4 Jaypee Brothers Medical Publishers (P) Ltd

Jaypee Brothers Medical Publishers (P) Ltd

4838/24, Ansari Road, Daryaganj

New Delhi 110 002, India

Phone: +91-11-43574357

Fax: +91-11-43574314

Email: jaypee@jaypeebrothers.com

J.P. Medical Ltd

83, Victoria Street, London

SW1H 0HW (UK)

Phone: +44 20 3170 8910

Fax: +44 (0)20 3008 6180

Email: info@jpmedpub.com

Jaypee-Highlights Medical Publishers Inc

City of Knowledge, Bld. 237, Clayton

Panama City, Panama

Phone: +1 507-301-0496

Fax: +1 507-301-0499

Email: cservice@jphmedical.com

Jaypee Medical Inc

The Bourse

111 South Independence Mall East

Suite 835, Philadelphia, PA 19106, USA

Phone: +1 267-519-9789

Email: jpmed.us@gmail.com

Jaypee Brothers Medical Publishers (P) Ltd

17/1-B, Babar Road, Block-B, Shaymali

Mohammadpur, Dhaka-1207

Bangladesh

Mobile: +08801912003485

Email: jaypeedhaka@gmail.com

Jaypee Brothers Medical Publishers (P) Ltd.

Bhotahity, Kathmandu, Nepal

Phone: +977-9741283608

Email: kathmandu@jaypeebrothers.com

Website: www.jaypeebrothers.com

Website: www.jaypeedigital.com

© 2015, Jaypee Brothers Medical Publishers

The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.

All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.

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Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.

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First Edition: 2015

The vital relationship between women's reproductive functions and mental health has been recognized for over 2,000 years when hysteria was attributed to wandering of the womb. Fortunately, women no longer undergo hysterectomies to cure mental illness and the relationship between obstetricians/gynecologists and psychiatrists has developed in many cultures into rich and meaningful clinical, educational and research endeavors that benefit women's mental and physical health.

Clinician's in obstetrics and gynecology have unique role, unlike any other branch of medicine, they take care of two lives at same time. Obstetrics and gynecology practitioners come across thousands of women in their career, who are thankful for their service at the most important moments of their lives. The darker side of womanhood is that many who seek consultation may suffer silently considering mental agony as ‘normal’ during many phases such as in puberty, pregnancy, postpartum, postmenopausal period, etc. This increases the morbidity and mortality. Clinicians are also misled by the myth that anxiety, depression, and suspicions are part of normal behavior, even when patients narrate them. This is also compounded by clinician's lack of adequate exposure to psychiatry in their undergraduation as it is optional subject. A clinician who is aware of common psychiatric disorders, such as depression, can play a pivotal role in reducing the morbidity and mortality because depression affects nearly 10–20% of women in their lifetime.

We are thankful to all those listed below who did the daunting task of providing constructive feedback and doing the proofreading of the contents: