Department of Obstetrics and Gynecology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, S.B.U. Gülhane Training and Research Hospital, Ankara, Turkey.
J Gynecol Obstet Hum Reprod. 2021 Jun;50(6):102112. doi: 10.1016/j.jogoh.2021.102112. Epub 2021 Mar 13.
The primary objective of this study was to evaluate the prevalence, characteristics and the most frequently used complementary and alternative medicine (CAM) methods among infertile couples. A secondary aim was to assess predictors and patients' attitude to disclose the usage of CAM.
This study was designed as a cross-sectional survey and conducted on patients admitted to infertility clinics of two hospitals.
The overall prevalence of CAM among 324 infertile participants (162 couples) was 25.6 % (n = 83). 48 % of the infertile couples had experience with at least one type of CAM method and the most commonly used CAM was herbal products (84 %). The frequency of CAM tended to be higher among females compared to males (33 % versus 17 %, respectively; p = 0.02). Patients who failed to conceive with previous medical therapies were more inclined to use CAM (p = 0.01). After logistic regression analyses, only gender and previous unsuccessful ART treatment were found to be associated independently with CAM use.
CAM use is common among infertile population. CAM users were more likely to be women at any age who had failed to achieve a pregnancy with previous artificial reproductive treatment(s), mainly used herbal products and mostly reluctant to report the use of CAM.
本研究的主要目的是评估不孕夫妇中补充和替代医学（CAM）方法的流行率、特征和最常使用的方法。次要目的是评估预测因素和患者对披露 CAM 使用的态度。
本研究设计为横断面调查，在两家医院的不孕诊所招募患者。
在 324 名不孕参与者（162 对夫妇）中，CAM 的总体流行率为 25.6%（n=83）。48%的不孕夫妇至少有一种 CAM 方法的经验，最常用的 CAM 是草药产品（84%）。与男性相比，女性使用 CAM 的频率更高（分别为 33%和 17%；p=0.02）。与以前的医学治疗相比未能受孕的患者更倾向于使用 CAM（p=0.01）。经过逻辑回归分析，只有性别和以前不成功的 ART 治疗被发现与 CAM 的使用独立相关。
CAM 在不孕人群中很常见。CAM 用户更可能是以前使用过任何人工生殖治疗方法但未能怀孕的女性，主要使用草药产品，且大多不愿报告 CAM 的使用。
