Journal of General Internal Medicine

, Volume 23, Issue 5, pp 619–622

Complementary and Alternative Medicine for Menopause: A Qualitative Analysis of Women’s Decision Making

  • Laura E. Hill-Sakurai
  • Jessica Muller
  • David H. Thom
Brief Report

DOI: 10.1007/s11606-008-0537-9

Cite this article as:
Hill-Sakurai, L.E., Muller, J. & Thom, D.H. J GEN INTERN MED (2008) 23: 619. doi:10.1007/s11606-008-0537-9



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.


The objective of this study was to describe women’s choices to use CAM for menopausal health issues.


This is a qualitative study utilizing semi-structured interviews.


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.


Transcripts of semi-structured interviews were analyzed for themes that were refined through comparison of labeled text.

Main 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).


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.


menopausecomplementary therapiesdecision-making

Supplementary material

11606_2008_537_MOESM1_ESM.doc (36 kb)
Sample quotes illustrating themes associated with using complementary and alternative medicine for symptoms related to menopause. Italics have been used to note explanatory comments and questions by the researchers. Bold face has been used to clarify important sentences in a long quote (DOC 36 kb)

Copyright information

© Society of General Internal Medicine 2008

Authors and Affiliations

  • Laura E. Hill-Sakurai
    • 1
  • Jessica Muller
    • 1
    • 2
  • David H. Thom
    • 1
  1. 1.Department of Family and Community MedicineUniversity of CaliforniaSan FranciscoUSA
  2. 2.Department of Anthropology, History and Social MedicineUniversity of CaliforniaSan FranciscoUSA