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Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
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Obstetric and Gynecologic Disorders and the Nervous System.

Erika Marulanda, Leticia Tornes

    Continuum (Minneapolis, Minn.)
    |June 21, 2023
    PubMed
    Summary

    This review explores the connections between neurologic disorders and obstetric/gynecologic conditions. Understanding these interactions is crucial for effective patient care throughout a woman's life.

    Area of Science:

    • Neurology
    • Obstetrics
    • Gynecology

    Background:

    • Neurologic disorders can manifest within obstetric and gynecologic contexts.
    • These interactions have significant implications for diagnosis and management.
    • Consideration of neurologic conditions is vital when treating women.

    Purpose of the Study:

    • To discuss obstetric and gynecologic associations with common neurologic disorders.
    • To highlight the importance of recognizing and treating these interactions.

    Main Methods:

    • Literature review of obstetric and gynecologic associations with neurologic disorders.
    • Analysis of current understanding and management strategies.

    Main Results:

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  • Neurologic complications can occur across the lifespan in obstetric and gynecologic settings.
  • Specific drug considerations: fingolimod and natalizumab require caution in women with multiple sclerosis of childbearing potential due to rebound risks.
  • OnabotulinumtoxinA is considered safe during pregnancy and lactation.
  • Hypertensive disorders of pregnancy are linked to increased future cerebrovascular risk.

    • Conclusions:

    • Neurologic disorders present unique challenges in obstetric and gynecologic care.
    • Integrated management approaches are necessary for optimal outcomes.
    • Awareness of drug safety profiles and long-term risks is essential.