Gynecological Surgery, Pelvic Pain, and Other Relevant Issues

Abstract Obstetricians and gynecologists have a complex task. They must deal with the fear, anxiety, and depression that may accompany any physical illness. In addition, issues that involve a woman’s reproductive health are highly emotionally charged and closely linked to her sense of femininity, sexuality, attractiveness, and value. The gynecologist often acts as the woman’s primary care provider and, therefore, may be the only one in a position to detect ongoing concerns such as relationship problems, domestic violence, sexual dysfunctions, or histories of abuse. Psychological conflicts related to femininity, sexuality, or abuse may present as aversion to physical examination, pelvic pain, or attitudes toward pregnancy or sexuality. Healthcare professionals involved with patients undergoing gynecological surgery must recognize that patients are dealing, not only with the reason for the surgery, but also with the specific meanings of surgery on female sexual and reproductive organs.