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Psychiatric Aspects of Obstetrics and Gynecology Patients

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Perioperative Psychiatry

Abstract

Psychiatric conditions are common and can affect gynecologic conditions and their treatment outcomes. Gynecologists encounter psychiatric conditions in the outpatient settings and during perioperative periods. Common gynecologic surgeries such as hysterectomy, sterilization, and dilatation and curettage have significant impact on psychological well-being of women. Delirium is common after surgeries for gynecologic conditions. Colposcopy, an outpatient procedure used for the diagnosis and treatment of cervical dysplasia, is associated with anxiety before, during, and after the procedure. Depression and anxiety are common psychiatric disorders in women; these and other psychiatric conditions will be examined in the context of uterine leiomyoma, endometriosis, polycystic ovarian disease, urinary incontinence, pelvic prolapse, and gynecologic cancers. Finally, in the last section, therapeutic approaches for psychiatric comorbidities in the gynecologic patient and psychotropics for nonpsychiatric conditions are discussed.

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  1. Department of Psychiatry, Yale University, West Haven, CT, USA

    PoChu Ho

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  2. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Mark A. Oldham

  3. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Hochang Benjamin Lee

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Ho, P. (2019). Psychiatric Aspects of Obstetrics and Gynecology Patients. In: Zimbrean, P., Oldham, M., Lee, H. (eds) Perioperative Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-99774-2_14

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