Professional Education | Topic Of Interest

Pine Rest Grand Rounds

Reproductive History in Psychiatric Evaluations (CLOSED FOR REGISTRATION)

Grand Rounds Presentation

Reproductive hormones wield undeniable influence over psychiatric symptoms, as acknowledged by the American Psychiatric Association (APA). APA guidelines stress the imperative nature of integrating an assessment of sexual and reproductive history in the initial psychiatric evaluation(1), noting a common oversight regarding contraceptive use unless specifically queried(2). However, limitations in time allocation during evaluations often lead to the inadvertent omission of crucial reproductive health inquiries. Notably, psychiatric residency training often neglects comprehensive coverage of reproductive mental health, perpetuating the oversight in prioritizing reproductive history within evaluations(3). This presentation aims to underscore the pivotal role of reproductive history in psychiatric assessments, including considerations for medication interactions involving reproductive hormones. Additionally, it sheds light on religious and political constraints that hinder open discourse, thereby impacting hospital policies and impeding these critical conversations.

Learning objectives:

  1. Give three examples about the importance of taking reproductive history in psychiatric evaluations
  2. Give examples of how political and religious restrictions can influence reproductive psychiatry history taking in psychiatric evaluations
  3. Describe the current APA guidelines for reproductive history in psychiatric evaluations


Dr. Madhavi Latha Nagalla is the residency program director of the psychiatry residency program and associate professor in the Department of Psychiatry at Western Michigan University Homer Stryker M.D. School of Medicine (WMed). After completing her medical degree from Guntur Medical College in Andhra Pradesh, India, she went on to complete a psychiatry residency at Nassau University Medical Center in East Meadow, New York. Dr. Nagalla then completed her fellowship in consult liaison psychiatry at University of Michigan while simultaneously completing a fellowship in psychotherapy through the Michigan Psychoanalytic Institute.  Women’s mental Health is her main area of interest and research.


  • Madhavi-Latha Nagalla, MD

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