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Background: Endometriosis is a frequent benign disease of female patients in reproductive age causing a complexity of symptoms including pelvic pain, dysmenorrhea, dyspareunia, dysuria and dyschezia. The condition presents itself in a wide range of subjective and objective severity. It often coincides with impaired fertility and can present in the form of deep infiltrating endometriosis including organ damage. Endometriosis seems to be a hormon-depending disease associated with inflammatory reactions. The cause of the disease remains unclear, thus a causal therapy does not exist.

The diagnostic and therapeutic possibilities are as complex as the disease itself, combining a variety of diagnostic methods from clinical examination to MR imaging with surgical and hormonal treatment options, assisted reproductive techniques, pain management, complementary medicine and rehabilitation in order to tailor individual approaches for patients with endometriosis. What is needed to become an expert in endometriosis? A training model including all aspects of the disease has been developed considering the current literature and expert opinions.

Conclusion: The necessary skills to become an expert in endometriosis diagnostics and therapy can be achieved following a structured comprehensive training model including the different fields involved in the treatment of patients with endometriosis.