Schanzer K
Universitätsfrauenklinik, München.
Geburtshilfe Frauenheilkd. 1991 Dec;51(12):955-8. doi: 10.1055/s-2008-1026244.
Oral contraceptive use is influenced by multiple emotional factors. Physiological and psychological effects are closely correlated. Contraception may assist women in pursuing important psychosocial goals, on the other hand, it may cause a number of problems. Many unconscious wishes or fears may interfere with the clear separation of sexuality from fertility. Ambivalence about pregnancy, neurotic personalities and problems in partner relationship may cause psychic conflicts with regard to contraception. Anxiety, side effects, misuse of contraceptives or problems in the relationship between doctor and patient may result. As a further development psychosomatic symptoms such as discomfort, nervousness, sleep disturbance, fatigue, nausea and sexual disorders may appear. The physician must take contradictory feelings of the patient into consideration, including her anxiety and her possible ambivalence with respect to pregnancy.
口服避孕药的使用受到多种情感因素的影响。生理和心理效应密切相关。避孕一方面可能帮助女性追求重要的心理社会目标，另一方面也可能引发一些问题。许多无意识的愿望或恐惧可能会干扰将性行为与生育明确区分开来。对怀孕的矛盾心理、神经质人格以及伴侣关系中的问题可能会导致在避孕方面出现心理冲突。进而可能引发焦虑、副作用、避孕药的滥用或医患关系问题。还可能出现诸如不适、紧张、睡眠障碍、疲劳、恶心和性功能障碍等心身症状。医生必须考虑患者的矛盾情绪，包括她对怀孕的焦虑以及可能存在的矛盾心理。
