Conception and Lifestyle - Integrative Psychosomatics in Ovarian Insufficiency

Abstract

augment the bio-psycho-social model by a fourth mainstay which might be in a humanities-derived concept [11]. The overall aim should be that a ´dispersed patient´ will be a thing of the past [12]. Pre-Conception CounselingPre-conception counseling in gynaecology and mental health care is increasingly used by couples wishing to conceive. Some basics play an important role in stock-check: illnesses, medication, former pregnancies, malnutrition, cycle irregularities and thyroid function [13]. Further aspects are rule out gingivitis, periodontitis, alcohol, caffeine, and nicotine. Ideally, BMI should be between 18.5 and 25. Moreover, a fundamental behavioral advice for patients is to consider the hangover effect of contraceptives, which in depot gestagens can take months. General nutrition optimizing is essential, including the substitution of folate and iodine for a closing of the neural tube in the fourth gestational week, not only in the first trimenon but in preconception [14][15][16]. Generally, after one year of regular intercourse, further advice should be sought [13]. In one-year-plus cases, in males there is often no malfunction diagnosed, so couples often report practicing abstinence time in between intercourse in order to elevate male sperm quantity. This is not useful since quality will decrease the lower the intercourse frequency is [17]. In contrast, the higher the frequency is, the better sperm quality will be [17].A psychosomatic perspective takes into account such factors. A psychosomatic-interactional perspective also accommodates the interactions of the individual; i.e. individual problems can have interactional function, which can be revealing to diagnostics and to intervention [18]. Systemic aspects in psychic and somatic disorders are obvious [19], in couple functioning and in individual functioning, which can also be seen in females´ disorders like sexual functioning disorder [20], or in eating disorder [21]. Pre-conception counseling should thus encompass aspects of the bio-psycho-social kind as basics of intervention strategies of which in the pre-and postnatal context many have been developed [22][23][24]. The patients´ level of

Study of Serum Anti-Mullerian Hormone in the Diagnosis of Ovarian Reserve Function in Patients with Premature Ovarian Insufficiency

“…The quantity and quality of a woman's ovarian follicular pool are thought to be bound up with her age and FSH [ 8 ], whereas according the recent research, the number of follicles is strongly bound up with AMH level [ 9 , 10 ]. Contrary to other hormonal markers of ovarian follicular state (FSH, E2, and inhibin B), AMH has no significant changes within and between menstrual cycles [ 11 , 12 ]. AMH has higher sensitivity (80% vs. 28.57%) and almost the same specificity (78.89% vs. 78.65%) in the diagnosis of POF in contrast to FSH.…”