Mental health in women undergoing gynecological surgery at risk of infertility

Gioia Mura, Cristina Sechi, Laura Vismara, Valentina Moi, Manuela Neri, Anna Maria Paoletti
In: Health Care for Women International · 2021 · vol. 44(4) , pp. 440–456 · doi:10.1080/07399332.2021.2009832 · PMID:34919020 · W4200448169
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Women undergoing gynecological surgery for benign conditions reported higher depressive and anxiety symptoms and lower quality of life compared to those not needing surgery.

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Abstract

Surgery for benign gynecologic conditions may lead to infertility complications. In a cross-sectional study we investigated depressive and anxiety symptoms, Quality of Life (QoL), and coping strategies in women with benign gynecologic conditions undergoing surgical treatment (G1, N = 45) compared with women that did not need surgery (G2, N = 43), through the Patient’s Health Questionnaire, the Short Form Health Survey-12 items, the Self-Rating Anxiety State, and the Brief COPE. Statistical analyses showed that women in G1 had significant higher depressive (p=.04) and anxiety (p=.03) symptoms, and lower QoL (p=.01), than did those in G2. Moreover, women with more depressive or anxiety symptoms in both groups were more likely to present maladaptive coping modalities. A careful evaluation of the mental health of women undergoing gynecological surgery at risk of infertility should be included in the care for benign gynecologic conditions, in order to prevent psychosocial distress and alleviate the burden on QoL.

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infertility

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