u00adriages, chron\u00adic endometri\u00adtis can be inves\u00adti\u00adgat\u00aded as a pos\u00adsi\u00adble addi\u00adtion\u00adal fac\u00adtor. For this pur\u00adpose, a small sam\u00adple of the uter\u00adine lin\u00ading is tak\u00aden and exam\u00adined for CD138-pos\u00adi\u00adtive plas\u00adma cells. Micro\u00adbio\u00adme and immuno\u00adlog\u00adi\u00adcal inves\u00adti\u00adga\u00adtions may be dis\u00adcussed as an adjunct in spe\u00adcial con\u00adstel\u00adla\u00adtions, but they are not part of rou\u00adtine\u00adly rec\u00adom\u00admend\u00aded mis\u00adcar\u00adriage diag\u00adnos\u00adtics. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nSus\u00adpect\u00aded chron\u00adic endometri\u00adtis<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Chron\u00adic endometri\u00adtis often caus\u00ades no symp\u00adtoms or only non-spe\u00adcif\u00adic symp\u00adtoms and may there\u00adfore go unno\u00adticed. If the med\u00adical his\u00adto\u00adry sug\u00adgests it, an endome\u00adtri\u00adal biop\u00adsy with test\u00ading for CD138-pos\u00adi\u00adtive plas\u00adma cells can pro\u00advide indi\u00adca\u00adtions of chron\u00adic inflam\u00adma\u00adtion. Depend\u00ading on the find\u00adings and the clin\u00adi\u00adcal ques\u00adtion, an addi\u00adtion\u00adal micro\u00adbi\u00ado\u00adlog\u00adi\u00adcal or mol\u00ade\u00adc\u00adu\u00adlar bio\u00adlog\u00adi\u00adcal test for spe\u00adcif\u00adic pathogens or the endome\u00adtri\u00adal micro\u00adbio\u00adme may be use\u00adful. <\/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
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\n\"Logo\n\n\n\n

What endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions are avail\u00adable?<\/h2>\n\n\n\n

We there\u00adfore do not rec\u00adom\u00admend extend\u00aded endome\u00adtri\u00adal diag\u00adnos\u00adtics rou\u00adtine\u00adly, but rather selec\u00adtive\u00adly based on your indi\u00advid\u00adual med\u00adical his\u00adto\u00adry and pre\u00advi\u00adous fer\u00adtil\u00adi\u00adty treat\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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Chron\u00adic endometri\u00adtis is an inflam\u00adma\u00adtion of the uter\u00adine lin\u00ading that usu\u00adal\u00adly caus\u00ades few symp\u00adtoms or goes com\u00adplete\u00adly unno\u00adticed. It is asso\u00adci\u00adat\u00aded with recur\u00adrent mis\u00adcar\u00adriages and pos\u00adsi\u00adbly also with repeat\u00aded implan\u00adta\u00adtion fail\u00adure. <\/p>\n\n\n\n

For diag\u00adno\u00adsis, we take a small sam\u00adple of the uter\u00adine lin\u00ading. This is exam\u00adined his\u00adto\u00adlog\u00adi\u00adcal\u00adly and, in par\u00adtic\u00adu\u00adlar, checked for CD138-pos\u00adi\u00adtive plas\u00adma cells. Evi\u00addence of increased plas\u00adma cells may indi\u00adcate chron\u00adic endometri\u00adtis. <\/p>\n\n\n\n

How\u00adev\u00ader, there is cur\u00adrent\u00adly no inter\u00adna\u00adtion\u00adal\u00adly uni\u00adform cut-off val\u00adue for the num\u00adber of plas\u00adma cells above which clin\u00adi\u00adcal\u00adly rel\u00ade\u00advant chron\u00adic endometri\u00adtis is present. We there\u00adfore always assess the find\u00adings in the con\u00adtext of your indi\u00advid\u00adual med\u00adical his\u00adto\u00adry and pre\u00advi\u00adous fer\u00adtil\u00adi\u00adty treat\u00adments. <\/p>\n\n\n\n

If clin\u00adi\u00adcal\u00adly rel\u00ade\u00advant chron\u00adic endometri\u00adtis is diag\u00adnosed, antibi\u00adot\u00adic treat\u00adment may be con\u00adsid\u00adered. Stud\u00adies show more favor\u00adable repro\u00adduc\u00adtive out\u00adcomes, par\u00adtic\u00adu\u00adlar\u00adly when chron\u00adic endometri\u00adtis is no longer detectable after treat\u00adment; at the same time, the evi\u00addence on improv\u00ading the live birth rate has not yet been con\u00adclu\u00adsive\u00adly clar\u00adi\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 endometri\u00adum is the lin\u00ading that cov\u00aders the inside of the uterus. It is col\u00ado\u00adnized by bac\u00adte\u00adria, pri\u00admar\u00adi\u00adly pro\u00adtec\u00adtive lac\u00adto\u00adbacil\u00adli (lac\u00adtic acid bac\u00adte\u00adria). Mod\u00adern mol\u00ade\u00adc\u00adu\u00adlar bio\u00adlog\u00adi\u00adcal meth\u00adods can detect bac\u00adte\u00adr\u00adi\u00adal DNA and dif\u00adfer\u00adent bac\u00adte\u00adr\u00adi\u00adal pro\u00adfiles in the endometri\u00adum. Among oth\u00ader things, this exam\u00adines whether lac\u00adto\u00adbacil\u00adli dom\u00adi\u00adnate or whether there are indi\u00adca\u00adtions of so-called dysbiosis\u2014an altered bac\u00adte\u00adr\u00adi\u00adal com\u00adpo\u00adsi\u00adtion. <\/p>\n\n\n\n

Stud\u00adies show asso\u00adci\u00ada\u00adtions between cer\u00adtain micro\u00adbial pat\u00adterns and the chances of preg\u00adnan\u00adcy. How\u00adev\u00ader, it has not yet been con\u00adclu\u00adsive\u00adly clar\u00adi\u00adfied how an \u201copti\u00admal\u201d endome\u00adtri\u00adal micro\u00adbio\u00adme should be defined, which cut-off val\u00adues are clin\u00adi\u00adcal\u00adly rel\u00ade\u00advant, and whether tar\u00adget\u00aded mod\u00adi\u00adfi\u00adca\u00adtion of the micro\u00adbio\u00adme improves preg\u00adnan\u00adcy or live birth rates. The micro\u00adbio\u00adme analy\u00adsis is there\u00adfore not a rou\u00adtine test. In select\u00aded patients\u2014especially after repeat\u00aded implan\u00adta\u00adtion fail\u00adure and in con\u00adjunc\u00adtion with fur\u00adther indi\u00adca\u00adtions of chron\u00adic endometritis\u2014it can be used as an addi\u00adtion\u00adal diag\u00adnos\u00adtic 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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Uter\u00adine nat\u00adur\u00adal killer cells are a nat\u00adur\u00adal com\u00adpo\u00adnent of the immune sys\u00adtem of the uter\u00adine lin\u00ading and play an impor\u00adtant role in implan\u00adta\u00adtion, pla\u00adcen\u00adtal devel\u00adop\u00adment, and immuno\u00adlog\u00adi\u00adcal com\u00admu\u00adni\u00adca\u00adtion between moth\u00ader and embryo.<\/p>\n\n\n\n

In cas\u00ades of repeat\u00aded implan\u00adta\u00adtion fail\u00adure or mis\u00adcar\u00adriages, the num\u00adber and func\u00adtion of these cells are being inten\u00adsive\u00adly stud\u00adied sci\u00aden\u00adtif\u00adi\u00adcal\u00adly. How\u00adev\u00ader, there are still no uni\u00adform ref\u00ader\u00adence ranges and suf\u00adfi\u00adcient\u00adly val\u00adi\u00addat\u00aded meth\u00adods to reli\u00adably derive a cause or ther\u00ada\u00adpy from an increased or decreased uNK val\u00adue. <\/p>\n\n\n\n

Deter\u00admin\u00ading uter\u00adine NK cells is there\u00adfore not part of rou\u00adtine\u00adly rec\u00adom\u00admend\u00aded fer\u00adtil\u00adi\u00adty diag\u00adnos\u00adtics. In spe\u00adcial sit\u00adu\u00ada\u00adtions, par\u00adtic\u00adu\u00adlar\u00adly after repeat\u00aded implan\u00adta\u00adtion fail\u00adure, it may be per\u00adformed as an addi\u00adtion\u00adal test fol\u00adlow\u00ading indi\u00advid\u00adual coun\u00adsel\u00ading. <\/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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<\/div>\n\n\n\n
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What role does the micro\u00adbio\u00adme play when try\u00ading to con\u00adceive?<\/h2>\n\n\n\n

The uter\u00adine lin\u00ading plays a cen\u00adtral role in the implan\u00adta\u00adtion of an embryo. In recent years, inten\u00adsive research has there\u00adfore exam\u00adined whether chron\u00adic inflam\u00adma\u00adtion and changes in the endome\u00adtri\u00adal micro\u00adbio\u00adme can con\u00adtribute to repeat\u00aded implan\u00adta\u00adtion fail\u00adure or mis\u00adcar\u00adriages. <\/p>\n\n\n\n

Chron\u00adic endometri\u00adtis is par\u00adtic\u00adu\u00adlar\u00adly rel\u00ade\u00advant. This per\u00adsis\u00adtent inflam\u00adma\u00adtion of the uter\u00adine lin\u00ading often caus\u00ades no symp\u00adtoms and there\u00adfore usu\u00adal\u00adly remains unde\u00adtect\u00aded with\u00adout tar\u00adget\u00aded test\u00ading. It can be detect\u00aded by an endome\u00adtri\u00adal biop\u00adsy and test\u00ading for CD138-pos\u00adi\u00adtive plas\u00adma cells. The clin\u00adi\u00adcal evi\u00addence for this diag\u00adnos\u00adtic approach is stronger than for many oth\u00ader spe\u00adcial\u00adized endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions. <\/p>\n\n\n\n

Stud\u00adies also show asso\u00adci\u00ada\u00adtions between changes in the endome\u00adtri\u00adal micro\u00adbio\u00adme and implan\u00adta\u00adtion and the course of preg\u00adnan\u00adcy. Among oth\u00ader things, reduced dom\u00adi\u00adnance of lac\u00adto\u00adbacil\u00adli and an increased pres\u00adence of cer\u00adtain oth\u00ader bac\u00adte\u00adria are being inves\u00adti\u00adgat\u00aded. How\u00adev\u00ader, it has not yet been con\u00adclu\u00adsive\u00adly clar\u00adi\u00adfied which com\u00adpo\u00adsi\u00adtion of the endome\u00adtri\u00adal micro\u00adbio\u00adme should be con\u00adsid\u00adered opti\u00admal and whether tar\u00adget\u00aded treat\u00adment of dys\u00adbio\u00adsis improves preg\u00adnan\u00adcy or live birth rates. <\/p>\n\n\n\n

In our view, extend\u00aded endome\u00adtri\u00adal diag\u00adnos\u00adtics should there\u00adfore not be per\u00adformed rou\u00adtine\u00adly for every patient try\u00ading to con\u00adceive. How\u00adev\u00ader, in cas\u00ades of repeat\u00aded implan\u00adta\u00adtion fail\u00adure, recur\u00adrent mis\u00adcar\u00adriages, or select\u00aded com\u00adplex fer\u00adtil\u00adi\u00adty his\u00adto\u00adries, it can pro\u00advide addi\u00adtion\u00adal infor\u00adma\u00adtion. Which test is appro\u00adpri\u00adate in an indi\u00advid\u00adual case is decid\u00aded based on your med\u00adical his\u00adto\u00adry, pre\u00advi\u00adous treat\u00adments, and exist\u00ading findings\u2014also tak\u00ading into account the vary\u00ading sci\u00aden\u00adtif\u00adic evi\u00addence for the indi\u00advid\u00adual pro\u00adce\u00addures. <\/p>\n\n\n\n

Addi\u00adtion\u00adal diag\u00adnos\u00adtics when try\u00ading to con\u00adceive<\/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\u00admon\u00adal fac\u00adtors can influ\u00adence the cycle, ovu\u00adla\u00adtion, and the build-up of the uter\u00adine lin\u00ading. Depend\u00ading on the clin\u00adi\u00adcal ques\u00adtion, we may exam\u00adine, for exam\u00adple, thy\u00adroid val\u00adues<\/a>, pro\u00adlactin, estra\u00addi\u00adol and prog\u00ades\u00adterone, as well as oth\u00ader hor\u00admones, in order to iden\u00adti\u00adfy pos\u00adsi\u00adble hor\u00admon\u00adal caus\u00ades. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nHys\u00adteroscopy<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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A hys\u00adteroscopy allows the uter\u00adine cav\u00adi\u00adty to be assessed direct\u00adly. For exam\u00adple, polyps, sub\u00admu\u00adcos\u00adal fibroids, adhe\u00adsions, or oth\u00ader changes that may impair implan\u00adta\u00adtion can be detect\u00aded. If need\u00aded, tar\u00adget\u00aded tis\u00adsue sam\u00adples can also be tak\u00aden dur\u00ading the pro\u00adce\u00addure. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nOth\u00ader caus\u00ades of implan\u00adta\u00adtion fail\u00adure and mis\u00adcar\u00adriages<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In cas\u00ades of repeat\u00aded implan\u00adta\u00adtion fail\u00adure or recur\u00adrent mis\u00adcar\u00adriages, we do not only look at the uter\u00adine lin\u00ading. Depend\u00ading on your med\u00adical his\u00adto\u00adry, fur\u00adther inves\u00adti\u00adga\u00adtions may be useful\u2014for exam\u00adple, of uter\u00adine anato\u00admy, genet\u00adics, coag\u00adu\u00adla\u00adtion, immunol\u00ado\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\u00addure for endome\u00adtri\u00adal diag\u00adnos\u00adtics<\/h2>\n\n\n\n

At our pri\u00advate fer\u00adtil\u00adi\u00adty cen\u00adter in Munich, we guide you step by step through diag\u00adnos\u00adtics and pos\u00adsi\u00adble treat\u00adment options. Which test is appro\u00adpri\u00adate and when the tis\u00adsue sam\u00adple is tak\u00aden depends on the spe\u00adcif\u00adic clin\u00adi\u00adcal ques\u00adtion. Some tests can be per\u00adformed flex\u00adi\u00adbly with\u00adin the cycle, while oth\u00aders require a pre\u00adcise\u00adly defined time point. <\/p>\n\n\n\n

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Step by step through the exam\u00adi\u00adna\u00adtion<\/h4>\n<\/div>\n<\/div>\n\n\n\n
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  1. \n

    Indi\u00advid\u00adual plan\u00adning<\/h4>\n\n\n\n

    First, we dis\u00adcuss which endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtion is appro\u00adpri\u00adate in your sit\u00adu\u00ada\u00adtion. The tim\u00ading of the biop\u00adsy is planned accord\u00ading\u00adly: tests for chron\u00adic endometri\u00adtis or CD138-pos\u00adi\u00adtive plas\u00adma cells and the micro\u00adbio\u00adme can gen\u00ader\u00adal\u00adly be per\u00adformed in dif\u00adfer\u00adent phas\u00ades of the cycle. Spe\u00adcial tests such as uter\u00adine killer cells, on the oth\u00ader hand, require a specif\u00adi\u00adcal\u00adly defined time point in the cycle, in the luteal phase. <\/p>\n\n\n\nMake an appoint\u00adment<\/a>\n<\/li>\n\n\n\n

  2. \n

    Tak\u00ading the tis\u00adsue sam\u00adple<\/h4>\n\n\n\n

    Using a thin catheter, we take a small sam\u00adple of the uter\u00adine lin\u00ading. The exam\u00adi\u00adna\u00adtion takes only a few min\u00adutes and is usu\u00adal\u00adly per\u00adformed on an out\u00adpa\u00adtient basis. Depend\u00ading on the test, the biop\u00adsy is per\u00adformed, for exam\u00adple, in the first half of the cycle, around ovu\u00adla\u00adtion, or specif\u00adi\u00adcal\u00adly in the sec\u00adond half of the cycle. <\/p>\n<\/li>\n\n\n\n

  3. \n

    Lab\u00ado\u00adra\u00adto\u00adry analy\u00adsis<\/h4>\n\n\n\n

    Depend\u00ading on the clin\u00adi\u00adcal ques\u00adtion, the sam\u00adple is exam\u00adined in dif\u00adfer\u00adent ways. Options include his\u00adto\u00adlog\u00adi\u00adcal and immuno\u00adhis\u00adto\u00adchem\u00adi\u00adcal test\u00ading for CD138-pos\u00adi\u00adtive plas\u00adma cells, a mol\u00ade\u00adc\u00adu\u00adlar bio\u00adlog\u00adi\u00adcal analy\u00adsis of the endome\u00adtri\u00adal micro\u00adbio\u00adme, or deter\u00admi\u00adna\u00adtion of uter\u00adine killer cells. <\/p>\n<\/li>\n\n\n\n

  4. \n

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

    Once the results are avail\u00adable, we dis\u00adcuss the find\u00adings with you in detail and inter\u00adpret them togeth\u00ader in the con\u00adtext of your med\u00adical his\u00adto\u00adry and pre\u00advi\u00adous fer\u00adtil\u00adi\u00adty treat\u00adments. Espe\u00adcial\u00adly with spe\u00adcial\u00adized endome\u00adtri\u00adal inves\u00adti\u00adga\u00adtions, it is impor\u00adtant not to assess indi\u00advid\u00adual lab\u00ado\u00adra\u00adto\u00adry val\u00adues in iso\u00adla\u00adtion. <\/p>\n<\/li>\n\n\n\n

  5. \n

    Indi\u00advid\u00adual Treat\u00adment<\/h4>\n\n\n\n

    If chron\u00adic endometri\u00adtis is con\u00adfirmed, for exam\u00adple, antibi\u00adot\u00adic ther\u00ada\u00adpy may be appro\u00adpri\u00adate. In the case of micro\u00adbio\u00adme changes or oth\u00ader abnor\u00admal\u00adi\u00adties, we assess indi\u00advid\u00adu\u00adal\u00adly whether this leads to a ther\u00ada\u00adpeu\u00adtic con\u00adse\u00adquence. In doing so, we also take into account the vary\u00ading sci\u00aden\u00adtif\u00adic evi\u00addence for the respec\u00adtive treat\u00adment. <\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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

    Endome\u00adtri\u00adal diag\u00adnos\u00adtics in Munich \u2013 indi\u00advid\u00adu\u00adal\u00adized and evi\u00addence-based<\/h2>\n\n\n\n

    With spe\u00adcial\u00adized inves\u00adti\u00adga\u00adtions of the uter\u00adine lin\u00ading, it is not only the lab\u00ado\u00adra\u00adto\u00adry find\u00ading that mat\u00adters, but above all its inter\u00adpre\u00adta\u00adtion in the con\u00adtext of your indi\u00advid\u00adual fer\u00adtil\u00adi\u00adty his\u00adto\u00adry.<\/p>\n\n\n\nArrange a con\u00adsul\u00adta\u00adtion appoint\u00adment<\/a>\n<\/div>\n\n\n\n

    \n