Gyneocology
fatemezahra karimi; maryam salehian; hamideh hosseini; zahra norouzi; malihe afiat
Abstract
Introduction: Based on high prevalence of sexual dysfunction in menopausal woman, this research was performed to investigate the effect of the medicinal plants on sexual function in menopausal women.Materials and Methods: In this systematic review of clinical trials, Persian relevant articles ...
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Introduction: Based on high prevalence of sexual dysfunction in menopausal woman, this research was performed to investigate the effect of the medicinal plants on sexual function in menopausal women.Materials and Methods: In this systematic review of clinical trials, Persian relevant articles were identified through a systematic search of databases from 2000 to 2021 ,using the keywords of (female sexual dysfunction, sexual function, sexual satisfaction, sexual behavior, sexual activity, menopause, Post menopause, Herbal medicine , Medicinal plants, herbal materials, phytoestrogens, phytotherapy, Randomized Clinical Trials.The Jadad scale was used to assess the quality of the retrieved articlesResults: In final twelve articles were analyzed. The studied plants were ginkgo biloba, fennel, st johns wort, palm pollen, fenugreek, afrodit, , hop, black cohosh, lavender, ginseng, saffron, red clover, Tribulus terrestris, nigella sativa and vitex agnus castus and hybrid aromatherapy (fennel, Heracleum persicum, salvia officinalis, bergamot, lavender and geranium) that were studied on different dimensions of sexual function.Conclusion: Based on the results of studies, most plants were effective in improving sexual function. Although due to the limited number of studies performed for each plant, it was not possible to perform meta-analysis in this study, so it is recommended to conduct more studies in relation to each plant to provide sufficient evidence to decide on the use of each Herbs are offered as less dangerous and less expensive treatments to improve sexual function in menopausal women.
Physical Education
Nafise Mofidi Sadr; Roya Askari; Amir Hossein Haghighi
Volume 26, Issue 2 , July and August 2019, , Pages 203-211
Abstract
Aim: The purpose of this study was to investigate the effect of 12 weeks of combined exercise on bone mineral density and some blood parameters in postmenopausal women with overweight.Materials and Methods: 29 inactive postmenopausal women with an age range of 58 to 46 years participated in this study. ...
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Aim: The purpose of this study was to investigate the effect of 12 weeks of combined exercise on bone mineral density and some blood parameters in postmenopausal women with overweight.Materials and Methods: 29 inactive postmenopausal women with an age range of 58 to 46 years participated in this study. Subjects were placed in one of the two exercises (resistance-aerobic) and control (without exercise). Before and after the training period, weight, body mass index, fat percentage, bone density of the lumbar vertebrae and femoral head (in dexas), calcium and serum phosphorus were measured. The exercise protocol included upper and lower resistance exercises in 3 sets with 12 to 8 repetitions, and aerobic training including running and waving alternately for 12 weeks and 3 sessions per week. The data with normal distribution were analyzed using ANOVA and T-Paired methods and data without normal distribution using KruskalWallis and Wilcoxon. Finding: The experimental group showed a significant increase in serum calcium, bone density in the lumbar spine and neck (P
Saeed Nazeri; Mehdi Hedayati; Azadeh Tavakkoli Darestani; Hasan Ahmad Vand
Volume 20, Issue 3 , September and October 2013, , Pages 367-372
Abstract
Background: Regarding estrogen role in free radical scavenging, secretion cessation of estrogen in menopause is considered as the source of ROS increase. due to deficiency of estrogen, antioxidant defence system seems to be affected in this phase. The aim of this study was Assay of total antioxidant ...
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Background: Regarding estrogen role in free radical scavenging, secretion cessation of estrogen in menopause is considered as the source of ROS increase. due to deficiency of estrogen, antioxidant defence system seems to be affected in this phase. The aim of this study was Assay of total antioxidant capacity and superoxide dismutase and catalase activities in menopausal women.
Materials and Methods: This case-control study was performed on 75 postmenopausal women as a case group and 74 volunteer premenopausal women as a control was performed. Serum enzyme activity of catalase, superoxide dismutase and total antioxidant capacity was measured in the fasting state.
Results: The amount of total antioxidant capacity in postmenopausal (11.4±4.4 mM Trolox) compared to the control group (10.3±1.2 mM Trolox) were significantly decreased (p
Simin Tavoni; Mina Amiri Pebdani; Hamid Haghghani
Volume 20, Issue 2 , May and June 2013, , Pages 204-212
Abstract
Background and objective: Sexual aspect is one of the most important domains of matrimony satisfaction. Sexual satisfaction has an important role in psychological health of women. Hormonal changes that occur in menopausal period can result in decrease of sexual satisfaction. The aim of this study was ...
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Background and objective: Sexual aspect is one of the most important domains of matrimony satisfaction. Sexual satisfaction has an important role in psychological health of women. Hormonal changes that occur in menopausal period can result in decrease of sexual satisfaction. The aim of this study was to assess the effect of Ginkgo biloba extract (GBE) on sexual function in menopausal women.
Materials and methods: In this Triple-blind placebo-controlled trial, 80 healthy female volunteers aged 60 – 50 years, attending 3 health-care centers of Tehran University of Medical Sciences (TUMS), were enrolled. The participants received GBE at a dose of 120–240 mg (n = 40) or placebo (n = 40) daily for 30 days. The instrument of this study was the Sabbatsberg Sexual Rating Scale (SSRS) which the part of it subjectively evaluate sexual satisfaction before and after intervention. The results were analyzed by using, Fisher exact test, independent samples test and Mann-Whitney Test which these had done by SPSS software, version of 16.
Result: After intervention, the sexual satisfaction had no significant difference between the two groups of Ginkgo biloba and placebo (P = 0.31). Also there was no significant difference in the sexual satisfaction compared to the results obtained in the previous years (0.96)
Conclusion: In this study using Ginkgo biloba for a month had no effect on sexual satisfaction of menopausal women. With regarded to many factors can be affected sexual function of menopausal women, no efficacy of Ginkgo biloba on sexual satisfaction can be result of no efficacy of it on factors such as psychological factors.
F NAGHSHVAR; S PEYVANDI; AR KHALILIAN; ZH TORABI ZADEH; S SABBAGH SAJADIEH
Volume 13, Issue 1 , March and April 2006, , Pages 27-32
Abstract
Background and purpose: FSH (Follicle stimulating Hormone) is a glycopeptid hormone released from anterior pituitary and is associated with ovarian function. Due to its daily and monthly cyclicity, successive sampling is used for certainty.
Because of the kydney intervention in gradual releasing FSH, ...
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Background and purpose: FSH (Follicle stimulating Hormone) is a glycopeptid hormone released from anterior pituitary and is associated with ovarian function. Due to its daily and monthly cyclicity, successive sampling is used for certainty.
Because of the kydney intervention in gradual releasing FSH, random and morning urinary sample was considered in menopausic and non-menopausic women.
Methods and Materials: 50 woman with ages 35-60 years old participated in the study. The participants had not ured oral contraceptives, had normal renal function and were admitted for hysterectomy, due to benign illnesses, at Imam Khomeini Hospital in Sari, Iran. Frequcut sampling and random blood sample were taken a day before surgery by research aids blind to the participants menopausal status. FSH was measured through radio immunoassay and its correlation (gold standard) was obtained with each urinary sample in both groups. Sensitivity and specificity was studied.
Results: Out of 47 cases admitted, 37 cases were monmenopausic with FSH less than 20 mlu/ml and 10 cases were menopausic with FSH more than 40 mlu/ml; 3 cases were ruled out because their FSH levels were not ascertained. FSh correlation with random and morning urinary samples were 31% and 84% respectiviely in nou-monopausic cases. In the second group, 68% and 77% were observed respectively. The sensitivity and specifity in random urine sample were 100% and 97% respectively; while in morning samples, they were both 100%.
Conclusion: According to the findings, high correlations were observed between serum FSH and morning sample in menopausic cases, as well as with random sample. Also because of the satisfactory specificity and sensitivity of FSH measurement with urine samples, it is possible to replace floquent sampling with one morning sample in pathological and physiological instances. This method is non- invasive, simple and cheap.
NA HAJIKHANI; Z ABBASPOUR; P AFSHARI
Volume 12, Issue 2 , July and August 2005, , Pages 26-30
Abstract
Background and purpose: Nowadays due to increase in women's life expectancy, women at least live one third of their lives after menopause. Menopause is usually accompanied with some early and late symptoms, which lead to decline the quality of daily activity of women. So concerning the increase in elderly ...
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Background and purpose: Nowadays due to increase in women's life expectancy, women at least live one third of their lives after menopause. Menopause is usually accompanied with some early and late symptoms, which lead to decline the quality of daily activity of women. So concerning the increase in elderly rate in the world especially in our country (Iran), prevention and treatment of these symptoms by natural therapeutic agents are obviously important. This study has been designed to examine the vitex effects on early menopause symptoms, kupperman's index and the rate of side effects in vitex group and placebo group.
Methods and materials: This study is a blind clinical trial conducted on 100 menopausal teachers aged 45-60 years old, who were working in girl's school in Sari, Iran. This sample population had the required characteristics for participating in this study and they were volunteer for treatment if they had hot flushes and others menopause symptoms. Sampling method was based on study objective, so we divided the sampling population into two equal, (control and case) groups. The two groups were given 40 drops of vitex or placebo per day for 2 cycles continuously. Required data were collected by interview, individual characteristics questionnaire and Kupperman's index in two phases before the treatment and eight phases after the treatment. Finally there was 25 persons in case group and 16 persons in control group for statistical analysis and the others were excluded from study because of bad taste of drug and other problems.
Results: The intensity 6f hot flushes among the two groups after 2 weeks of treatment, based on Manwittny test, had a significant statistical difference (p=0.015). The frequency of hot flushes per day in these groups after 2 weeks of treatment, based on T test with independent sample, were of significant statistical difference (p=0.015). Regarding Kupperman's index in these two groups after 3 weeks of treatment by means of T test with independent sample analysis, It indicated that there is a significant statistical difference (p=0.001). Also the results showed that complete recovery rate from hot flushes after eight weeks in drug group was %80 and in placebo group %12.5 and there was significant statistical variation in two groups concerning the side effects of drug (p=0.012).
Conclusion: Vitex can reduce the intensity and frequency of hot flushes per day and regarding Kupperman's index. Vitex may reduce some other early symptoms of menopause, but there are some unimportant side effects like nausea and flatulence. So vitex could be used as a natural therapeutic agent for treatment of early menopause symptoms in subjects who can't tolerate hormone therapy.
Z ABEDIAN; SR MAZLOOM; Z SHOJAEIAN; N MOKHBER
Volume 12, Issue 1 , March and April 2005, , Pages 37-43
Abstract
Background and purpose: Hormonal changes, hot flush and peri-menopausal crises affect women's mental; health and predisposes them to depression. Hormone replacement therapy is applied to treat menopausal symptoms but its effect on depression is in question. Therefore / this research is Conducted to determine ...
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Background and purpose: Hormonal changes, hot flush and peri-menopausal crises affect women's mental; health and predisposes them to depression. Hormone replacement therapy is applied to treat menopausal symptoms but its effect on depression is in question. Therefore / this research is Conducted to determine the effect of hormone replacement therapy on menopausal depression.
Methods and Materials: In this quasi - experimental study 40 menopausal women from Mashad, with no history of hormone therapy psychiatric disorders and no Contraindication of hormone therapy, were selected and divided into 2 groups according to their own tendency. The experimental group received 0.625 mg conjugated estrogen and 2.5 mg medroxy progesterone acetate daily for six weeks; the control group received nothing. Sample selection checklists, demographic questionnaire, Beck's depression inventory, premenstrual syndrome test, Cassidy social support scale, Uzeng self- esteem, and attitudes toward menopause and hormone therapy were utilized for data collection. The obtained data were analyzed in SPSS using independent and paired t- tests, as well as two - way ANOVA.
Results: mean depression score at the outset for the control and experimental groups were 21.85±8.4 and 20.25±7.5 and at the end of the study 17.00±8.7 and 15.5±7.6 respectively; this implied a significant difference in each group. However, the difference between the two groups was not significant.
Conclusion: The results indicated no significant different in utilizing or not utilizing Hormone Replacement therapy on menopausal depression. Therefore, longitudinal and more extensive researches are recommended to Study the issue.