Pressing questions of the use of psychological platform of assisted reproductive technologies
Year: 2024
Type: article
Study design: Observational Study
Abstract: The objective: to present the scientific ground of necessity of the use of psychological platform of assisted reproductive technologies during the conducting of the different programs. Materials and methods. By us 227 women and men with infertility, which assisted reproduc-tive technologies were rotined, were inspected. It is conducted all of them abnormal clinical-and-psychopathological inspection on the criteria of international classification of diseases of a 10 revision. It was thus discovered that 100 women suffered borderline psychical disorders is a basic group. A control group was made by 50 fertile mentally healthy women. To all patients it was con-ducted complete clinical-and-laboratory inspection on a chart, accepted in clinics. Results. Conducted a factor analysis the row of factors, which influenced on the mental condition of women with infertility in the program of treatment of assisted reproductive technologies. Wom-en methods marked that at ideas and talks about infertility, found out, there was internal tension his duration, sometimes «propped up chest to the throat», palpitation became more frequent. Ob-trusive flashbacks concerning unsuccessful treatment, absence of children mixed concentrated at work, at home, the usual chart of life was violated. Before the new attempt of treatment women had different displays of psychosomatic diseases. Satisfied of necessity of conducting of treatment went to contradiction with internal persuasion about the rightness of choice of method. Chronic diseases became sharp, there were signs of cold diseases or new symptoms of somatopathy appeared. «Flight into illness» justified to the «postponement» beginning of treatment. The display of psychosomatic disorders during proce-dure required a psychotherapy help with the purpose of change of persuasion and coping-strate-gies for the successful conducting of treatment.Conclusions. Combination of a few factors assists development of borderline psychical disor-ders, such as a non-adaptive conduct, which was instrumental in strengthening of internal tension, disfunction of the vegetative nervous system, that appeared in vegetative violations. Protracted internal tension resulted in development of high level of alarm, extrass of corticosteroids in future to the immunodeficient state, that was instrumental in intensifying of chronic somatopathies. Cop-ing strategy «flight into illness» resulted in development of psychosomatic diseases the primary objective of which was avoidance of treatment. All foregoing is the convincing scientific ground of selection of psychological platform of assisted reproductive technologies – as an independent scientific problem on quality of decision of which efficiency of treatment of infertility depends.Keywords:assisted reproductive technologies, psychological preparation, men, women.
Author: Igor Mikievich
Institution: Shupyk National Healthcare University of Ukraine
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406498758