[The clinical picture and therapeutic principles in mental disorders in women with a postoperative climacteric]

49 patients after ovariectomy (OE) and 26 women after hysterectomy (HE) were examined. Psychiatrist's care was necessary for all of them because of marked mental disorders. The development of asthenic and dysthymic disorders was most typical after OE. OE induced the increase of depressive symptoms which acquired the neurotic and reactive signs when additional factors joined. Mental disorders after HE occurred as psychopathological symptoms of pseudopremenstrual syndrome and depressive and asthenic alterations in the pattern of menopausal syndrome. The development of hypochondriac personality was found in 22.5% of cases after OE and in 46.1% of patients after HE. Principles of therapeutic policy (correction of vegetovascular disturbances by combined application of substitution hormonal therapy, psychotropic drugs and psychotherapy) are formulated.