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Psychische Störungen und weibliche Infertilität

Mental disorders and female infertility

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Zusammenfassung

Infertilität betrifft etwa 5–10% aller Frauen in der reproduktiven Lebensphase. Infertilität ist mit Depression, Angst und gestörtem Essverhalten assoziiert. Ein Teil dieses Zusammenhangs kann durch die von Infertilität verursachte emotionale Belastung erklärt werden. Da psychische Störungen wie schwere depressive Störungen und Essstörungen auch prospektiv mit Infertilität assoziiert sind, wird ein bidirektionaler Zusammenhang angenommen. Eine besondere Beziehung besteht insbesondere zwischen psychischen Störungen und den wichtigsten Ursachen von Infertilität aufgrund ovulatorischer Faktoren, der hypothalamischen Amenorrhö und dem polyzystischem Ovarialsyndrom. Pilotstudien zeigen, dass Psychotherapie eine wichtige Komponente der Behandlung von Infertilität darstellen kann.

Summary

Approximately 5–10% of women in the reproductive years are affected by infertility which is associated with depression, anxiety and disturbed eating behavior. Part of this association can be explained by the emotional stress resulting from infertility. As mental disorders, such as depressive disorder or eating disorders are also prospectively associated with infertility, a bidirectional relationship is assumed. A special relationship exists between mental disorders and the main causes of ovulatory infertility, hypothalamic amenorrhea and polycystic ovary disease. The results of pilot studies support the assumption that psychotherapy may constitute an important component of the treatment of infertility.

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Interessenkonflikt

Der korrespondierende Autor weist für sich und seine Koautoren auf folgende Beziehungen hin: VS erhielt Honorare für Vorträge von AstraZeneca.

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Authors and Affiliations

  1. Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    U. Schweiger

  2. Institut für Medizinische Psychologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    T. Wischmann

  3. Abt. Gynäkologische Endokrinologie und Fertilitätsstörungen , Universitäts-Frauenklinik Heidelberg, Heidelberg, Deutschland

    T. Strowitzki

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  1. U. Schweiger
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  3. T. Strowitzki
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Correspondence to U. Schweiger.

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Schweiger, U., Wischmann, T. & Strowitzki, T. Psychische Störungen und weibliche Infertilität. Nervenarzt 83, 1442–1447 (2012). https://doi.org/10.1007/s00115-012-3662-y

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