Use of traditional and complementary medicine by ethnic Indian women living with polycystic ovary syndrome: a global survey

Vibhuti Samarth Rao; Mike Armour; Birinder S Cheema; Caroline A Smith; Lisa Moran; Romain S Perera; Siew Lim; Sabrina Gupta; Michael De Manincor; Rama Vaidya; Carolyn Ee

doi:10.1186/s12906-023-04229-9

Use of traditional and complementary medicine by ethnic Indian women living with polycystic ovary syndrome: a global survey

BMC Complement Med Ther. 2023 Nov 3;23(1):392. doi: 10.1186/s12906-023-04229-9.

Authors

Affiliations

¹ NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2571, Australia. v.rao@westernsydney.edu.au.
² NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2571, Australia.
³ School of Health Sciences, Western Sydney University, Campbelltown, NSW, 2560, Australia.
⁴ Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, 3168, Australia.
⁵ Department of Cell and Developmental Biology, University College London, London, WC1E 6BT, UK.
⁶ Health Systems and Equity, Eastern Health Clinical School, Monash University, Boxhill, VIC, 3128, Australia.
⁷ School of Psychology and Public Health, La Trobe University, Melbourne, VIC, 3689, Australia.
⁸ Division of Endocrine and Metabolic Disorders, Kasturba Health Society's Medical Research Centre, Mumbai, 400056, India.
⁹ NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2571, Australia. c.ee@westernsydney.edu.au.

Abstract

Background: Traditional, complementary, and integrative medicine (TCIM) is commonly used by those living with Polycystic Ovary Syndrome (PCOS) but little is known about the use of TCIM such as yoga and Ayurveda in ethnic Indian women with PCOS living worldwide. This survey aimed to explore the prevalence and types of TCIM used and in particular the pattern of use of yoga and Ayurveda including reasons for not using and future interest in using them among non-users.

Method: An online, international cross-sectional survey was conducted using a pre-designed survey tool. Participants were ethnic Indian women of reproductive age who reported that they were medically diagnosed with PCOS. Descriptive analysis was used to identify the proportion of TCIM users, while a multivariable binary logistic regression was used to analyze their characteristics.

Results: Data from 3130 respondents were analysed. The prevalence of TCIM use was 80% (2515/3130). Yoga and Ayurveda were the most frequently practised TCIM modalities with a prevalence of 57% and 37% respectively. We found a high future interest in using yoga (81%) and Ayurveda (70%) among the non-users. The motivation for most Ayurveda use was a recommendation from family/friends (66%), rather than personal choice (38%) or the internet (19%). Most women used Ayurveda because it has natural ingredients (64%) and it is safe (60%) and cited its use to be safe and somewhat helpful. The majority of women were currently practising yoga (73%) up to four times a week (54%) at home (93%). Yoga was primarily used to improve overall health (67%), manage weight (64%), stress (54%) hormonal imbalance (49%) and emotional well-being (48%). Barriers to practising yoga were common among the current users and non-users and included lack of motivation (59% and 59%), time constraints (48% and 39%), and non-availability of yoga teachers specialised in PCOS (31% and 23%). Most women found yoga to be helpful and preferred individual one-on-one (52%) yoga sessions specifically tailored for PCOS (58%).

Conclusion: This is the first international study that discovered the prevalence and pattern of TCIM use among ethnic Indian women with PCOS living worldwide. We support the urgent need for more research, education, and regulation of different TCIM modalities to promote safe and effective practices globally.

MeSH terms

Complementary Therapies*
Cross-Sectional Studies
Female
Humans
Polycystic Ovary Syndrome* / therapy
Surveys and Questionnaires
Yoga*