اثربخشی رازیانه بر سلامت جنسی زنان یائسه: یک مطالعه مروری سیستماتیک

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری تخصصی بهداشت باروری، کمیته تحقیقات دانشجویی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 دانشیار گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 دانشجوی دکتری بهداشت باروری، مرکز تحقیقات مراقبت‌های بالینی و ارتقاء سلامت، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

4 کارشناس ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

5 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

10.22038/ijogi.2022.20430

چکیده

مقدمه: یائسگی، دوره­ای فیزیولوژیک از زندگی زنان است که همراه با علائم یا عوارضی است که ممکن است نیاز به درمان داشته باشد. مطالعه حاضر به منظور تجمیع دانش موجود با هدف ارزیابی تأثیر رازیانه بر سلامت جنسی زنان یائسه انجام شد.
روش‌کار: در این مطالعه مروری جهت یافتن مطالعات کارآزمایی بالینی که با هدف ارزیابی تأثیر گیاه رازیانه (خوراکی، استنشاقی یا به‌صورت واژینال) بر سلامت جنسی زنان یائسه استفاده شده باشد، پایگاه‌های اطلاعاتیThe Cochrane Library، Google scholar، ProQuest، Web of Sciences، SCOPUS، PubMed/Medline(NLM) در بازه زمانی 2021-2000 بدون محدودیت زبانی با کلید ‌واژه­های Menopause، fennel، Sexual life، Sexual function، Sexual Satisfaction و مترادف‌های مربوطه مورد جستجو قرار گرفت. پیامد اولیه ارزیابی سلامت جنسی در زنان یائسه بود. مطالعاتی وارد شدند که متن کامل آنها به‌صورت فارسی یا انگلیسی بود. جهت ارزیابی کیفیت مقالات از چک‌لیست کوکران استفاده شد.
یافته‌ها: در این مطالعه مروری 7 مطالعه مطابق با معیارهای ورود، با 570 زن یائسه وارد شدند. بر اساس نتایج به‌دست آمده، در 6 مطالعه تأثیر مثبت استفاده از رازیانه در اشکال مختلف استنشاقی، خوراکی و واژینال به‌تنهایی یا در ترکیب با سایر داروهای گیاهی بر سلامت جنسی زنان یائسه گزارش شد. تنها در یک مطالعه که با داروی سیتالوپرام مقایسه شده بود، نسبت به این دارو برای رازیانه تأثیری گزارش نشده بود.
نتیجه­ گیری: به‌نظر می­رسد رازیانه داروی مؤثر بر سلامت جنسی زنان یائسه است. در مطالعات آینده بر روی رازیانه، پیشنهاد می­شود که ارزیابی عوارض و هزینه اثربخشی‌ها مورد توجه قرار گیرد.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of fennel on sexual health of postmenopausal women: A systematic review study

نویسندگان [English]

  • Marzieh Bagherinia 1
  • Giti Ozgoli 2
  • Leila Mohamadkhani Shahri 3
  • Bita Asgharian 4
  • Sara Daeichin 5
  • Nourossadat Kariman 2
1 PhD Candidate of Reproductive Health, Students Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Associate Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 PhD Candidate of Reproductive Health, Clinical Cares and Health Promotion Research Center, Karaj Branch, Islamic Azad University, Karaj, Iran.
4 M.Sc. in Midwifery, Students Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
5 M.Sc. in Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

Introduction: Menopause is a physiological period in a woman's life that is accompanied by symptoms or complications which may need treatment. This study was conducted with aim to consolidate the existing knowledge to evaluate the effect of fennel on sexual health of postmenopausal women.
Methods: In this review study, to find the clinical trial studies which evaluated the effect of fennel (oral, inhaled or vaginal) on sexual health of postmenopausal women, the databases of PubMed/Medline(NLM), SCOPUS, Web of Sciences, ProQuest, The Cochrane library, and Google scholar were searched from 2000 to 2021 with no language restrictions with the keywords of "Sexual Satisfaction", "Sexual function", "Sexual life", "fennel", "Menopause" and related terms. The primary outcome was evaluation of sexual health in postmenopausal women. Studies which their full text was in Persian or English entered the study. The Cochran checklist was used to assess the quality of studies.
Results: Seven studies with 570 postmenopausal women included in this review according to inclusion criteria. Based on the results, the positive effect of fennel in various forms of inhaled, oral and vaginal alone or in combination with other herbal medicines on the sexual health of postmenopausal women has been reported in six studies. Only one study comparing it with citalopram found no effect of fennel.
Conclusion: It seems that fennel is a drug which affects sexual health in postmenopausal women. In future studies on fennel, it is suggested that the evaluation of side effects and cost-effectiveness be considered.

کلیدواژه‌ها [English]

  • Fennel
  • Menopause
  • Phytoestrogens
  • Sexual health
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