Causes in women

Elevated levels of male hormones are often present. Thyroid dysfunction is another possible cause. Underweight or overweight, excessive sport, medication and stress influence the hormonal balance. More rarely, a genetic abnormality or a tumor can be the cause.

Blockage of the fallopian tubes, restricted mobility of the fallopian tubes or damage to the mucous membrane of the fallopian tubes lead to a disturbance in the transport of egg and sperm cells. Common causes of tubal damage are infections, endometriosis, adhesions, previous surgeries, ectopic pregnancies.

The causes of this disease are not entirely clear. Common symptoms of endometriosis are lower abdominal pain, painful bleeding, pain during sexual intercourse. It is also not uncommon for those affected to have difficulty getting pregnant - organic changes or disturbances in the environment of the abdominal cavity fluid may be responsible. The diagnosis of endometriosis is often only made by laparoscopy, a surgical procedure where the abdominal cavity is examined with a fibre-optic instrument.