题名

Impact of Glycyrrhiza glabra (licorice) vaginal cream on vaginal signs and symptoms of vaginal atrophy in postmenopausal women: A randomized double blind controlled trial

DOI

10.1016/j.jtcme.2019.02.005

作者

Mastaneh Sadeghi;Foroogh Namjouyan;Bahman Cheraghian;Zahra Abbaspoor

关键词

Vaginal atrophy ; Menopause ; Glycyrrhiza glabra (licorice) ; Vaginal cream

期刊名称

Journal of Traditional and Complementary Medicine

卷期/出版年月

10卷2期(2020 / 03 / 01)

页次

110 - 115

内容语文

英文

中文摘要

Background: Vaginal atrophy is one of the most common menopausal complications affecting women's quality of life. The present study aimed to investigate the impact of Glycyrrhiza glabra (licorice) vaginal cream on vaginal signs and symptoms of vaginal atrophy in postmenopausal women. Methods: This randomized controlled trial was conducted on 70 menopausal women, referring to health centers of Izeh city, located in the south west of Iran, from May to November 2017. The participants with vaginal atrophy were randomly assigned into two groups of 35. One of the groups received licorice 2% vaginal cream while the other was given placebo over a period of 8 weeks. Data were analyzed using SPSS software at the significance level of 0.05. Results: The results indicated that at the baseline, none of the subjects (0%) in either groups had a vaginal cells maturation Index within 65-100 in MVI category. However, after 8 weeks of therapy, it improved significantly to 82.9% in Licorice group and 11.4% in the placebo group (p < 0.001). Also, the vaginal mucus cells changed from the baseline cells to intermediate and superficial cells within and between the two groups after the treatment (p < 0.001). Finally, the pH level significantly decreased in licorice group over time (p < 0.001). Conclusion: Therapeutic use of licorice vaginal cream can improve the signs and symptoms of vaginal atrophy in postmenopausal women. Accordingly, use of licorice as a natural vaginal cream in vaginal atrophy can be suggested.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. (2007).M N. Elderly Sleep Disturbances and Management. 2007..
  2. Asgari, P,Bahramnezhad, F,Narenji, F,Golitaleb, M,Askari, M(2016).A clinical study of the effect of Glycyrrhiza glabra plant and exercise on the quality of life of menopausal women.Chronic Diseases Journal,3(2),79-86.
  3. Bachmann, GA,Nevadunsky, NS(2000).Diagnosis and treatment of atrophic vaginitis.Am Fam Physician,61(10),3090-3096.
  4. Beck, V,Rohr, U,Jungbauer, A(2005).Phytoestrogens derived from red clover: an alternative to estrogen replacement therapy?.J Steroid Biochem Mol Biol,94(5),499-518.
  5. BJBaN,Ghazijahani, B(trans.),Ghotbi, R.(trans.)(2012).Gynecology.Tehran:Golban.
  6. Costantino, D,Guaraldi, C(2008).Effectiveness and safety of vaginal suppositories for the treatment of the vaginal atrophy in postmenopausal women: an open, noncontrolled clinical trial.Eur Rev Med Pharmacol Sci,12(6),411-416.
  7. Costantino, D,Guaraldi, C(2008).Effectiveness and safety of vaginal suppositories in the treatment of the vaginal atrophy in postmenopausal women: an open, noncontrolled clinical trial.Eur Rev Med Pharmacol Sci,12(6),411-416.
  8. Hajirahimkhan, A,Simmler, C,Yuan, Y(2013).Evaluation of estrogenic activity of licorice species in comparison with hops used in botanicals for menopausal symptoms.PLoS One,8(7),e67947.
  9. Jassim, GA(2011).Strategies for managing hot flashes.J Fam Pract,60(6),333.
  10. Maha, M,Gazia, A,Nermeen, M(2012).Effect of Glabridin on the structure of ileum and pancreas in diabetic rats: a histological, immunohistochemical and ultrastructural study.Nat Sci.,10(3),78-90.
  11. Mahmoudabadi, AZ,Iravani, M,Khazrei, A(2009).Antifungal activity of Glycyrrhiza glabra (Licorice) against vaginal isolates of Candida.Biotechnology an Indian Journal,3(2),75-77.
  12. Marx, P,Schade, G,Wilbourn, S,Blank, S,Moyer, DL,Nett, R(2004).Low-dose (0.3 mg) synthetic conjugated estrogens A is effective for managing atrophic vaginitis.Maturitas,47(1),47-54.
  13. Menati, L,Siahpoosh, A,Tadayon, M(2010).A randomized, double blind clinical trial of licorice on hot flash in post-menopausal women and comparison with hormone replacement therapy.Sci Med J.,9(2),157-167.
  14. Norozi, EMF,Hassanzadeh, A,Moodi, M,Sharifirad, G(2011).Factors related to quality of life among postmenopausal women in Isfahan, Iran, based on behavioral analysis phase of PRECEDE model.Res Health,7(3),267-277.
  15. Shah, M,Karena, Z,Patel, SV,Parmar, N,Singh, PK,Sharma, A(2017).Treatment of vaginal atrophy with vaginal estrogen cream in menopausal Indian women.Oman Med J.,32(1),15.
  16. Society, NAM(2007).The role of local vaginal estrogen for treatment of vaginal atrophy in postmenopausal women: 2007 position statement of the North American Menopause Society.Menopause,14(31),355.
  17. Society, NAM(2013).Management of symptomatic vulvovaginal atrophy: 2013 position statement of the North American Menopause Society.Menopause,20(9),888-902.
  18. Somjen, D,Knoll, E,Vaya, J,Stern, N,Tamir, S(2004).Estrogen-like activity of licorice root constituents: glabridin and glabrene, in vascular tissues in vitro and in vivo.J Steroid Biochem Mol Biol,91(3),147-155.
  19. Tadayon, M,Rad, P,Abbaspour, MR(2012).The Effect of Vitamin D Suppository on Atrophic Vaginal Mucosa in Menopausal Women. Armaghane-Daneshvol. 17.Armaghane-Danesh. Yasuj University of Medical Sciences Journal,17(3),187-195.
  20. Taghi Zade, Z,Kazem Nejad, AMZ(2006).Taghi Zade Z, Kazem Nejad AMZ. Study of Vitagnous Effect on Early Complications of Menopause. 2006..
  21. Thacker, HL(2011).Assessing risks and benefits of nonhormonal treatments for vasomotor symptoms in perimenopausal and postmenopausal women.J Wom Health,20(7),1007-1016.
  22. Wadia, PR,Vandenberg, LN,Schaeberle, CM,Rubin, BS,Sonnenschein, C,Soto, AM(2007).Perinatal bisphenol A exposure increases estrogen sensitivity of the mammary gland in diverse mouse strains.Environ Health Perspect,115(4),592.
  23. Yaralizadeh, M,Abedi, P,Najar, S,Namjoyan, F,Saki, A(2016).Effect of Foeniculum vulgare (fennel) vaginal cream on vaginal atrophy in postmenopausal women: a double-blind randomized placebo-controlled trial.Maturitas,84,75-80.
  24. Yörük, P,Uygur, M,Erenus, M,Eren, F(2006).The Role of Vaginal Maturation Value Assessment in Prediction of Vaginal pH, Serum FSH and E2 Levels.Marmara Medical Journal,19(2)