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Declaration: The authors report no financial or commercial conflicts of interest.
Abstract
Research question
Conventional
treatments are often associated with adverse effects and endometriosis
pain symptoms may reoccur despite treatment. Consequently, many women
use complementary health approaches (CHA) and home remedies (HR) to
relieve their pain. The aim of this study was to examine the frequency
and the subjectively perceived efficacy of CHA/HR use by women affected
by endometriosis.
Design
Retrospective
evaluation using medical charts and a questionnaire. Women recruited in
hospitals and in self-help groups were asked about the use of ‘topical
heat’, ‘repose/relaxation’, ‘movement/massages’,
‘homeopathy/phytotherapy’, ‘acupuncture/traditional Chinese medicine
(TCM)’ and ‘kinesiology/physiotherapy’.
Results
From
a total of 574 women with a confirmed diagnosis of endometriosis, 359
(62.5%) applied some form of CHA/HR. Women suffering from fatiguing
disease symptoms more often selected alternative therapies (odds ratio
[OR] 3.14, 95% confidence interval [CI] 1.39–7.11, P = 0.006)
compared with women without these characteristics. Furthermore, women
dissatisfied with healthcare provided by their treating physician, more
frequently (OR 2.30, 95% CI 1.19–4.45, P = 0.013) chose the aforementioned alternative strategies.
Conclusion
As
conventional therapies may not be sufficiently effective, women's needs
should be closely examined, and individual treatment options should be
discussed and initiated by clinicians to provide the best comprehensive
treatment possible for endometriosis.