Naturopathic management of females with cervical atypia: a delphi process to explore current practice
- PMID: 23399786
- PMCID: PMC3565543
- DOI: 10.4137/IMI.S11088
Naturopathic management of females with cervical atypia: a delphi process to explore current practice
Abstract
Background: Human papillomavirus is the most significant factor contributing to cervical cancer. Naturopathic doctors (NDs) implement an integrative approach to treat cervical atypia. This study explored practice consensus and variance among NDs.
Methods: A purposefully selected panel of six NDs participated in a modified Delphi study to validate practice. Three electronic web-based surveys were completed over nine months.
Results: Local and systemic treatments were included in all ND protocols. Six protocols included cervical cancer screening guidelines, green tea suppositories, and oral folic acid. Five protocols included oral green tea, diindoylemethane (DIM), and cartenoids. Four protocols incorporated Vitamin C. Two NDs considered escharotics when managing cervical atypia. All NDs included health behavior management in their protocols.
Conclusion: Naturopathic management of cervical atypia varies across practitioners. However, in general, elements of management include (1) cervical cancer screening guidelines, (2) local and systemic treatments, (3) health behavior/lifestyle recommendations, and (4) immune system support.
Keywords: cervical atypia; naturopathic medicine.
Similar articles
-
Naturopathic Oncology Modified Delphi Panel.Integr Cancer Ther. 2016 Mar;15(1):69-79. doi: 10.1177/1534735415589983. Epub 2015 Jul 24. Integr Cancer Ther. 2016. PMID: 26209468 Free PMC article.
-
Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey.Integr Cancer Ther. 2018 Sep;17(3):793-805. doi: 10.1177/1534735418759420. Epub 2018 Mar 21. Integr Cancer Ther. 2018. PMID: 29558830 Free PMC article.
-
Naturopathic Oncology Care for Pediatric Cancers: A Practice Survey.Integr Cancer Ther. 2019 Jan-Dec;18:1534735419878504. doi: 10.1177/1534735419878504. Integr Cancer Ther. 2019. PMID: 31566009 Free PMC article.
-
Guidelines for Cervical Cancer Screening in Immunosuppressed Women Without HIV Infection.J Low Genit Tract Dis. 2019 Apr;23(2):87-101. doi: 10.1097/LGT.0000000000000468. J Low Genit Tract Dis. 2019. PMID: 30907775
-
Naturopathic Medicine for the Management of Endometriosis, Dysmenorrhea, and Menorrhagia: A Content Analysis.J Altern Complement Med. 2019 Feb;25(2):202-226. doi: 10.1089/acm.2018.0305. Epub 2018 Oct 31. J Altern Complement Med. 2019. PMID: 30383387 Review.
Cited by
-
Naturopathic Oncology Modified Delphi Panel.Integr Cancer Ther. 2016 Mar;15(1):69-79. doi: 10.1177/1534735415589983. Epub 2015 Jul 24. Integr Cancer Ther. 2016. PMID: 26209468 Free PMC article.
-
Apoptotic Activities of Sanguinaria canadensis: Primary Human Keratinocytes, C-33A, and Human Papillomavirus HeLa Cervical Cancer Lines.Integr Med (Encinitas). 2018 Feb;17(1):32-37. Integr Med (Encinitas). 2018. PMID: 30962774 Free PMC article.
References
-
- Bray F, Ren JS, Masuyer E, Ferlay J. Estimates of global cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer. 2012 Jul 3; (Epub ahead of print.) - PubMed
-
- Greer BE, Koh WJ, Abu-Rustum NR, et al. Cervical cancer. J Natl Compr Canc Netw. 2010;8(12):1388–416. - PubMed
-
- Aral SO, Over M, Manhart L, Holmes KK. Sexually transmitted infections. In: Jamison DT, Breman JG, Measham AR, et al., editors. Disease Control Priorities in Developing Countries. 2nd ed. Washington, DC: World Bank; 2006.
-
- Schiffman MH, Bauer HM, Hoover RN, et al. Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J Natl Cancer Inst. 1993;85(12):958–64. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources