Gynecology is a specific area of ​​medicine where the mental state of patients has its influence. The patient should be the focus of the examination and communication between the patient and the healthcare worker. There are cases where the doctor has to work with victims of sexual abuse or women with sexual disorders for example. For them, but also for all women, a good attitude and comprehensive information are extremely important. Mental problems have a dual nature when associated with gynecological symptoms. Mental factors such as stress, problems in the family or work can be expressed physically as organic symptoms. On the other hand, gynecological conditions can be accompanied by psychological distress. Stress is the main factor that affects everyday life and, in particular, gynecological symptoms. Gynecological symptoms could increase psychological stress directly, or health problems could cause stress because they affect self-esteem, social life, or interpersonal relationships. Bodily symptoms resulting from emotional stress or difficulties in everyday life is called somatization. The reasons for somatization are not known, but the following mechanisms are assumed: 1. Anxiety about illness becomes the main idea (phobia of malignant disease); 2. Dissociation – the ability of a person to experience sensory experiences without the presence of a stimulus; 3. The “need” to have an illness – experiencing the role of a sick or patient provides relief and feeds the need for attention. In gynecology, the most common somatization is pelvic pain. A study found that in about 80% of women who report pelvic pain, no organic cause can be found. NEWS_MORE_BOX Somatic pelvic pain is usually not affected by painkillers and in some cases can become so unbearable that it negatively affects daily life and can lead to disability. Then psychotherapy is the right choice. Another psychological aspect in gynecology is the attitude towards the presence of malignancy. In women after active reproductive age, it is self-suggestion for uterine cancer, for example. Others have the attitude that the pain during the menstrual cycle is so severe that it borders on the existence of an illness. In such cases, the role of the doctor is extremely important. The doctor has the task of calming down, performing the routine gynecological examination very carefully and thoroughly, and having a positive attitude towards the disturbed woman. A negative memory of a past treatment or a doctor’s attitude, however, has a negative effect on the overall attitude towards new treatment options. Usually this is provoked by insufficient or unclear information from the doctor. Therefore, tension can be reduced by more explanations related to the condition, less waiting before the examination and more attention. The main mechanisms for reducing psychological distress are a high health culture,the right information and the strong authority of the doctor.