Integrated and Transdisciplinary Psychotherapeutic Intervention in Endometriosis-Induced Infertility and Medically Assisted Reproduction
Maria Evelina De Matthaeis, Antonio Leo, Vincenzo Ciccarese
Endometriosis and infertility are both complex conditions, characterized by the presence of medical as well as psychological symptoms. Due to their multifactorial aetiology, an effective approach requires the adoption of a biopsychosocial perspective that integrates medical and psychological interventions. The scientific literature indicates that an integrated approach may not only attenuate the perceived intensity of endometriosis-related symptoms but also, whether comorbidities are present or not, improve the outcomes of assisted reproductive technology (ART) procedures associated with infertility. This article explores, first through a literature review and subsequently via an analysis of a clinical case (patient S.), the validity and effectiveness of an integrated intervention based on cognitive-behavioural therapy (CBT) and acceptance and commitment therapy (ACT), with particular attention to ART contexts and the comorbidity between endometriosis and female infertility. The findings – discussed in light of current scientific evidence and without claims of statistical significance – highlight the importance of adopting a multidisciplinary and personalized approach capable of promoting, on the one hand, emotional regulation, psychological flexibility, and overall patient well-being, and on the other hand, the successful outcome of ART procedures.
Keywords
Endometriosis; Infertility; Cognitive and behavioural therapy; Acceptance and commitment therapy; Integrated approach.
