Patients Undergoing Assisted Reproductive Technology (ART) Treatments Seek Integrative Approach to Infertility [27F]. (May 2016) - Zafman, Kelly B.
Abstract : INTRODUCTION: Women faced with infertility are offered a variety of Eastern and Western treatment options, such as complementary and alternative medicine (CAM) and/or assisted reproductive technology (ART) treatments. Women may pursue therapies like acupuncture, in concert with western reproductive endocrinology methods, to improve pregnancy outcomes and/or cope with psychosocial challenges. This study aims to describe the experiences of women who choose to pursue CAM as part of their fertility treatment. METHODS: Patients who utilized treatment by CAM and ART therapy from January 2013 to March 2015 were included. The 40-question survey included patient demographics, medical history, lifestyle choices, CAM experience, stress levels (1: Low – 10: High Stress), and open-ended questions. RESULTS: Over 26% of patients who participated in acupuncture (n=68) sought to alleviate endometriosis and fibroids (n=18). After one month of CAM therapy, stress levels sourced from an infertility diagnosis, reduced dramatically in participants' workplace (Δ=−0.98) and relationships with partners (Δ=−0.86). It was "highly" important for 71.47% of participants that their ART doctor and CAM specialist work together during treatment. It was "very" important in 81.3% of participants that their CAM doctor accepts the use of acupuncture during treatment. CONCLUSION: Study participants were "empowered" and felt "reduced stress and anxiety" with their CAM experience. Nearly all patients (98.1%) mentioned they would recommend CAM therapy to others, citing the "psychosocial and physical support" assisted them during Eastern medical intervention. Given the stress of fertility therapy, practitioners who adopt a holistic approach may alleviate patient stress, improve physician-patient communication and enhance clinical retention.