Psychotherapy vs medical treatment in anovulatory infertility

ABSTRACT

Fifty anovular infertile patients, diagnosed as anovular patients on the base of proliferative endometrial biopsy. Hormonal assessments of ovulation were done before and after the study, for assessment and follow-up. The patients were subjected to two types of treatment. Thirty patients received clomid, Parlodel and H.C.G., the other 20 patients were subjected to psychotherapy as follow; 10 formulating a group were subjected to group psychotherapy and 10 patients to marital therapy with their husbands. Medical treatment has much better effect on the conception ratio, but it did not correct the psychic condition of the patient. Patients who conceived with psychotherapy achieved the best psychic condition of all the groups. The bad psychic condition had been found to be the cause of hypoprogesteronemia. F.S.H. and L.H. proved to be a relation to the psychic condition of the patients. Couple therapy proved to have much better effect on patients subjected to psychotherapy than group therapy