Affiliation:
1. Endocrinology Research Centre
2. Endocrinology Research Centre; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Abstract
The article presents data on the relationship of pathogenetic mechanisms for the development of menstrual disorders of functional and organic origin in connection with mental disturbances from the point of view of the psychosomatic concept. According to the latter, functional disorders of the menstrual cycle are considered as psychosomatic, in which gynecological pathology develops as a result of psychopathological illness. A striking example of such a disorder is functional hypothalamic amenorrhea. At the same time, endocrinopathies, such as polycystic ovary syndrome and premature ovarian insufficiency, can also be considered in the paradigm of psychosomatic illnesses of ovarian function due to the high prevalence of anxiety and depressive disorders in this cohort of patients. This review highlights the importance of interdisciplinary collaboration between a gynecologist and a psychiatrist for the most effective reproductive rehabilitation of patients with amenorrhea. Literature search was carried out in national (eLibrary, CyberLeninka.ru) and international (PubMed, Cochrane Library) databases in Russian and English. The priority was free access to the full text of articles. The choice of sources was prioritized for the period from 2018 to 2023.However, taking into account the insufficient knowledge of the chosen topic, the choice of sources dates back to 1985.
Publisher
Endocrinology Research Centre
Subject
Endocrinology, Diabetes and Metabolism
Reference69 articles.
1. Rossijskoe obshhestvo akusherov-ginekologov. Klinicheskie rekomendacii. Amenoreja. Moscow: Ministerstvo zdravoohranenija RF; 2021. (In Russ.).
2. Gordon CM, Ackerman KE, Berga SL, et al. Functional hypothalamic amenorrhea: An endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2017;102(5):1413-1439. doi: https://doi.org/10.1210/jc.2017-00131
3. Psikhosomaticheskie rasstroystva v klinicheskoy praktike, 2nd ed. Ed by Smulevich AB. Moscow: MEDpress-inform; 2019. (In Russ.).
4. Berga SL, Marcus MD, Loucks TL, et al. Recovery of ovarian activity in women with functional hypothalamic amenorrhea who were treated with cognitive behavior therapy. Fertil Steril. 2003;80(4):976-981. doi: https://doi.org/10.1016/s0015-0282(03)01124-5
5. Volel BA, Ragimova AA, Burchakov DI, et al. Stress-related menstrual disorders. Consilium Medicum. 2016;18(6):8-13. (In Russ.).