تأثیر گیاه خارخاسک (Tribulus Terrestris) بر اختلال عملکرد جنسی زنان: مروری نظام‌مند

نوع مقاله : مروری

نویسندگان

1 کارشناس ارشد پرستاری سالمندی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

2 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

3 دکترای علوم تغذیه، گروه پزشکی اجتماعی، دانشکده بهداشت، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

4 دکترای علوم تغذیه، مرکز تحقیقات تغذیه و امنیت غذایی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

10.22038/ijogi.2022.20719

چکیده

مقدمه: اختلال عملکرد جنسی زنان یک مشکل شایع در سراسر جهان است. گیاه خارخاسک از گذشته در درمان ناباروری، ناتوانی جنسی و میل جنسی پایین استفاده می‌شده است. مطالعاتی که تأثیر خارخاسک بر عملکرد جنسی زنان را ارزیابی کردند، نتایج متناقضی را گزارش کرده‌اند. بنابراین مطالعه حاضر با هدف مرور نظام‌مند مقالات در زمینه تأثیر گیاه خارخاسک بر اختلال عملکرد جنسی زنان به منظور تسهیل تصمیم‌گیری در خصوص استفاده از خارخاسک در این راستا صورت گرفت.
روش‌کار: در این مطالعه مروری جهت یافتن مقالات مرتبط، پایگاه‌های دادهPubMed ،Scopus ، Web of Science، Magiran، SID و Google Scholar بدون محدودیت زبانی، زمانی و موقعیت مکانی تا دسامبر 2021 با استفاده از کلید واژه‌های Tribulus یا Zygophyllaceae جستجو شد. دو نویسنده به‌طور مستقل اطلاعات مقالات را استخراج کردند. مطالعات واجد شرایط از طریق ابزار کیفیت‌سنجی Cochrane collaboration مورد ارزیابی قرار گرفتند.
یافته‌ها: با استفاده از استراتژی جستجو، 1367 مطالعه بازیابی شد. 6 مقاله واجد شرایط برای ورود به مطالعه حاضر بودند. داده‌ها نشان داد که گیاه خارخاسک باعث بهبود برخی فاکتورهای مرتبط با اختلال عملکرد جنسی در زنان سنین باروری و یائسگی شده است. در 3 مطالعه، سطوح تستوسترون مورد ارزیابی قرار گرفته بود که یافته‌ها حاکی از افزایش سطح تستوسترون آزاد در زنان یائسه بود.
نتیجه‌گیری: مصرف خارخاسک در بهبود اختلال عملکرد جنسی زنان مؤثر است. هرچند به‌دلیل محدودیت در تعداد مطالعات، تصمیم‌گیری نهایی در مورد مصرف این گیاه در درمان اختلال عملکرد جنسی زنان نیازمند بررسی‌های بیشتر و دقیق‌تر است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Tribulus Terrestris on Female Sexual Dysfunction: A Systematic Review

نویسندگان [English]

  • Nahid Alsadat Hosseini 1
  • Maryam Dehshiri 2
  • Nahid Ramezani Jolfaie 3
  • Amin Salehi Abargouei 4
1 M.Sc. of Geriatric Nursing, School of Nursing and Midwifery, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2 M.Sc. student of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3 PhD of Nutrition Sciences, Department of Community Medicine, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
4 PhD of Nutrition Sciences, Nutrition and Food Security Research Center, School of Public Health, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
چکیده [English]

Introduction: Female sexual dysfunction is a global common problem. Tribulus terrestris has long been used to treat infertility, impotence and low sexual desire. Studies assessing the effect of Tribulus terrestris on female sexual dysfunction have reported contradictory findings. Thus, the present study was performed with the aim of systematically reviewing articles on the effect of Tribulus terrestris on female sexual dysfunction to facilitate decisions regarding the use of Tribulus terrestris in this regard.
Methods: In this review article, to find the related studies, PubMed, Scopus, Web of Science, Magiran, SID and Google Scholar databases were searched using the keywords "Tribulus" or "Zygophyllaceae" without limitations on language, time and location until December 2021. Two authors extracted articles'' information independently. Eligible studies were evaluated using the Cochrane collaboration quality assessment instrument.
Results: A total of 1367 papers were retrieved using the search strategy. Six papers were eligible to enter the study. The data showed that Tribulus terrestris improved some of the factors associated with sexual dysfunction in childbearing and menopausal women. In three studies, testosterone levels were evaluated, and the findings indicated an increase in free testosterone levels in postmenopausal women.
Conclusion: Consumption of Tribulus terrestris is effective on improving sexual dysfunction in women. Although, due to the limited number of studies, the final decision on the use of this plant in the treatment of female sexual dysfunction requires more accurate and careful investigations.

کلیدواژه‌ها [English]

  • Childbearing age
  • Female sexual dysfunction
  • Menopause
  • Systematic review
  • Tribulus terrestris
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