[Expert assessment of gynecologic diseases]

Medical reports in Gynecology have to consider the evaluation of organic diagnosis as well as connected psychical disorders. It has to be examined if psychical insults have led to dysfunction in the genital system. A typical example is hypothalamic amenorrhea as a sequel of extreme stress or chance of surroundings. Frequent lesions in the urinary system due to endometriosis, change of site, tumours and chronic inflammation of the female genital system often require a urological as well as a gynecological examination. Severity and duration of complaint, tendency to recur and the necessity of clinical treatment are essential factors in the assessment of the degree of disability. Examples of medical reports are shown and the limits of modified professional discretion are pointed out.