Aspects of Mental Health Care in the Gynecological Setting

Abstract

Psychological disorders are commonly associated with gynecological conditions, but are frequently undetected and untreated, and may influence the presentation and treatment outcomes of the physical condition. A literature search was conducted in order to provide a narrative review of psychological aspects of menopause, premenstrual syndrome, premenstrual dysphoric disorder, chronic pelvic pain, incontinence and polycystic ovarian syndrome. All the conditions that have been addressed in this review can be associated with an increased risk of psychological symptoms and disorders. Anxiety and depression are common and are associated with significant morbidity. Gynecological conditions, by their nature, are likely to be accompanied by impairments in social, occupational and personal functioning. Greater emphasis should be placed on the mental health aspects of gynecological conditions.

Beyond abjection: Exploring narratives after premenstrual dysphoric disorder

“…My findings further point to the lack of integration of the psychosocial into treatment and support, affirming Bryant et al’s (2014) call to integrate mental health care in gynaecological settings. In a similar vein, Craner et al (2014) highlight a disconnect between research and practice for PMDD.…”

The Pressing Need to Integrate Mental Health into Obstetric Care

“…86 Gynecologic conditions such as polycystic ovarian syndrome, premenstrual syndrome, and chronic pelvic pain are associated with important impacts on functioning and should be considered along with mental health conditions. 87 Many women experience depression and anxiety during menopause, although these symptoms may be transient. 88 Some mental health conditions may be specific to this population or occur at higher rates.…”

“…Experiencing infertility challenges is particularly associated with depression and anxiety symptoms and lower quality of life among women 86 . Gynecologic conditions such as polycystic ovarian syndrome, premenstrual syndrome, and chronic pelvic pain are associated with important impacts on functioning and should be considered along with mental health conditions 87 . Many women experience depression and anxiety during menopause, although these symptoms may be transient 88 …”

Тривога І Тривожні Стани В Гінекологічній Практиці: Можливості Та Інструменти Фармакотерапії

“…Найактуальнішими в цьому відношенні є три симптомокомплекси: передменструальний синдром (ПМС); передменструальний дисфоричний розлад (ПДР) та клімактеричний синдром (КС) (Дюкова Г.М., 2001; �ree�an E.�., Sond-�ree�an E.�., Sond-hei�er S.J., 2003;Прилепская В.Н., Межевитинова Е.А., 2005;Cohen L.S., 2005;Bryant C. et al, 2014;Accorti E.E., �ong M.S., 2017). При ПМС і ПДР, а також при КС афективні розлади різ-).…”