Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Psychosomatic correlations in mentally ill and mentally healthy women with infertility

https://doi.org/10.14412/20742711-2023-4-45-52

Full Text:

Abstract

The issue of the influence of women's mental state on their reproductive function has not been adequately addressed and requires further research.

Objective: a comparative evaluation of individual indicators of menstrual and reproductive function in mentally healthy and mentally ill women with infertility.

Material and methods. We studied 348 women aged 21 to 40 years with primary and secondary infertility, 120 of whom had been treated for a mental disorder in a psychiatric hospital prior to the present study. The patients' condition was assessed by a clinical method using a specially designed questionnaire card.

Results. Reproductive function of patients in the studied groups differed significantly in several indicators. Mentally ill women with primary infertility are characterized by the following features: later onset of menstruation, scanty or heavy menstrual flow (p<0.05), irregularity or absence of menstruation during the period of exacerbation of the disease, insufficient emotional response to menarche (p<0.05), irregularity of sexual life and dissatisfaction with it (p<0.01). Spontaneous miscarriages and stillbirth occurred more frequently in mentally ill women, especially in women with endogenous disorders (schizophrenia, affective disorders), while abortions and gynecological surgeries were more frequent in mentally healthy women (p<0.001). Predictors of infertility on the part of mental health are the early onset and chronic course of a mental disorder, the severity and duration of an exacerbation of the illness, brief and incomplete remissions, the development of personality changes or a defect (schizophrenic) as a result of a mental illness.

Conclusion. Menstrual and reproductive functions of women depend on their mental state. In women with mental disorders, menstrual dysfunction together with psychopathological symptoms of illness (decrease in libido, communication, emotional numbness), decrease in social and family adaptation leads to impairment of reproductive function.

About the Authors

A. O. Nikolaevskaya
Kursk State Medical University, Ministry of Health of Russia
Russian Federation

Angelina Olegovna Nikolaevskaya

3, K. Marksa St., Kursk 305041



N. A. Tyuvina
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021



V. D. Morozova
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021



E. P. Kesler
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021



References

1. Tyuvina NA, Voronina EO, Balabanova VV, Goncharova EM. The relationship and interaction of menstrual and generative function and depressive disorders in women. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, neuropsychiatry, psychosomatics. 2018;10(2):4551. doi: 10.14412/2074-2711-2018-2-45-51 (In Russ.)].

2. Tyuvina NA, Morozova VD, Nikolaevskaya AO, Ilchenko KN. Features of emotional response in women with primary infertility. In: Aktual'nyye problemy psikhologopedagogicheskogo i mediko-sotsial'nogo soprovozhdeniya vysshego obrazovaniya: integratsiya nauki i praktiki. Materialy IX nauchnoprakticheskoy konferentsii [Actual problems of psychological-pedagogical and medicalsocial support of higher education: integration of science and practice. Materials of the IX scientific-practical conference]. Comp. N.L. Perevezentsev. Khabarovsk; 2022. P. 64-73 (In Russ.)].

3. Zegers-Hochschild F, Adamson GD, Dyer S, et al. The International Glossary on Infertility and Fertility Care, 2017. Fertil Steril. 2017 Sep;108(3):393-406. doi: 10.1016/j.fertnstert.2017.06.005. Epub 2017 Jul 29.

4. Tyuvina NA, Balabanova VV, Nikolaevskaya AO. Psychosomatic mechanisms of idiopathic infertility: clinical observations. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2023;15(1):77-82. doi: 10.14412/2074-27112023-1-77-82 (In Russ.)].

5. Walker MH, Tobler KJ. Female Infertility. [Updated 2022 Dec 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556033/

6. Katz DJ, Teloken P, Shoshany O. Male infertility – The other side of the equation. Aust Fam Physician. 2017 Sep;46(9):641-6.

7. Lolak S, Rashid N, Wise TN. Interface of Women's Mental and Reproductive Health. Curr Psychiatry Rep. 2005 Jun;7(3):220-7. doi: 10.1007/s11920-005-0057-9

8. Tyuvina NA, Nikolaevskaya AO. The role of psychological and psychopathological factors in the genesis of idiopathic infertility. Psikhiatriya. 2022;20(1):110-9. doi: 10.30629/2618-6667-2022-20-1-110-119 (In Russ.)].

9. Tyuvina NA, Nikolaevskaya AO, Morozova VD. Modern assisted reproductive technologies: neuropsychiatric, socio-psychological, moral and ethical aspects. Rossiyskiy psikhiatricheskiy zhurnal. 2021;(6):88-96 (In Russ.)].

10. Gao L, Qu J, Wang AY. Anxiety, depressionand social support in pregnant women with a history of recurrent miscarriage: a cross-sectional study. J Reprod Infant Psychol. 2020 Nov;38(5):497-508. doi: 10.1080/02646838.2019.1652730. Epub 2019 Aug 14.

11. Crawford NM, Hoff HS, Mersereau JE.Infertile women who screen positive for depression are less likely to initiate fertility treatments. Hum Reprod. 2017 Mar 1;32(3):582-7. doi: 10.1093/humrep/dew351

12. Xu H, Ouyang N, Li R, et al. The effects of anxiety and depression on in vitro fertilisation outcomes of infertile Chinese women. Psychol Health Med. 2017 Jan;22(1):37-43. doi: 10.1080/13548506.2016.1218031. Epub 2016 Aug 12.

13. Gdanska P, Drozdowicz-Jastrzebska E,Grzechocinska B, et al. Anxiety and depression in women undergoing infertility treatment. Ginekol Pol. 2017;88(2):109-12. doi: 10.5603/GP.a2017.0019

14. Szkodziak F, Krzyzanowski J, Szkodziak P.Psychological aspects of infertility. A systematic review. J Int Med Res. 2020 Jun;48(6):300060520932403. doi: 10.1177/0300060520932403

15. Clinical guidelines – Female infertility – 2021-2022-2023 (06/24/2021) – Approved by the Ministry of Health of the Russian Federation. Available from: https://moniiag.ru/wp-content/uploads/2019/07/Klinicheskierekomendatsii.-ZHenskoe-besplodie.pdf (In Russ.)].

16. World Health Organization, 2022. Availablefrom: https://www.who.int/health-topics/infertility#tab=tab_1

17. Reardon DC. The abortion and mentalhealth controversy: A comprehensive literature review of common ground agreements, disagreements, actionable recommendations, and research opportunities. SAGE Open Med. 2018 Oct 29;6:2050312118807624. doi: 10.1177/2050312118807624

18. Luk BH, Loke AY. The Impact of Infertilityon the Psychological Well-Being, Marital Relationships, Sexual Relationships, and Quality of Life of Couples: A Systematic Review. J Sex Marital Ther. 2015;41(6):610-25. doi: 10.1080/0092623X.2014.958789. Epub 2014 Oct 30.

19. Jisha PR, Thomas I. Quality of life and infertility: influence of gender, years of marital life, resilience, and anxiety. Psychol Stud. 2016;61:159-69.

20. Rasoulzadeh Bidgoli M, LatifnejadRoudsari R, Montazeri A. The effectiveness of a collaborative infertility counseling (CIC) on pregnancy outcome in women undergoing in vitro fertilization: a randomized trial. BMC Pregnancy Childbirth. 2020 Nov 25;20(1):728. doi: 10.1186/s12884-020-03417-6

21. Mascarenhas MN, Flaxman SR, Boerma T,et al. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356. doi: 10.1371/journal.pmed.1001356. Epub 2012 Dec 18.

22. Petrova NN, Aristova TA, Sklyarova AYu. Influence of gender characteristics on mental adaptation of patients with endogenous diseases. Vestnik Sankt-Peterburgskogo universiteta. Meditsina. 2007;(1):46-51 (In Russ.)].

23. Tyuvina NA, Nikolaevskaya AO. Infertility and mental disorders. Communication 2. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2020;12(1):93-9. doi: 10.14412/2074-27112020-1-93-99 (In Russ.)].


Review

For citations:


Nikolaevskaya A.O., Tyuvina N.A., Morozova V.D., Kesler E.P. Psychosomatic correlations in mentally ill and mentally healthy women with infertility. Neurology, Neuropsychiatry, Psychosomatics. 2023;15(4):45–52. (In Russ.) https://doi.org/10.14412/20742711-2023-4-45-52

Views: 46


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)