Psychosomatic and sexual disorders in women with infertility in assisted reproductive technology programs
Objective. To study the features of sexual functioning and the psychopathological pattern of sexual dysfunctions in women with infertility in assisted reproductive technology programs to elaborate treatment and rehabilitation measures and to improve quality of life in a couple.Stenyaeva N.N., Khritinin D.F., Chausov A.A., Grigoryev V.Yu.
Subjects and methods. An open-label continuous comparative cross-sectional study of sexual functioning and psychopathological and personality characteristics was conducted in 589 women visiting the V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, for infertility. Clinical, psychopathological, clinicosexological, and psychometric studies were used.
Results. 58.9% of the examined patients were found to have non-psychotic mental disorders, among them there was a predominance of anxiety disorders (28.0%); 18.34% had sexual dysfunctions, among which a libido disorder was prevalent (25.0%). There was a high comorbidity of sexual dysfunctions and borderline mental disorders (100.0%). The personal and psychopathological characteristics were revealed in patients with sexual dysfunction (p < 0.05).
Conclusion. The studied features of the psychopathological pattern of sexual dysfunctions in infertile women are needed to elaborate differentiated tactics for the treatment and rehabilitation measures and to improve quality of life in a married couple.
Keywords
infertility
psychosomatic disorders
sexual dysfunction
anxiety
lower libido
Supplementary Materials
- Table 1. Borderline mental disorders, revealed in the study group of patients with the presence and absence of sexual dysfunctions
- Table 2. Psychopathological indicators on the SCL- 90 scale in the study groups of patients with infertility in ART programs
- Fig. 1. The structure of the revealed sexual disorders in patients with infertility in ART programs (according to ICD-10)
- Fig. 2. Indices of FSFI domains in the study groups in patients with infertility in ART programs
- Fig. 3 . Indices of Munich Personality Test domains in the study groups in patients with infertility in ART programs
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Received 08.12.2017
Accepted 22.12.2017
About the Authors
Natalia N. Stenyaeva, Ph.D., Senior Researcher, Department of Andrology and Urology, National Medical Research Center of Obstetrics, Gynecology,and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79035380334. E-mail: nataliasten@mail.ru
Khrithinin Dmitry Fedorovich, member of corr. RAS, MD, Professor of the Department of Psychiatry and Narcology, Medical Faculty, I.M. Sechenov
First Moscow State Medical University, Ministry of Health of Russia. 119991, Russia, Moscow, Trubetskaya str. 8, bld. 2. Tel.: +74956091400
Chausov Andrey Alexandrovich, Junior Researcher, Department of Medical and Social Research, Scientific and Organizational Support Service, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79104808485. E-mail: andreaschausov@gmail.com
Grigoryev Vyacheslav Yurievich, clinical resident of the National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
For citations: Stenyaeva N.N., Khritinin D.F., Chausov A.A., Grigoryev V.Yu. Psychosomatic and sexual disorders in women with infertility in assisted reproductive technology programs. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (4): 86-93. (in Russian)
https://dx.doi.org/10.18565/aig.2018.4.86-93
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