Abstract
Obstetrics and gynecology deals with the symbolic organs as well as the healthy maintenance of womanhood and motherhood. Diseases in this field, therefore, not only cause physical disturbances, but may also develop into factors obstructing their role of womanhood. Lying in the background of these diseases are often found problems surrounding the sex, without solution to which treatment would not at times proceed favorably. In this paper, a review is made by the author on 192 cases treated by him for psychosomatic syndrome in the field of gynecology which involved sexual problems. By classification, patients with direct sexual complaints were found in 83 cases (43.2%) and those with somatic and mental complaints in 109 cases (56.8%).But even in these latter cases, the author found that the patients were seeking at the same time solution to their sexual problems that lay behind their gynecological syndrome. Direct sexual complaints included frigidity, impotence, frustration, abnormal sex and paraphilia. Complaints of gynecological syndrome, on the other hand, included leukorrhea, itching of vulva, pain (vulva, vagina, lower abdomen, loins), metrorrhagia, irregular menstruation, fever, vegetative syndrome (stiff-shoulder, headache, dullness, chilly constitution, flushing, vertigo, etc.), abnormality of sensation and desire for babies. Complaints that lay behind these were mental immaturity of sex, shamefulness of onanism, terror, self-accusation, masochism, guiltiness of extra-marital intercourse, hystericism, sexual trauma, sexual apprehension, sense of loss of woman-hood, sense of menopausal termination.
