Health needs, treatment decisions and experience of traditional complementary and integrative medicine use by women with diminished ovarian reserve: A cross-sectional survey

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2024-03-21 DOI:10.1111/ajo.13805

Alison Maunder, Susan Arentz, Mike Armour, Michael F Costello, Carolyn Ee

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引用次数: 0

Abstract

Background

Women with diminished ovarian reserve (DOR) have fewer eggs than would be expected at their age. It is estimated that 10% of women seeking fertility treatment are diagnosed with DOR. However, the success rate of medically assisted reproduction (MAR) is significantly lower in women with DOR, thus many seek additional approaches.

Aim

To explore the health needs of women with DOR, treatment options and experience of treatment including traditional complementary integrative medicine (TCIM).

Methods

Anyone with a diagnosis of DOR, living in Australia or New Zealand, aged over 18 were invited to complete an online survey distributed via fertility support networks and social media platforms from April to December 2021.

Results

Data from 67 respondents were included. The main aspects of health that were impacted by DOR were fertility (91.0%) and mental health (52.2%). The main treatment recommended was MAR with most women either currently using MAR (38.8%) or having previously used MAR (37.3%). TCIM was widely used with 88.1% of women utilising supplements, 74.6% consulting with TCIM practitioners, and 65.7% adopting self-care practices. The main reasons for using TCIM were to improve fertility or support pregnancy, and to support general health and well-being.

Conclusions

Women with DOR have additional health needs apart from infertility, most notably mental health support. The main form of treatment utilised is MAR, despite DOR being challenging for fertility clinicians. TCIM was widely used, and respondents perceived benefits related to improving fertility, supporting pregnancy, or improving well-being through use of acupuncture, meditation, naturopathy, massage, yoga.

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卵巢储备功能减退妇女的健康需求、治疗决定以及使用传统补充和综合疗法的经验：一项横断面调查。

背景：卵巢储备功能减退（DOR）妇女的卵子数量比其年龄预期的要少。据估计，在寻求生育治疗的妇女中，有 10% 被诊断出患有 DOR。目的：探讨患有 DOR 的妇女的健康需求、治疗选择和治疗经验，包括传统补充综合医学（TCIM）：方法：2021 年 4 月至 12 月期间，通过生育支持网络和社交媒体平台，邀请任何被诊断出患有 DOR、居住在澳大利亚或新西兰、年龄超过 18 岁的女性完成在线调查：67 名受访者的数据被纳入调查。受 DOR 影响的主要健康方面是生育能力（91.0%）和心理健康（52.2%）。建议的主要治疗方法是 MAR，大多数妇女目前正在使用 MAR（38.8%）或曾经使用过 MAR（37.3%）。TCIM 被广泛使用，88.1% 的妇女使用补充剂，74.6% 的妇女向 TCIM 从业人员咨询，65.7% 的妇女采用自我保健方法。使用TCIM的主要原因是为了提高生育能力或帮助怀孕，以及促进一般健康和幸福：结论：患有 DOR 的妇女除不孕症外，还有其他健康需求，其中最主要的是心理健康支持。尽管 DOR 对不孕不育临床医生来说具有挑战性，但使用的主要治疗形式是 MAR。TCIM 被广泛使用，受访者认为其益处与改善生育能力、支持怀孕或通过使用针灸、冥想、自然疗法、按摩和瑜伽改善身心健康有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian & New Zealand Journal of Obstetrics & Gynaecology 医学-妇产科学

CiteScore

3.40

自引率

11.80%

发文量

165

审稿时长

4-8 weeks

期刊介绍： The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.