Document Detail


The use of complementary and alternative fertility treatment in couples seeking fertility care: data from a prospective cohort in the United States.
MedLine Citation:
PMID:  20338559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the prevalence of complementary and alternative medicine (CAM) use among couples seeking fertility care and to identify the predictors of CAM use in this population.
DESIGN: Prospective cohort study.
SETTING: Eight community and academic infertility practices.
PATIENT(S): A total of 428 couples presenting for an infertility evaluation.
INTERVENTION(S): Interviews and questionnaires.
MAIN OUTCOME MEASURE(S): Prevalence of complementary and alternative medicine therapy.
RESULT(S): After 18 months of observation, 29% of the couples had utilized a CAM modality for treatment of infertility; 22% had tried acupuncture, 17% herbal therapy, 5% a form of body work, and 1% meditation. An annual household income of > or = $200,000 (odds ratio 2.8, relative to couples earning <$100,000), not achieving a pregnancy (odds ratio 2.3), and a positive attitude toward CAM use at baseline were independently associated with CAM use.
CONCLUSION(S): A substantial minority of infertile couples use CAM treatments. CAM was chosen most commonly by wealthier couples, those not achieving a pregnancy, and those with a baseline belief in the effectiveness of CAM treatments.
Authors:
James F Smith; Michael L Eisenberg; Susan G Millstein; Robert D Nachtigall; Alan W Shindel; Holly Wing; Marcelle Cedars; Lauri Pasch; Patricia P Katz;
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural     Date:  2010-03-24
Journal Detail:
Title:  Fertility and sterility     Volume:  93     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-05-25     Revised Date:  2013-07-10    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2169-74     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, University of California, San Francisco, California 94143-1695, USA. smithjf@urology.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Complementary Therapies / utilization*
Family Characteristics
Female
Humans
Infertility / epidemiology,  therapy*
Interviews as Topic
Male
Middle Aged
Pregnancy
Prevalence
Prospective Studies
Questionnaires
Reproductive Techniques, Assisted* / utilization
Social Class
Treatment Outcome
United States / epidemiology
Young Adult
Grant Support
ID/Acronym/Agency:
HD37074/HD/NICHD NIH HHS; P01 HD037074/HD/NICHD NIH HHS; P01 HD037074-010003/HD/NICHD NIH HHS
Investigator
Investigator/Affiliation:
Nancy Adler / ; Jonathan Showstack / ; Mary Croughan / ; Steven Gregorich /
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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