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[An overview of psychogenic sterility]
R Le Lirzin1, D Robin, V Guedon
1Service de Gynécologie-Obstétrique, CHRU, Angers.
Revue Francaise De Gynecologie Et D'Obstetrique
|May 1, 1990
Summary
Psychogenic sterility, often difficult to define, presents in two forms: secondary to postpartum loss and primary due to psychological factors like delayed child planning. Management ideally involves a trained gynecologist, respecting patient choice.
Area of Science:
- Reproductive Medicine
- Psychiatry
- Psychosomatic Medicine
Background:
- Defining and quantifying psychogenic sterility presents significant challenges.
- Psychological factors can profoundly impact reproductive health and fertility.
- Understanding the interplay between psychological and organic factors in sterility is crucial.
Observation:
- Secondary psychogenic sterility is observed in women experiencing pregnancy loss.
- Primary psychogenic sterility may stem from unresolved issues with childbearing desires or identity.
- Clinical examples include anorexia nervosa and gender identity disorders.
Findings:
- Psychogenic sterility can manifest as secondary to perinatal loss or primary due to psychological immaturity regarding parenthood.
- Specific cases of primary psychogenic sterility have been observed in patients with anorexia nervosa and gender identity disorders.
- The entanglement of psychological and organic factors complicates diagnosis and treatment.
Implications:
- A classification system for psychogenic sterility aids in clinical understanding and management.
- The primary clinician should ideally be a trained gynecologist, with psychiatric support available.
- Patient autonomy in choosing their healthcare provider is paramount.