• Stress reactions in women with infertility, operated on the uterine appendages in a planned and urgent order

Stress reactions in women with infertility, operated on the uterine appendages in a planned and urgent order

HEALTH OF WOMAN. 2018.4(130):98–101; doi 10.15574/HW.2018.130.98

Dubchak A. E. , Milevskiy O. V. , Obeid N. M.
SI «Institute of Pediatrics, Obstetrics and Gynecology, National Academy of Sciences of Ukraine. Academician O.M. Lukyanova», Kyiv
Shupyk National Medical Academy of Postgraduate Education, Kiev
CI «Central city hospital № 1», Zhytomyr

The objective: the study of the psychoemotional state in women with infertility, who underwent surgical treatment on the uterine appendages in the planned and urgent order.

Materials and methods. 120 women of reproductive age with a tubal peritoneal factor of infertility and benign ovarian formations, an ectopic pregnancy, who underwent organ-preserving surgical intervention on the uterine appendages (the main group) were examined. Planned surgical treatment was performed in 76 (63.7%) of the examined main group (group 1); In urgent order, 44 (36.7%) patients of the main group (the second group) underwent surgical treatment. Depending on the access, laparoscopy (LP) with the use of monopolar or bipolar electrosurgery was performed in 54 women of the 1st group and in 24 patients of the 2nd group, and laparotomy (LT) in 22 patients of the 1st group and in 20 patients – 2 nd group.

The control group included 20 patients with reproductive function without infertility (3rd group). Twenty women of reproductive age with infertility without surgery entered the comparison group (group 4).

Results The article examines the effect of surgical treatment on the uterine appendages in 120 women with infertility on the psychoemotional state depending on the planned nature of the surgical intervention. Women who underwent surgical treatment in urgent order found that pronounced depression and neurotic manifestations are closely related to sleep disturbances, decreased mood, crying, irritability.

Conclusion. A month after surgery, depression, anxiety, nervousness decreased, which indicates positive changes in the mental state of patients and an improvement in the state of internal comfort as a result of the recovery of somatic well-being, increased optimism and self-confidence, which is the result of cosmetic effect and organ-preserving surgical treatment.

Key words: infertility, operations on the appendages of the uterus, psychoemotional state

REFERENCES

1. Tatarchuk TF. 2006. Stress i reproduktivnaya funktsiya zhenschin. Mezhdunar. endokrin. zhurnal 3(5):2–9.

2. Zgurovskiy VM, Nikonov VV. 2003. Stressornaya reaktsiya. Vzglyad na problemu. Vracheb. praktika 5:4–8.

3. De Mayo FJ, Zhao D, Takamoto N, T sai SI. 2002. Mechanisms of antibodies for estrogen and progesterone. Annals Neu York Academy Sci. 9555:48. https://doi.org/10.1111/j.1749-6632.2002.tb02765.x

4. Litus AI, Zadnipryanaya OI. 2017. Osobennosti psihoemotsionalnyih narusheniy i kachestva zhizni v zavisimosti ot tyazhesti i formyi akne u zhenschin s besplodiem. Zdorove zhenschiny 7(123):72–76.

5. Dubchak AIe, Milievskyi OV, Mandzii IO. 2012. Vplyv khronichnoho tazovoho boliu na psykhoemotsiinyi stan u zhinok z bezplidnistiu. Nauk.-prakt. zh. «Aktualni pytannia pediatrii, akusherstva ta hinekolohii» 1(9):91–93.

6. Dolgov GV. 2001. Gnoyno-vospalitelnyie oslozhneniya v operativnoy ginekologii. Prognozirovanie. Profilaktika. SPb, ELBI-SPb:173.

7. Selkov SA, Egorova VN. 2010. Klinicheskiy opyit primeneniya ronkoleykina (rekombinantnogo interleykina-2) v ginekologii: posobie dlya vrachey. SPb, Alter Ego:48.

8. Shanin VYu. 2003. Patofiziologiya kriticheskih sostoyaniy. SPb:436.

9. Shaparnev AV. 2005. Patogeneticheskoe i klinicheskoe znachenie adaptatsionnyih reaktsiy zhenskogo organizma pri endovideohirurgicheskih operatsiyah na matke i pridatkah. Avtoref. dis. kand. med. nauk. SPb:20.

10. Joseph E Potter and others. 2003, May. Frustrated demand for postpartum female sterilization in Brasil. Contraception. 67;5:385–390. https://doi.org/10.1016/S0010-7824(03)00039-8

11. Dolgov GV, Smirnov BC. 2007. Timogen v akushersko-ginekologicheskoy praktike. M:27.

12. Manuhin IB, Vyisotskiy MM, Kushlinskiy NE. 2007. Molekulyarno-biologicheskie faktoryi v patogeneze i hirurgicheskom lechenii opuholey yaichnikov. M, Izdatelstvo «Dinastiya»:208.

13. Acien P, Quereda F, Campos A. 2002, Oct. Use of intraperitioneal interferon-2b therapy after conservative surgery for endometriosis and postoperative medical treatment with depot gonadotropin-releasing hormone analog: a randomized clinical trial. Fertil Steril. 78(4):705–1112. https://doi.org/10.1016/S0015-0282(02)03330-7

14. Zelenina NV, Dolgov GV, Ilina AB. 2002. Neyroendokrinnyie narusheniya menstrualnogo tsikla. Akusherstvo i zhenskie bolezni. Vyip. 1:87–94.

15. Morozova NA, Kuznetsova EP. 2008. Otsenka psihoemotsionalnogo sostoyaniya zhenshinyi s miomoy matki i opuholevidnyimi obrazovaniyami yaichnikov v do- i posleoperatsionnom periodah. Sbornik materialov II regionalnogo nauchnogo foruma «Mat i ditya». Sochi:182.

16. Kuznetsova EP. 2011. Reabilitatsiya reproduktivnoy funktsii zhenschin pri kistah i dobrokachestvennyih opuholyah yaichnikov. Avtoref. diss. d-ra med. nauk. M:49.

17. Savitskiy GA, Savitskiy AG. 2000. Mioma matki. SPb, «ELBI»:236.