Psychosomatic mechanisms of idiopathic infertility: clinical observations
https://doi.org/10.14412/2074-2711-2023-1-77-82
Abstract
In the occurrence of idiopathic infertility, psychological factors and mechanisms of transformation of the mental into the somatic play an important role. The psychotherapeutic view of the problem of idiopathic infertility consists in recognizing the fact that at a particular moment of life a person is in a state of intrapsychic or interpersonal conflict, which at an unconscious level blocks the possibility of having a child. Women with idiopathic infertility compared with fertile women are characterized by a more pronounced manifestation of such unconscious mechanisms in the implementation of their reproductive function. The reproductive function is blocked by the central nervous system, as a result of which ovarian dysfunction with the formation of cysts, ovulation disorders, lack of hormone production by the corpus luteum, spasm of the fallopian tubes, increased production of antisperm antibodies can be observed.
The article presents three clinical observations that describe different variants of intrapersonal conflicts that led to infertility through their somatization. The ways of overcoming infertility with the help of psychotherapy through the awareness of psychological obstacles are shown.
About the Authors
N. A. Tyuvina
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Nina Arkadievna Tyuvina
119021, Moscow, Rossolimo St., 11, Build. 9
Competing Interests:
There are no conflicts of interest.
V. V. Balabanova
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
119021, Moscow, Rossolimo St., 11, Build. 9
Competing Interests:
There are no conflicts of interest.
A. O. Nikolaevskaya
Kursk State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
305041, Kursk, K. Marx St., 3
Competing Interests:
There are no conflicts of interest.
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Review
For citations:
Tyuvina NA, Balabanova VV, Nikolaevskaya AO. Psychosomatic mechanisms of idiopathic infertility: clinical observations. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2023;15(1):77-82. (In Russ.) https://doi.org/10.14412/2074-2711-2023-1-77-82
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