The role of psychological care in the treatment of gynecological disorders in girls and young women - an interdisciplinary perspective

This review article explores the psychological dimension of gynecological disorders in girls and young women, emphasizing the need for interdisciplinary approaches in medical care. Gynecological conditions such as endometriosis, polycystic ovary syndrome (PCOS), and disorders of sex development (DSD) often co-occur with psychological challenges including depression, anxiety, body image issues, and identity-related stress. The chronic nature of symptoms, delayed diagnosis, and potential implications for fertility intensify the emotional burden, particularly during adolescence — a developmental stage crucial for self-esteem and identity formation. Psychological interventions such as cognitive-behavioral therapy (CBT), progressive muscle relaxation (PMR), mindfulness, psychoeducation, and family support are reviewed for their therapeutic potential. The integration of psychologists into gynecological teams improves communication, treatment adherence, and emotional well-being. The paper also discusses the importance of tailored communication with young patients and their families, addressing stigma, and ensuring privacy and autonomy. Incorporating psychological care into gynecological treatment contributes to a holistic model that not only addresses physical symptoms but also enhances psychological resilience, quality of life, and long-term health outcomes. The authors advocate for routine psychological screening in gynecological settings and the implementation of interdisciplinary standards of care.

adolescent health servicesgynecologic diseasesmental healthinterdisciplinary communicationcognitive behavioral therapypatient-centered care

- Drosdzol-Cop A, Orszulak D. Pediatric and Adolescent Gynecology - diagnostic and therapeutic trends. Ginekol Pol. 2022; 93(12): 939–940. - Adamczak A, Głowińska A, Banaszewska B, et al. Psychological aspects of polycystic ovary syndrome. Neuropsychiatria i Neuropsychologia. 2025. - Kwaśniewska A, Kaźmierska M. (Nie)oczywiste potrzeby młodych Polek z endometriozą – egzemplifikacje i implikacje na podstawie badań własnych. Kultura-Społeczeństwo-Edukacja. 2024; 26(2). - Logan DE, Scharff L. Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: an investigation of moderating effects on the pathway from pain to disability. J Pediatr Psychol. 2005; 30(8): 698–707. - Czuba B. Psychologiczne i medyczne aspekty oddziaływań wobec dziecka przewlekle chorego psychosomatycznie i jego rodziny. Edukacja • Terapia • Opieka. 2021; 3: 207–217. - Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012; 98(3): 511–519. - Gallagher JS, DiVasta AD, Vitonis AF, et al. The Impact of Endometriosis on Quality of Life in Adolescents. J Adolesc Health. 2018; 63(6): 766–772. - Nieva HR, Kashyap A, Voss EA, et al. The Impact of Evolving Endometriosis Guidelines on Diagnosis and Observational Health Studies. medRxiv. 2024. - World Health Organization Endometriosis . https://www.who.int/news-room/fact-sheets/detail/endometriosis (10.07.2025). - Saunders PTK, Whitaker LHR, Horne AW. Endometriosis: Improvements and challenges in diagnosis and symptom management. Cell Rep Med. 2024; 5(6): 101596. - Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med. 2020; 382(13): 1244–1256. - Kiesel L, Sourouni M. Diagnosis of endometriosis in the 21st century. Climacteric. 2019; 22(3): 296–302. - Wang PH, Yang ST, Chang WH, et al. Endometriosis: Part I. Basic concept. Taiwan J Obstet Gynecol. 2022; 61(6): 927–934. - Karavadra B, Thorpe G, Morris E, et al. Exploring delay to diagnosis of endometriosis, a healthcare professional perspective. BMC Health Serv Res. 2025; 25(1): 1483. - Girard E, Mazloum A, Navarria-Forney I, et al. Women's lived experience of endometriosis-related fertility issues. PLoS One. 2023; 18(11): e0293531. - Kapoor R, Stratopoulou CA, Dolmans MM. Pathogenesis of Endometriosis: New Insights into Prospective Therapies. Int J Mol Sci. 2021; 22(21). - Baldi A, Campioni M, Signorile PG. Endometriosis: pathogenesis, diagnosis, therapy and association with cancer (review). Oncol Rep. 2008; 19(4): 843–846. - Thiel PS, Bougie O, Pudwell J, et al. Endometriosis and mental health: a population-based cohort study. Am J Obstet Gynecol. 2024; 230(6): 649.e1–649.e19. - Nnoaham KE, Hummelshoj L, Webster P, et al. World Endometriosis Research Foundation Global Study of Women's Health consortium. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011; 96(2): 366–373.e8. - Bulletti C, Coccia ME, Battistoni S, et al. Endometriosis and infertility. J Assist Reprod Genet. 2010; 27(8): 441–447. - Culley L, Law C, Hudson N, et al. The social and psychological impact of endometriosis on women's lives: a critical narrative review. Hum Reprod Update. 2013; 19(6): 625–639. - Woźniak J, Kadłubek S, Mąka M, et al. The Impact of Endometriosis on Mental Health - A Literature Review of Depression and Anxiety Symptoms. Journal of Education, Health and Sport. 2025; 77: 56867. - Delanerolle G, Ramakrishnan R, Hapangama D, et al. A systematic review and meta-analysis of the Endometriosis and Mental-Health Sequelae; The ELEMI Project. Womens Health (Lond). 2021; 17: 17455065211019717. - Dipankar SP, Kushram B, Unnikrishnan P, et al. Psychological distress and quality of life in women with endometriosis: a narrative review of therapeutic approaches and challenges. Cureus. 2025; 17(3): e80180. - Netzl J, Gusy B, Voigt B, et al. Chronic pelvic pain in endometriosis: cross-sectional associations with mental disorders, sexual dysfunctions and childhood maltreatment. J Clin Med. 2022; 11(13). - Bourdel N, Chauvet P, Billone V, et al. Systematic review of quality of life measures in patients with endometriosis. PLoS One. 2019; 14(1): e0208464. - Clemens JQ, Kutch JJ, Mayer EA, et al. The multidisciplinary approach to the study of chronic pelvic pain (MAPP) research network*: design and implementation of the symptom patterns study (SPS). Neurourol Urodyn. 2020; 39(6): 1803–1814. - Troìa L, Luisi S. Sexual function and quality of life in women with endometriosis. Minerva Obstet Gynecol. 2022; 74(3): 203–221. - Becker CM, Bokor A, Heikinheimo O, et al. ESHRE Endometriosis Guideline Group . ESHRE guideline: endometriosis. Hum Reprod Open. 2022; 2022(2): hoac009. - Saunders PTK, Whitaker LHR, Horne AW. Endometriosis: improvements and challenges in diagnosis and symptom management. Cell Rep Med. 2024; 5(6): 101596. - Vannuccini S, Clemenza S, Rossi M, et al. Hormonal treatments for endometriosis: the endocrine background. Rev Endocr Metab Disord. 2022; 23(3): 333–355. - Mira TAA, Buen MM, Borges MG, et al. Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis. Int J Gynaecol Obstet. 2018; 143(1): 2–9. - Rees M, Kiemle G, Slade P. Psychological variables and quality of life in women with endometriosis. J Psychosom Obstet Gynaecol. 2022; 43(1): 58–65. - Ulrich A, Arabkhazaeli M, Dellacerra G, et al. A multidisciplinary approach to the patient with deep infiltrating endometriosis. Obstetrics and Gynaecology Cases - Reviews. 2021; 8(2). - Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010; 8: 41. - Azziz R, Carmina E, Dewailly D, et al. The androgen excess and PCOS society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. 2009; 91(2): 456–488. - Barber TM, Vojtechova P, Franks S. The impact of hyperandrogenism in female obesity and cardiometabolic diseases associated with polycystic ovary syndrome. Horm Mol Biol Clin Investig. 2013; 15(3): 91–103. - Chaudhari AP, Mazumdar K, Mehta PD. Anxiety, depression, and quality of life in women with polycystic ovarian syndrome. Indian J Psychol Med. 2018; 40(3): 239–246. - Escobar-Morreale HF. Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment. Nat Rev Endocrinol. 2018; 14(5): 270–284. - Gawlik-Starzyk A, Dora M, Baran D, et al. Framework guidelines for the process of caring for the health of adolescent transgender (T) and non-binary (NB) people experiencing gender dysphoria - the position statement of the expert panel. Endokrynol Pol. 2025; 76(1): 1–28. - Listyasari N, Santosa A, Juniarto A, et al. Multidisciplinary management of disorders of sex development in indonesia, a prototype in developing country. Journal of Biomedicine and Translational Research. 2017; 3(1): 17. - MacDuffie E, McCallister C, George J, et al. Assessing the impact of multidisciplinary team gynecological oncology care in Botswana: A potential model for low- and middle-income countries. Cancer. 2025; 131(16): e70006. - Morrissey E, Dinneen SF, Doherty AM. Psychological factors impacting on endocrine disorders and self-management and medication-taking behaviour. In: Doherty AM, Egan AM, Dinneen S, editors. Mental Health, Diabetes and Endocrinology. Cambridge: Cambridge University Press. ; 2021. - Zborowska K, Skrzypulec-Plinta V. Aspects of gynaecological care for individuals with a transmasculine identity. Ginekol Pol. 2023; 94(9): 685–686. - Gomez-Lobo V. Multidisciplinary care for individuals with disorders of sex development. Curr Opin Obstet Gynecol. 2014; 26(5): 366–371. - Klein DA, Goldenring JM, Adelman WP. HEEADSSS 3.0: The psychosocial interview for adolescents updated for a new century fueled by media. Contemporary Pediatrics. 2014; 31(1): 16–28. - Alderson P, Sutcliffe K, Curtis K. Children as partners with adults in their medical care. Arch Dis Child. 2006; 91(4): 300–303. - Coyne I, Harder M. Children's participation in decision-making: balancing protection with shared decision-making using a situational perspective. J Child Health Care. 2011; 15(4): 312–319. - McAlinden O, SHAPCOTT J. Effective communication with children and young people. Essentials of Nursing Children and Young People. 2024. - Committee on hospital care and institute for patient- and family-centered care. Patient- and family-centered care and the pediatrician's role. Pediatrics. 2012; 129(2): 394–404. - Cockburn J, Pawson ME. Psychological Challenges in Obstetrics and Gynecology: The Clinical Management. London: Springer. 2007. - Arvanitidou O, Kosmas I, Michalopoulos CK, et al. The Impact of Stress and Depression on the Outcome of Human Gestation. Cureus. 2023; 15(11): e48700. - Dombi E. Gynecological psychology. Clinical health psychology in practice. 2022: 115–122. - Caudle MR, Khatri P. Integrated Behavioral Health in OB-GYN: Federally Qualified Health Care Centers. Clin Obstet Gynecol. 2024; 67(1): 262–269. - Cassidy JM, Boyle VA, Lawrence HC. Behavioral health care integration in obstetrics and gynecology. MedGenMed. 2003; 5(2): 41.