Practical Approach from the Aspect of Psychosomatic Medicine in Obstetrics-and-gynecology Clinic : Three Cases of Gynecologic Disease, in which the Mind/Body Approach was Very Effective

Abstract

Obstetricians and gynecologists participate in women's life at their various turning points in a woman's life through their relationship with the delicate topic of "sex." Therefore, many patient complaints that obstetricians and gynecologists encounter every day require not only somatic diagnosis and medical treatment, but also must be approached from the aspect of psychosomatic medicine. However, few medical case reports about psychosomatic medicine in the obstetrics-and-gynecology domain are to be found in Japan. In this paper, we report three obstetrics-and-gynecology cases involving psychosomatic problems in which the mind/body approach was very effective. These patients consulted our obstetrics-and-gynecology clinic with such complaints as "anovulatory disorder associated with polycystic ovary", "anxiety at the time of menopause", and "GnRHanalogue side effects". In addition to obstetrics-and-gynecology evaluation and medical treatment, improvement was seen through the use of psychotherapies such as counseling and Dohsa-hou and the prescription of anti-anxiolitics and anti-depressants.