title: Herbal therapy use by perimenopausal women.
abstract: OBJECTIVE
  Perimenopausal women may be following a trend toward using herbal remedies for their symptoms. Herbal use can affect medical decision making because herbal side effects can mimic medical conditions and herbs can interact with pharmacotherapeutics. Yet, health care providers may not be asking patients about their use of herbals. The purpose of this study was to describe the prevalence of herbal use in a sample of perimenopausal women and to explore disclosure of use to their clinicians.
  
  
  METHODS
  Descriptive survey of herbal use utilizing responses from a questionnaire.
  
  
  METHODS
  Health food grocery, located in the southeastern United States.
  
  
  METHODS
  A convenience sample of 40 women, ages 40 to 65 years.
  
  
  METHODS
  Menopause symptoms, perceived efficacy of hormone or herbal therapy, herbs used, sources of information about herbs, and discussion with health care providers about herbal use.
  
  
  RESULTS
  Two thirds of the women had used herbs for perimenopausal symptoms. Herb users had experienced more menopausal symptoms than nonusers and had more side effects from hormone therapy. Herb users relied on information about herbs from alternative health care providers, whereas nonusers relied on popular media and peers. Overall, less than half were asked by their health care providers about herbal use. Furthermore, nearly half expressed dissatisfaction with the information given by providers about herbs. Although black cohosh was the most frequently used herb, ginseng and gingko were perceived to be the most effective.
  
  
  CONCLUSIONS
  Providers need to become informed about herbal therapy for perimenopausal symptoms to tailor care to the needs, preferences, and philosophies of their patients.
authors.affiliation: Department of Nursing, North Carolina Central University, Durham 27707, USA. bpging@intrex.net
authors.forename: Pat Mahaffee
authors.initials: PM
authors.lastname: Gingrich
authors.forename: Catherine Ingram
authors.initials: CI
authors.lastname: Fogel
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002979:Climacteric / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008517:Phytotherapy / Q000523:psychology / Q000706:statistics & numerical data*; D010936:Plant Extracts / Q000627:therapeutic use*; D011369:Professional-Patient Relations; D011785:Quality Assurance, Health Care; D015144:Southeastern United States
chemical_list: D010936:Plant Extracts