Complementary and alternative medicine (CAM) use in women with pelvic floor disorders: a cohort study

Int Urogynecol J. 2010 Apr;21(4):431-7. doi: 10.1007/s00192-009-1058-8. Epub 2009 Dec 5.

Abstract

Introduction and hypothesis: The objective of this study was to compare complementary and alternative medicine (CAM) use in women with and without pelvic floor disorders (PFD).

Methods: We conducted a survey of women presenting to a specialty urogynecology (Urogyn) and gynecology (Gyn) clinic that examined demographic data, CAM use, and the presence of PFD (validated questionnaires). T tests, Fisher's exact tests, and logistic regression were used for analysis. To detect a 20% difference between groups, 234 Urogyn and 103 Gyn patients were needed.

Results: Participants included 234 Urogyn and 103 Gyn patients. Urogyn patients reported more CAM use than Gyn patients, even when controlled for differences between groups (51% vs. 32%, adjusted p = 0.006). Previous treatment (61% vs. 39%, adjusted p < 0.001) and increased number of PFD was associated with increased CAM use (adjusted p = 0.02).

Conclusions: Women with PFD use CAM more frequently than women without PFD.

MeSH terms

  • Adult
  • Aged
  • Cohort Studies
  • Complementary Therapies / statistics & numerical data*
  • Fecal Incontinence / therapy*
  • Female
  • Health Care Surveys
  • Humans
  • Middle Aged
  • New Mexico
  • Patient Acceptance of Health Care*
  • Pelvic Organ Prolapse / therapy*
  • Urinary Incontinence / therapy*
  • Women's Health Services