Endometriosis Clinic

If you have been diagnosed with endometriosis, we will be happy to advise you on the treatment options. The aim of treatment is to relieve your pain and improve your quality of life.

This includes hormone therapy, surgical therapy with removal of the endometriosis lesions and adequate pain therapy. We also help you to help yourself in everyday life. Pain can be influenced, for example, by exercise, physiotherapy and diet. We will also be glad to advise you if you have an unfulfilled wish to have children and, if necessary, can refer you to our cooperation partner, the fertility practice CERF.

To guarantee treatment that complies with guidelines yet remains individual, various specialist disciplines work closely together. In addition to the gynaecologists, these include:

• Department of Surgery, Evangelisches Diakoniekrankenhaus Freiburg
• Endometriosis Centre, Universitätsklinikum Freiburg
• CERF Freiburg, fertility practice
• IBID - Radiology practice
• Institute of Clinical Pathology, Universitätsklinikum Freiburg
• Körpermitte, physiotherapy in Freiburg,
• NARCURA, Praxisklinik Zähringen pain therapy
• Städtische Rehakliniken Bad Waldsee
• Self-help office in Freiburg (Selbsthilfebüro)

Here you will find important advice on what you should pay particular attention to after a procedure, as well as information about the period after your endometriosis surgery.

Wound healing:

• Slight vaginal bleeding is normal and should stop after about one week.
• The suture material used is dissolved by the body itself.
• You can shower again from the first day after the operation.

Rest and recovery: In the first two weeks after the operation, you should avoid the following activities:

• Carrying and lifting heavy objects over 3-5 kg
• Excessive heat, such as saunas or solariums
• Strenuous sporting activities
• Sexual intercourse, the use of tampons and full baths (these increase the risk of infection)

Follow-up examination: About 2-3 weeks after the operation, you should see your specialist for a follow-up check.

• If you do not wish to have children, we recommend taking a progestogen-containing hormone therapy to reduce the risk of your symptoms worsening again.
• If you currently wish to have children, we recommend a consultation appointment at the CERF fertility centre (Kinderwunschzentrum CERF)

Important: Please come to the hospital immediately or contact us if you:

• have pain that has persisted for a week or longer despite painkillers.
• have pain that gets worse or occurs suddenly in the lower abdomen.
• have chills or a fever.
• notice significantly increased bloody discharge from wounds or the vagina.

• Activity: Exercise promotes blood flow in the pelvis and the release of the body’s own endorphins, which relieves pain. Activities such as yoga and Pilates can help release tension and adhesions. Endurance sports such as cycling and swimming can have a positive effect on hormonal balance by reducing stress.
• Physiotherapy: Targeted pelvic floor physiotherapy can help release tension and relieve pain. Here we work closely with Physiotherapie Körpermitte in Freiburg.
• Diet: A balanced diet that includes anti-inflammatory foods can relieve symptoms and provide support in everyday life.
• Acupuncture: Some patients report pain relief and an improved quality of life through acupuncture.
• Self-help group: Talking with others affected can often be a relief and help in coping with the condition. You can find the self-help group in Freiburg here.
• Psychological support: Support from psychologists or therapists helps you to cope better with the emotional and mental challenges of the condition.
• Rehabilitation: If the condition causes severe impairment, rehabilitation may be advisable; our social services will be happy to support you with the application.
• Endometriose-Vereinigung e.V.: The website of the Endometriose Vereinigung (Endometriosis Association) offers a wealth of additional information, advice and support services.