The use of complementary and alternative fertility treatment in couples seeking fertility care: Data from a prospective cohort in the United States

James F. Smith, Michael L. Eisenberg, Susan G. Millstein, Robert D. Nachtigall, Alan W Shindel, Holly Wing, Marcelle Cedars, Lauri Pasch, Patricia P. Katz

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

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 ofR$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.

Original languageEnglish (US)
Pages (from-to)2169-2174
Number of pages6
JournalFertility and Sterility
Volume93
Issue number7
DOIs
StatePublished - May 1 2010
Externally publishedYes

Fingerprint

Complementary Therapies
Fertility
Therapeutics
Infertility
Odds Ratio
Phytotherapy
Meditation
Pregnancy
Acupuncture

Keywords

  • Complementary and alternative medicine
  • Infertility
  • Motivation
  • Outcome
  • Prospective

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

The use of complementary and alternative fertility treatment in couples seeking fertility care : Data from a prospective cohort in the United States. / Smith, James F.; Eisenberg, Michael L.; Millstein, Susan G.; Nachtigall, Robert D.; Shindel, Alan W; Wing, Holly; Cedars, Marcelle; Pasch, Lauri; Katz, Patricia P.

In: Fertility and Sterility, Vol. 93, No. 7, 01.05.2010, p. 2169-2174.

Research output: Contribution to journalArticle

Smith, James F. ; Eisenberg, Michael L. ; Millstein, Susan G. ; Nachtigall, Robert D. ; Shindel, Alan W ; Wing, Holly ; Cedars, Marcelle ; Pasch, Lauri ; Katz, Patricia P. / The use of complementary and alternative fertility treatment in couples seeking fertility care : Data from a prospective cohort in the United States. In: Fertility and Sterility. 2010 ; Vol. 93, No. 7. pp. 2169-2174.
@article{efa93899aff9417bb7f9904db2aa0e4f,
title = "The use of complementary and alternative fertility treatment in couples seeking fertility care: Data from a prospective cohort in the United States",
abstract = "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 ofR$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.",
keywords = "Complementary and alternative medicine, Infertility, Motivation, Outcome, Prospective",
author = "Smith, {James F.} and Eisenberg, {Michael L.} and Millstein, {Susan G.} and Nachtigall, {Robert D.} and Shindel, {Alan W} and Holly Wing and Marcelle Cedars and Lauri Pasch and Katz, {Patricia P.}",
year = "2010",
month = "5",
day = "1",
doi = "10.1016/j.fertnstert.2010.02.054",
language = "English (US)",
volume = "93",
pages = "2169--2174",
journal = "Fertility and Sterility",
issn = "0015-0282",
publisher = "Elsevier Inc.",
number = "7",

}

TY - JOUR

T1 - The use of complementary and alternative fertility treatment in couples seeking fertility care

T2 - Data from a prospective cohort in the United States

AU - Smith, James F.

AU - Eisenberg, Michael L.

AU - Millstein, Susan G.

AU - Nachtigall, Robert D.

AU - Shindel, Alan W

AU - Wing, Holly

AU - Cedars, Marcelle

AU - Pasch, Lauri

AU - Katz, Patricia P.

PY - 2010/5/1

Y1 - 2010/5/1

N2 - 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 ofR$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.

AB - 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 ofR$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.

KW - Complementary and alternative medicine

KW - Infertility

KW - Motivation

KW - Outcome

KW - Prospective

UR - http://www.scopus.com/inward/record.url?scp=77952567312&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952567312&partnerID=8YFLogxK

U2 - 10.1016/j.fertnstert.2010.02.054

DO - 10.1016/j.fertnstert.2010.02.054

M3 - Article

C2 - 20338559

AN - SCOPUS:77952567312

VL - 93

SP - 2169

EP - 2174

JO - Fertility and Sterility

JF - Fertility and Sterility

SN - 0015-0282

IS - 7

ER -