What psychological reasons can prevent getting pregnant

To whom the war, and to whom – the mother

It is known that the causes of infertility can be not only health problems. It is believed that if a woman’s reproductive organs are all right, and pregnancy does not occur, then the problem is “in the head”. Often, a couple cannot conceive a child due to the fact that the woman is so worried about this situation that it affects her fertility. This “MK” was told by the fertility specialist, obstetrician-gynecologist Natalya Kalinina.

We live in constant stress. Of course, it also affects the female reproductive system. “The problem of infertility is a multidisciplinary one, and in most cases, women have psychosomatic disorders, which require the help of a psychologist who will work on the causes of their occurrence. Most often, the reasons and the subject of the work of a psychologist are the patient’s exaggerated demands on himself, perfectionism; inability to create sufficiently comfortable (financial) conditions for raising a child; awareness of their inconsistency with the task (“which one of me is a parent”); child psychotrauma (the parent does not want this problem to continue in his child); the paramount importance of a career; fear of the role of women, mothers, femininity (prevalence of the model of male behavior in women); fear of losing control over the situation when a child appears; presence in a pair of unconscious conflicts and problems; insufficient trust in the world, which is formed from the first year of life; the desire to live for themselves (especially those who have escaped from their home and from the influence of their parents). Accordingly, with all these factors, infertility treatment only by traditional methods (without the involvement of a psychologist) may be ineffective, ”says Dr. Kalinina.

By the way, today many reproductive specialists receive professional psychological training and use it in methods of treating infertility. The relationship between physiology and pathology in women’s health, emphasizes our expert, is considered in the context of the psychology of motherhood. Foreign research in the field of maternity psychology is very extensive. Some researchers identify more than 700 factors that characterize a woman’s adaptation to pregnancy, the early period of motherhood, including questionnaires reflecting a woman’s life history, her marital, social status, personal qualities, and connection with the developmental characteristics of the child. Despite modern advances in medicine, physiology, obstetrics and gynecology, an increase in the level of obstetrics and neonatal practice, the psychological problems of motherhood and early childhood are not decreasing.

Researcher Elizabeth Balinter, tracing the history of maternal attitudes over 4 centuries, came to the conclusion that the maternal instinct is a myth, and discovered the extreme variability of the mother’s feelings depending on her culture, ambitions and frustrations. The researcher examines the interconnection of the 3 main female roles – mother, wife and a woman who realizes herself freely. In different eras, a different role becomes dominant. “It is obvious that the realities of today – the role of a self-fulfilling woman, career opportunities, reaching incredible and previously inaccessible heights – come into conflict with the need to observe the rituals of family and marriage, prolongation, etc.,” Dr. Kalinina said.

However, it can be recalled that during wars, hunger, revolutions, women became pregnant and gave birth, and now they are increasingly having problems with both conception and bearing. “During the war, women did not get pregnant more often than they do now; there were a huge number of spontaneous miscarriages and premature births, says Natalya Kalinina. – In addition, maternal and child (infant) mortality was at a critically high level. A separate topic – the severe psychotrauma of women who lost a pregnancy during the war – is an additional experience of the death of a child to the daily threat to their own lives. The topic of pregnancy in prisoners of concentration camps is also tragic – inhuman experiments were carried out on them, terminating pregnancies, testing drugs on them. Known “scientific research” professor obstetrician-gynecologist Karl Klauberg from the University of Koenigsberg, the author of the classification of progestins and gestagens, who tested the effect of progesterone on pregnant women and methods of sterilizing women with steroid drugs. Therefore, the psychological problems accompanying infertility and miscarriage in the modern world are incomparable with the problems of wartime – they are simply in another dimension, associated with informational, professional, mental, personal deformations, but not with a real threat to life. “

Can there be situations when, for example, IVF is contraindicated precisely for psychological reasons? “Pregnancy cannot be contraindicated for psychological reasons. For the presence of mental illness – yes, of course, therefore, before undergoing IVF, women must provide a psychiatrist’s conclusion. The detection of mental illness is a contraindication for the ART program, which is reflected in the order of the Ministry of Health of the Russian Federation, ”says Dr. Kalinina.

Published in the newspaper “Moskovsky Komsomolets” No. 28484 of February 24, 2021

Newspaper headline:
To whom the war, and to whom – the mother

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