تأثیر کرم واژینال دانه شنبلیله بر دیسپارونی و رضایت جنسی در زنان یائسه: یک کارآزمایی بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، مرکز تحقیقات منوپوز- آندروپوز، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 استادیار گروه داروسازی، دانشکده داروسازی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

4 استادیار گروه آمار و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: اکثر زنان در دوران یائسگی در اثر کاهش ترشح هورمون استروژن، دستخوش تغییراتی می­شوند. این تغییرات ممکن است موجب کاهش میل جنسی در آنان گردد. مطالعه حاضر با هدف تعیین تأثیر کرم واژینال دانه شنبلیله بر دیسپارونی و رضایت جنسی در زنان یائسه انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی دو سویه‌کور در سال 1396 بر روی 60 نفر از زنان یائسه واجد شرایط مراجعه کننده به مرکز بهداشتی درمانی شماره یک شرق اهواز و شاکی از مقاربت دردناک و عدم رضایت جنسی صورت گرفت. افراد به‌صورت تصادفی در دو گروه 30 نفره جهت دریافت کرم واژینال دانه شنبلیله 5% و دارونما به مدت 8 هفته قرار گرفتند. دیسپارونی با استفاده از فرم اطلاعاتی و میزان رضایت جنسی بر اساس پرسشنامه لارسون محاسبه شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون های کای اسکوئر، تی مستقل، تی زوجی، من ویتنی و معادلات برآورد تعمیم یافته‌ها انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: پس از مداخله، میانگین میزان رضایت جنسی اختلاف معنی‌داری بین دو گروه دارو و پلاسبو مشاهده گردید (02/2±1/51-94/1±18/74) (001/0>p).
نتیجه‌گیری: مصرف کرم واژینال دانه شنبلیله سبب کاهش مقاربت دردناک و افزایش میل جنسی در زنان یائسه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Fenugreek Vaginal Cream on Dyspareunia and Sexual Satisfaction in Menopausal Women: A Randomized Clinical Trial

نویسندگان [English]

  • Fakhriyeh Mazalzadeh 1
  • Khadija Hekmat 2
  • Foroogh Namjoyan 3
  • Amal SakiMalehi 4
1 M.Sc. in Midwifery, Menopause -Andropause Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Lecturer, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Assistant Professor, Department of Pharmacy, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Assistant professor, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: A great number of women undergo some variations in menopause due to the decreased release of estrogen. These changes may result in the reduction of sexual desire. Regarding this, the aim of the present study was to assess the effect of fenugreek vaginal cream on sexual satisfaction and dyspareunia in menopausal women.
Methods: This double-blind randomized control trial was carried on 60 postmenopausal women referring to the healthcare center No. 1 of East Ahvaz, Iran, with the complaint of sexual dissatisfaction and dyspareunia in 2016. The participants were randomly assigned into two groups of intervention (n=30) and placebo (n=30). The intervention group received one applicator of fenugreek vaginal cream %5 once a day (5 g/day) for 8 weeks. The placebo group was also provided with the placebo administered within the same period. The research instruments included the Larson sexual satisfaction questionnaire measuring sexual satisfaction and an information form evaluating dyspareunia filled out before and after the intervention. Finally, the data were analyzed by using independent and paired sample t-test, Chi-square test, and Mann-Whitney U test in SPSS (version 22). P-value less than 0.05 was considered statistically significant.
Result: According to the results,the intervention and placebo groups showed a significant difference in terms of the mean sexual satisfaction after the intervention (74.18±1.94-51.1±2.02) (P<0. 001).
Conclusion: As the findings indicated, the application of fenugreek vaginal cream was effective in the reduction of dyspareunia and enhancement of sexual satisfaction in postmenopausal women.

کلیدواژه‌ها [English]

  • Fenugreek vaginal cream
  • Sexual satisfaction
  • Menopause
  • Dyspareunia

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 3
خرداد 1397
صفحه 22-30

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