Неврология, нейропсихиатрия, психосоматика (Jun 2024)

The influence of the mental state of women with infertility on their reproductive status

  • A. O. Nikolaevskaya,
  • N. A. Tyuvina,
  • V. V. Balabanova

DOI
https://doi.org/10.14412/2074-2711-2024-3-64-71
Journal volume & issue
Vol. 16, no. 3
pp. 64 – 71

Abstract

Read online

Mutual influence between women's mental health and their reproductive capacity are not clearly understood. In particular, psychogenic factors and mental disorders affect sexual, menstrual and reproductive functions, which in turn can lead to infertility. Improving the mental state of women, on the other hand, helps to restore reproductive function.Objective: to develop dynamic ideas about the reproductive status of mentally ill and mentally healthy women with infertility based on the results of the follow-up.Material and methods. The study included 348 patients with infertility over a period of 2 years, 228 were mentally healthy women and 120 women with mental disorders. All women were consulted by a gynecologist, women with mental disorders by a psychiatrists, and treatment of existing disorders was carried out.Results. Mentally healthy women have a significantly higher number of pregnancies, which is mainly due to the in vitro fertilization procedure. They have a rational approach to pregnancy planning, are characterized by a high referral rate to obstetricians and gynecologists and undergo a large number of gynecological procedures to overcome infertility. Pregnancy occurs spontaneously in mentally ill patients and is associated with an improvement in mental state and normalization of menstrual, sexual and therefore reproductive function, but is characterized by a complicated course (fetal growth retardation, miscarriage, intrauterine infection of the fetus, oedema, hypertension, lipid metabolism disorders, gestational diabetes mellitus, placental disorders) and fewer births.Conclusion. The reproductive function of women depends on their mental state. In women with mental disorders, disturbances of menstrual and sexual function and family adaptation lead to infertility. Improving the mental state contributes to the restoration of reproductive function and spontaneous pregnancy.

Keywords