title: Complementary and alternative medicine for menopause: a qualitative analysis of women's decision making.
abstract: BACKGROUND
  While almost half of women use complementary and alternative medicine (CAM) during their menopause, almost no literature explores why women choose CAM for menopausal symptoms. Clinician-patient conversations about CAM can be unsatisfactory, and exploration of women's choices may benefit communication.
  
  
  OBJECTIVE
  The objective of this study was to describe women's choices to use CAM for menopausal health issues.
  
  
  METHODS
  This is a qualitative study utilizing semi-structured interviews.
  
  
  METHODS
  Convenience sample of 44 menopausal women ages 45 to 60 recruited in two primary care clinics. Both users and non-users of CAM were included.
  
  
  METHODS
  Transcripts of semi-structured interviews were analyzed for themes that were refined through comparison of labeled text.
  
  
  RESULTS
  Four themes emerged in decisions to use CAM: (1) valuing CAM as "natural", although the meaning of "natural" varied greatly, (2) perceiving menopause as marking a change in life stage, (3) seeking information about menopause generated from personal intuition and other women's experiences, and (4) describing experiences before menopause of using CAM and allopathic medication in patterns similar to current use (patterned responses).
  
  
  CONCLUSIONS
  Women's decisions about using CAM during menopause can be understood through their perspectives on menopause and overall health. Increased clinician awareness of these themes may promote supportive discussions about CAM during counseling for menopause.
authors.affiliation: Department of Family and Community Medicine, University of California, San Francisco, CA, USA. hillsakl@fcm.ucsf.edu
authors.forename: Laura E
authors.initials: LE
authors.lastname: Hill-Sakurai
authors.forename: Jessica
authors.initials: J
authors.lastname: Muller
authors.forename: David H
authors.initials: DH
authors.lastname: Thom
mesh_terms: D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D019584:Hot Flashes / Q000188:drug therapy; D006801:Humans; D007407:Interviews as Topic; D008593:Menopause; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D014505:Urban Population; D016387:Women's Health