抄録
In the field of obstetrics, psychotropic drugs are in principle, used as little as possible (other than specific cases) due to serious concern about influences such as tetragenecity to the fetus. But there are cases when small quantities of anti-anxiety drugs are prescribed for a short term or in regular doses, together with an anti-epileptic drug for long term control of epilepsy for pregnant women with epilepsy.In cases of slight depression or neuropsychosis in the puerperium anti-depressants and anti-anxiety drugs are used together with psychotherapy and regulation of environment without lactation.There is an exceptional case of a patient having been laboring a healthy male infant, dosed with a small quantity of anti-depressants and anti-anxiety drugs during pregnancy, since the patient and family had been most anxious for her to complete her pregnancy even if there was some possibility that the anti-depressants would have an effect upon the fetus. This patient had been in a state of depression and become pregnant during treatment. We have been following this case until now. The boy is 11 years old, healthy in body and mind, and well grown.In the field of gynecology, climacteric syndrome, (as well as so-called vegetative syndrome and unidentified clinical syndrome) is a typical condition requiring anti-depressants and anti-anxiety drugs. However, there has a growing preference to towards Chinese traditional medicine; anti-depressants are prescribed only for the state which comes up in climacterum. There are many successful cases of anti-depressants, and anti-anxiety drugs regularly prescribed for premenstrual tension. This might be due to psychological changes during luteal phase.There are cases when small quantities of a psychotropic drug is prescribed for dysmenorrhea to release anxiety, impatience or pre-anxiety of apin. They have a strong effect on these psychogenic conditions.There are cases when anti-depressants, anti-anxiety drugs or sometimes psychotropic drug are used to relieve chronic pain syndrome (including that of vulva and vagina), vulvar pruritus, pslvic infectious disease, tumors, functional uterine bleeding, sexual disorder, endometriosis during the period when danazol is dosed or psychological complaint caused by those disease in the field of gynecology.
