Le Lirzin R, Robin D, Guedon V
Service de Gynécologie-Obstétrique, CHRU, Angers.
Rev Fr Gynecol Obstet. 1990 May;85(5):307-12.
The authors remind of the difficulty in defining psychogenic sterilities and evaluating their exact frequency. Then, they attempt to offer a classification based on clinical examples. Secondary sterilities of psychogenic origin are only seen in women who have lost a child in the pre, per or post-partum period. This is even a characteristic example of non organic sterility. Primary sterilities may be psychological in origin, especially by absence of maturation of the child planning project (case of sterilities cured after adoption). They are seen more infrequently: in adult anorexia nervosa, psychological sexual differentiation disorders, masculine women. These difficulties are not easy to approach as much as psychological and organic factors may be entangled. In addition, one question is raised: who should take care of it? The psychiatrist or the gynecologist? Overall, the latter is preferable under the condition that he/she is properly trained. Anyway, it is ultimately the woman's choice.
作者提醒人们注意，界定心因性不育症以及评估其确切发生率存在困难。然后，他们试图根据临床实例提供一种分类方法。心因性继发不育症仅见于在产前、产时或产后失去孩子的女性。这甚至是无器质性不育症的一个典型例子。原发性不育症可能源于心理因素，尤其是在生育计划项目未成熟的情况下（领养后不育症治愈的病例）。此类情况较少见：见于成年神经性厌食症、心理性性别分化障碍、男性化女性。由于心理因素和器质性因素可能相互交织，这些难题并不容易解决。此外，还引发了一个问题：应由谁来处理此事？精神科医生还是妇科医生？总体而言，在妇科医生接受过适当培训的情况下，由其处理更为合适。无论如何，最终还是由女性自己做出选择。
