Research Article

Traditional Chinese Medicine Treatment Associated with Female Infertility in Taiwan: A Population-Based Case-Control Study

Table 1

Infertility patient characteristics with or without pregnancy.

CharacteristicInfertility women (n = 5,254) value
No successful pregnancy (n = 2,627)Successful pregnancy (n = 2,627)

Birth year1.00
1959–1969518 (19.72)518 (19.72)
1970–19791699 (64.67)1699 (64.67)
1980–1988410 (15.61)410 (15.61)

Age at diagnosis<0.001
20–291166 (44.39)1427 (54.32)
30–391376 (52.38)1181 (44.96)
≥4085 (3.24)19 (0.72)

One-year period before assumed fertility date<0.001
TCM nonusers1348 (51.31)1083 (41.23)
TCM users1279 (48.69)1544 (58.77)
Number of outpatient visits✝6.64 ± 7.787.62 ± 8.24
Days of administration✝36.08 ± 47.0546.47 ± 56.34

Insured amount (NT$/month)<0.001
<20,0001066 (40.58)935 (35.59)
20,000–39,9991032 (39.28)1008 (38.37)
40,000–59,999388 (14.77)488 (18.58)
≥60,000141 (5.37)196 (7.46)

Urban level0.09
1910 (34.64)946 (36.01)
2861 (32.78)796 (30.3)
3409 (15.57)458 (17.43)
≥4447 (17.02)427 (16.25)

Residential area0.88
Northern401 (15.26)399 (15.19)
Taipei995 (37.88)1032 (39.28)
Central459 (17.47)436 (16.6)
Southern333 (12.68)337 (12.83)
Eastern39 (1.48)41 (1.56)
Kao-Ping400 (15.23)382 (14.54)

Insured unit<0.001
Government, school employees248 (9.44)357 (13.59)
Private enterprise employees1597 (60.79)1661 (63.23)
Member of occupational324 (12.33)270 (10.28)
Farmers, fishermen139 (5.29)114 (4.34)
Low-income households veterans, other regionals319 (12.14)225 (8.56)

Comorbidities
Hypertension27 (1.03)13 (0.49)0.04
Diabetes40 (1.52)14 (0.53)<0.001
Hypercholesterolemia32 (1.22)19 (0.72)0.09
Obesity20 (0.76)10 (0.38)0.10
Cerebral vascular disease8 (0.30)6 (0.23)0.79
COPD143 (5.44)138 (5.25)0.81
Renal failure6 (0.23)3 (0.11)0.50
Tobacco use2 (0.08)1 (0.04)1.00
Anemia22 (0.84)17 (0.65)0.52
Polycystic ovary syndrome104 (3.96)104 (3.96)1.00
Endometriosis181 (6.89)133 (5.06)0.006
Irregular menstrual cycle883 (33.61)862 (32.81)0.56
Uterine fibroids127 (4.83)84 (3.20)0.003
Dysmenorrhea253 (9.63)203 (7.73)0.01

Fertility drugs
Clomiphene citrate/tamoxifen340 (12.94)959 (36.51)<0.001
GnRH agonist/GnRH antagonist0 (0.00)2 (100.00)0.50
Progesterone70 (2.66)220 (8.37)<0.001
Bromocriptine/cabergoline3 (1.41)110 (4.19)<0.001

TCM: traditional Chinese medicine; CAD: coronary artery diseases; COPD: chronic obstructive pulmonary disease. values for chi-square or Fisher’s exact test; ✝: mean ± standard deviation for TCM users.