© Springer International Publishing Switzerland 2017K Marieke Paarlberg and Harry B.M. van de Wiel (eds.)Bio-Psycho-Social Obstetrics and Gynecology10.1007/978-3-319-40404-2_22 22. Introduction Harry B. M. van de Wiel1 and K. Marieke Paarlberg2 (1) Wenckebach Institute, University of Groningen, University Medical Centre Groningen, Groningen,…
Point prevalence Major and minor depression (%) Major depression (%) First trimester 11.0 3.8 Second trimester 8.5 4.9 Third trimester 8.5 3.1 1 month postpartum 9.7 3.8 3 months postpartum…
Fig. 20.1 The psychosomatic circle of predisposing, precipitating, maintaining, and contextual factors in experienced distress due to a sexual difficulty 20.7 Specific Diagnostic Aspects 20.7.1 History Sexual desire and arousal…
Careful history taking (in a safe atmosphere/setting) An educative gyneco-sexological examination that the patient is able to follow with a hand mirror (and when applicable with the partner present) Providing…
Fig. 17.1 Fear-avoidance model of vaginismus (FAM-V) (Used with permission of Guilford Press from ter Kuile and Reissing [28]) 17.6 Specific Diagnostic Aspects 17.6.1 History Taking The diagnosis is made…
© Springer International Publishing Switzerland 2017K Marieke Paarlberg and Harry B.M. van de Wiel (eds.)Bio-Psycho-Social Obstetrics and Gynecology10.1007/978-3-319-40404-2_16 16. A Couple Who Considers Artificial Reproductive Techniques: Psychosocially Informed Care in Reproductive Medicine Heather Rowe1 , Jane Fisher1 and…
Fig. 14.1 Giessen test profiles of all couples. Typical polarization that can be found in infertile couples’ relationship patterns. Self and partner images (n = 500) (Used with permission of…
Raised intra-abdominal pressure Urethral sphincter incompetence Decreased or absent urethral pressure transmission Bladder neck hypermobility Parity Vaginal (particularly instrumental) delivery Physical trauma to pelvic floor History of sexual abuse/violence, in…
Fig. 12.1 Classification of female genital mutilation 1. Clitoridectomy: partial or total removal of the clitoris and, in very rare cases, only the prepuce. 2. Excision: partial or total…
Organ systems Signs and symptoms Laboratory studies/physical examination Whole body Low body weight; dehydration, weakness; lassitude; hypothermia Check weight every visit; make sure patient has not artificially increased weight by…
