Up to one third of all women experience abnormal uterine bleeding and approximately 10% of women worldwide are affected by endometriosis. Similarly, chronic pelvic and vulvar pain affects between 14%-32% of women worldwide. The care for these conditions is overwhelmingly comprised of hormonal management techniques. Furthermore, conditions such as chronic pelvic pain, PCOS, and endometriosis have been reported to impact both quality of life in women, as well as mood and mental health. This Article Collection aims to highlight literature on the management of patients with dual diagnosis in whom hormonal medications are required for gynecologic disease management while simultaneously negatively impacting their mental health condition. Literature on the ways in which these conditions impact the mental health and quality of life of women is also accepted. The Collection will also consider hormonal impact of the most common surgical procedure in women, second to cesarean delivery: hysterectomy.
This Collection invites research articles, reviews, systematic reviews/meta-analyses, editorials, case reports, or position statements focusing on the following topics:
Hormonal Management for Gynecologic Disease processes in patients with mood disorder history
- Endometriosis
- Options for treatment of endometriosis and pitfalls in patients with mood disorders
- Fibroids and Abnormal Uterine bleeding
- Options for treatment of AUB and pitfalls in patients with mood disorders
- PCOS
- Options for treatment of AUB and pitfalls in patients with mood disorders
- Impact of estrogen dominant state and management of mood in this setting
- Chronic Pelvic pain and comorbid mood disorders
- Utility of hormonal management in conjunction with neuroactive medications such as SNRIs, TCAs, neuroleptics, mood stabilizers, as SSRIs.
- The most challenging patient
- Patients in which all treatments for their underlying GYN disorder negatively impacts mood stability.
- Surgical menopause
- Challenges in mood management in s/o premature surgical menopause
- Hysterectomy
- Mood and hormone impact perioperatively and long term
Dr. Lauren Schiff is a fellowship trained Minimally Invasive Gynecologic Surgeon and Associate Professor at the University of North Carolina at Chapel Hill. She currently serves as the Associate CMO of Quality and Safety for UNC Medical Center. In addition to her administrative role, she is actively engaged in patient care and teaching as a clinician and surgeon. She is dedicated to caring for women with fibroids, endometriosis, complex benign gynecologic surgical conditions, hormonally induced gynecologic conditions, and pelvic pain disorders.
Dr. Schiff has no conflicts of interest to disclose regarding this work.
