NICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Women's Health, University of NSW, Sydney, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2024 Aug;64(4):390-398. doi: 10.1111/ajo.13805. Epub 2024 Mar 21.
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.
To explore the health needs of women with DOR, treatment options and experience of treatment including traditional complementary integrative medicine (TCIM).
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.
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.
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.
卵巢储备功能减退（DOR）的女性卵子数量少于其年龄应有的数量。据估计，寻求生育治疗的女性中有 10%被诊断为 DOR。然而，DOR 女性的医学辅助生殖（MAR）成功率显著降低，因此许多人寻求其他方法。
探讨 DOR 女性的健康需求、治疗选择以及治疗体验，包括传统补充整合医学（TCIM）。
邀请任何被诊断为 DOR 的、居住在澳大利亚或新西兰的、年龄在 18 岁以上的人通过生育支持网络和社交媒体平台在 2021 年 4 月至 12 月期间完成在线调查。
共纳入 67 名应答者的数据。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%）。推荐的主要治疗方法是 MAR，大多数女性目前正在使用 MAR（38.8%）或之前曾使用过 MAR（37.3%）。TCIM 广泛使用，88.1%的女性使用补充剂，74.6%咨询 TCIM 从业者，65.7%采取自我保健措施。使用 TCIM 的主要原因是改善生育能力或支持怀孕，以及支持整体健康和幸福感。
DOR 女性除了不孕不育之外还有其他健康需求，尤其是心理健康支持。最常用的治疗方法是 MAR，尽管 DOR 对生育临床医生来说具有挑战性。TCIM 广泛使用，应答者认为通过使用针灸、冥想、顺势疗法、按摩、瑜伽等方法可以改善生育能力、支持怀孕或改善幸福感。
