title: The use of complementary and alternative medicine by women transitioning through menopause in Germany: results of a survey of women aged 45-60 years.
abstract: OBJECTIVE
  To describe prevalence rates of complementary and alternative medicine therapies (CAM) for the relief of menopausal complaints among German women. Furthermore, to investigate the perceived effectiveness of these therapies.
  
  
  METHODS
  A self-administered questionnaire was sent to 9785 randomly selected women in Germany aged between 45 and 60 years.
  
  
  RESULTS
  A total of 1893 (19.3%) questionnaires have been sent back. The mean age of all participants was 52.6±4.3 years. 81% (n=1517) of the responding women stated that they had experienced menopausal complaints at least once. Symptoms ranged from vasomotor symptoms, including hot flushes and night sweats, in 71.2% of cases, to bladder problems in 42.7%. The average symptom score (MRS II total score, range 1-44) among the respondents was 12.76±9.6. More than half (56%; n=1049/1872) of the responding women had used some form of therapy to alleviate their symptoms at least once. The majority of women undertaking a therapy (64.8%; n=679/1049) had used only CAM interventions (either one or more type of CAM), 14.2% (n=149) had used hormone replacement therapy (HRT) only, while 21.1% (n=221/1049) had tried both CAM and HRT. Popular CAM interventions by the respondents were an alteration of lifestyle (28.7%), St. John's wort (18.3%) and homoeopathy (14.9%). An alteration in lifestyle was rated as the most effective CAM treatment with 84.9% (n=457). Other treatments like hormone yoga (79.2%; n=42), homoeopathy (73.7%; n=205) and TCM (59.1%; n=94) were also perceived to be effective. Phytoestrogens were rated as the most ineffective (45.5%; n=50).
  
  
  CONCLUSIONS
  CAM interventions to alleviate menopausal complaints are popular among German women, with 48.2% (n=900/1872) of respondents reporting having used CAM either alone or in combination with HRT. However, the users rated the effects of CAM differently, with some reporting CAM to be highly effective, while others indicate lower effectiveness. Nevertheless, women with a significantly higher symptom scoring tend to use both CAM and a conventional therapy (HRT).
authors.affiliation: Clinic for Gynaecology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany. Electronic address: k.buehling@uke.de.
authors.forename: K J
authors.initials: KJ
authors.lastname: Buhling
authors.affiliation: Clinic for Gynaecology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: B V
authors.initials: BV
authors.lastname: Daniels
authors.affiliation: Clinic for Gynaecology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: F S G V
authors.initials: FS
authors.lastname: Studnitz
authors.affiliation: Institute for Medical Biometry and Epidemiology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Eulenburg
authors.affiliation: Universitäts-Frauenklinik, Department of Endocrinology and Menopause, Tübingen, Germany.
authors.forename: A O
authors.initials: AO
authors.lastname: Mueck
mesh_terms: D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D020249:Hormone Replacement Therapy / Q000706:statistics & numerical data*; D019584:Hot Flashes; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D011795:Surveys and Questionnaires
keywords: Conventional and alternative medicine; Efficacy; German women; Hormone replacement therapy; Menopause; Survey