The multifaceted nature of access to compounded progesterone: a cross-sectional study from Australia

Spark, M. Joy, Willis, Jon, Byrne, Graeme and Iacono, Teresa (2014) The multifaceted nature of access to compounded progesterone: a cross-sectional study from Australia. Maturitas, 77 2: 155-162. doi:10.1016/j.maturitas.2013.10.016

Author Spark, M. Joy
Willis, Jon
Byrne, Graeme
Iacono, Teresa
Title The multifaceted nature of access to compounded progesterone: a cross-sectional study from Australia
Journal name Maturitas   Check publisher's open access policy
ISSN 0378-5122
Publication date 2014-02-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.maturitas.2013.10.016
Volume 77
Issue 2
Start page 155
End page 162
Total pages 8
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Language eng
Formatted abstract
Objective: To explore the influences on accessibility of compounded progesterone therapy for Australian women.

Study design: A cross-sectional survey of a stratified sample of Australian women who use progesterone only products using the 'Perspectives on Progesterone' questionnaire.

Main outcome measures: Principle components analysis (PCA) to determine components of access to progesterone treatment and multi-way analysis of variance to compare groups.

Results: Women using compounded progesterone were likely to have made at least one lifestyle adaptation (73%), and to have tried and stopped using at least one complementary and alternative medicine therapy (63%) or conventional hormone therapy (41%). PCA revealed six components of access to progesterone treatment: affordable, values natural treatments and is concerned about other treatments, conventionally available, perceived knowledge, values information gathered from a variety of sources, and rural & disadvantaged.

The multifaceted nature of progesterone use illustrates that there are multiple aspects to use of non-conventional medicines. Women looking for non-conventional treatment are neither stupid nor uninformed, their understandings, based on experience and research, need to be addressed by health professionals while assessing their condition prior to discussing the risks and benefits of non-conventional medicines.

Conclusion: Access to compounded progesterone is multifaceted, and many of the women who use it have tried other treatments first. Despite the clinical ambivalence towards progesterone as an alternative for women who may have tried and rejected other treatments, including conventional hormone therapy, the women described in this paper are using it.
Keyword Progesterone
Access to medication
Women's perspective
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 31 October 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Aboriginal and Torres Strait Islander Studies Unit Publications
Official 2014 Collection
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
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Created: Wed, 05 Feb 2014, 03:07:27 EST by Jon Willis on behalf of Aboriginal and Torres Strait Islander Studies Unit