Dados do Trabalho

Title

Lose to win? - Psychoeducation, Infertility and bariatric surgery.

Objective

Infertility is a condition currently recognized as a source of suffering that can be intense and devastating, especially when associated with physical and/or psycho-emotional comorbidities. One of these could be obesity, a situation that has been proven to hamper hormonal functions, which affects daily activities and health, and possibly reproductive health. Having adequate weight is an important factor for success in reproductive treatments. Often, these become unnecessary after treatments for obesity or, at least, are favored with increased possibilities of success. This leads many women and men to undergo bariatric surgery, even on medical advice, with the aim of increasing the chances of pregnancy, when this delay occurs naturally. However, the difficulty to get pregnant is associated with the restrictions resulting from the surgery, the waiting time for the best conditions to receive the embryo and be able to carry it without the risk of low weight or premature birth, as well as the possibilities of indication for the replacement uterus procedure, as an alternative to continue the process, since the expected positive result does not always happen. It is known that the vital crisis that triggers infertility generates significant emotional disorders, emphasizing the need for the multidisciplinary team of Assisted Reproduction to be aligned, including the Endocrinology team.
Clinical practice through the observation of these cases, in individual and couple interviews, made us think of a project to welcome patients who underwent bariatric surgery to get pregnant through reproductive treatments and obtained a negative result, with a view to: - offer the necessary contributions to the psycho-emotional development of these patients, who find themselves in the “intergame of losing to win, not winning”; - contribute to more conscious decisions about treatment and its continuity; - provide professional host support, needed at this time.

Methods

Psychoeducation, with individual and group sessions, can provide important support from four areas: Endocrinology – metabolic and endocrinological diagnosis; Nutrition – with diet customization, food re-education, habits and needs of each patient; Physical Education – with individualized physical training, physiotherapy, massages, outdoor activities; and Psychology – work on bereavement, psychological motivation for maintaining habits and lifestyle.

Results

It is expected that the conduct of the professionals involved can contribute to minimize the self-responsibility of these patients and the consequent characteristic guilt, for not meeting the necessary standard, whether clinical, metabolic, aesthetic or psycho-affective, of not fulfilling the desire to become pregnant.

Conclusion

Psychoeducation is a recognized therapeutic intervention capable of providing an important instrument to promote the expansion of knowledge and management about illnesses and their repercussions through an integral approach, which offers space for openness to clear and consistent information, as well as sharing of experiences and increment to self-care.

Keywords

psychoeducation; infertility-obesity; bariatric surgery and reproductive treatment; comorbidities and infertility

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