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The effect of pomegranate peel gel on orgasm and sexual satisfaction of women in reproductive age: A triple-blind، randomized, controlled clinical trial

Authors:

Abstract

ntroduction: One of the physiologic factors affecting orgasms and sexual satisfaction is the strength of the pelvic floor muscles. The weakness of these muscles may lead to female orgasmic disruption, anorgasmia, and, in turn, to decreased sexual satisfaction. This study aimed to determine the effect of pomegranate peel gel on women's orgasm and sexual satisfaction during their reproductive age. Methods: This randomized triple blind clinical trial was conducted on 110 women aged 18-45 years old admitted to the women's clinic of Imam Reza Hospital in Mashhad in 2018. The participants were randomly assigned to two groups of control and intervention. The subjects in intervention and control group were recommended to use peel gel and placebo, respectively for 8 weeks. The orgasms and sexual satisfaction of the women in both groups were evaluated at the baseline, as well as 4 and 8 weeks after the intervention. The data were analyzed in Stata software, using T_test, Mann_whitney, T_paird, Wilcoxom & Friedman. P<0.05 was considered statistically significant. Result: At the beginning of the study, the two groups were not different in terms of orgasms (p=0/748), sexual satisfaction (p=0/922), and sexual function. However, the mean scores of these two domains were significantly higher in study group after 4 and 8 weeks of intervention (p<0.001). Conclusion: The use of pomegranate peel gel can effectively increase women's sexual satisfaction by improving orgasms.
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              
 babazadehr@mums.ac.ir

-
IJOGI, Vol. 22, No. 7, pp. 66-76, Sep 2019
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       
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     

       

       



     
 
       



        
   

         

       
     
  


       



       
    
1
Anorgasmia



 -
       

       


 
        
      






      
       
      



      
VES
PFMT
  
   


        


        
PFMTVES


 
2 Levator ani
3
Vaginal hypoesthesia
4
Dyspareunia
5
Vaginal electrical stimulation
6
Pelvic floor muscle training
7
kegel
8
pessary
9
vaginal cones
68








       
      

      

       

   

         

L.granatum Punica
 Punicaceae    

    
    


        


    
       




       


     
        
       
       





       
       
         










 

       
       
  


      
       
 

     
       
        
        



69
       
      
 

      


       
   
pop-Q



ll



       

        

  PASS 
        
     ±
±
      







 
II
      

      

2
Pelvic Organ Prolapse Quantification
3
The Beck Depression Inventory
4
Female Sexual Function Index-FSFI
     
       
    

        
      

       









     




       
 
         



      
 


        

       

POP-Q
70




 
       
 random allocation software
AB
 AB
         


   
       


      





         


         










         
   

CONSORT

Stata

 p

















71


       






        
±±


     
p≥






±
±
p

±
±
p
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
±
±
p




p


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


72




p
p



 p<   

        
p<      
p


p<      
p

    p 
      p

 
         
p<
p






±
±

±
±
p

±
±
p< 

±
±
p< 

p< 
p


p< 
p

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
p< 
p
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




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
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



   
p<

      
p<
p
       
 
 p<      
p

p<
  p    
     

 p<
       p








±
±

±
±
p

±
±
p< 

±
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



         
     
        
        






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




       
      
          
         

      
  

      

      




        
       




       


        


       
      

     
IRCT20180516039693N1  
       
       
       


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Introduction: Decreased sexual satisfaction and lack of orgasm in sexual relations are of the most common problems in postmenopausal women that affect their quality of life. In traditional medicine books, pate palm pollen is introduced as sexual enhancer plant and in recent researches, it has improved sexual behavior in animals, but no study which examines date palm pollen on sexual function in humans has not been conducted; therefore this study was performed with aim to evaluate the effect of date palm pollen capsules on sexual satisfaction and orgasm in menopausal women. Methods: This double-blind clinical trial with placebo group was performed on 60 menopausal women with natural menopause and without any sexual function disorder who referred to health centers of Mashhad in 2016. Participants were randomly assigned to two groups: receiving date palm pollen and placebo for 35 days. The research tool was female sexual function Index (FSFI) that a part of which assessed sexual satisfaction and orgasm. The sexual function of women was evaluated before and after treatment. Data were analyzed by SPSS software (version 16) and Fisher-Exact, Mann-Whitney, Paired-t, and independent-t tests. P < 0.05 was considered significant. Results: The mean change in orgasm score of menopausal women after the intervention was significantly higher in the intervention group than the control group (P= 0.004). The mean change in sexual satisfaction score after the intervention was not significant in the intervention and control group (P=0.122).Conclusion: The use of date palm pollen improves orgasm in menopausal women, but has no effect on their sexual satisfaction. © 2017, Mashhad University of Medical Sciences. All rights reserved.
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Introduction: Sexual dysfunction is a common problem in women with pelvic organ prolapse that impacts their quality of life and sexual relations. Therefore, this study was performed with aim to assess the sexual function in women with genital prolapse before and after anterior- posterior colporrhaphy. Methods: This descriptive-comparative study was performed on 105 women with pelvic organ prolapse referred to Shahid Mofateh gynecology clinic of Yasouj in 2014-2015. Data were collected through a demographic questionnaire and Female Sexual Function Index (FSFI) before and three months after the surgery. Data were analyzed by SPSS software (version 18) and …., paired T-test, Chi-square and regression test. PResults: The mean score of sexual function before and 3 months after colporrhaphy had no significant difference with before the surgery (P>0.05), but mean score of sexual satisfaction showed significant decrease 3 months after colporrhaphy (P=0.003. Mean score of arousal, orgasm and pain didn’t have significant difference with before the surgery (P>0.05), and the score of desire and lubrication significantly decreased (P<0.05) Conclusion: Although surgical treatment such as colporrhaphy is a chosen treatment for pelvic prolaps and can improve the symptoms of prolapse, but has no impact on sexual function and decrease sexual satisfaction. © 2016, Mashhad University of Medical Sciences. All rights reserved.
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This study is a semi-experimental study in order to explore the effect of Kegel exercises upon sexual satisfaction among the women who suffered from urinary incontinence. The sample of the study is consisted of 30 women who are diagnosed with urinary incontinence. Illustrative data form, GRISS were initially applied to women, kegel exercises were taught to women by the researcher and after 3 months of application were filled with scales. All of the women who were studied are at least primary school graduate and are married. Before the application it was seen that the women had problems in GRISS satisfaction, touch, vaginismus and anorgasmia sub groups. Yet, after the application its seen that the sexual satisfaction raised in these sub groups except vaginismus. A very important positive change was experienced in satisfaction and anorgasmia. A rise in sexual satisfaction was also detected after the application on thickness and avoidance sub groups and on total points. As a result of the study, it was detected that kegel exercises had positive effect on womens sexual satisfaction. However, performing of long term and broader sample studies shouldbe offered.
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Introduction: Prolapse of pelvis organs and urine incontinency are some factors can cause sexual complications. Surgical interventions like anterior and posterior colporrhaphy are common to resolve these complications. So, this study was done to determine the effect of colporrhaphy on sexual function and satisfaction. Methods: This retrospective cohort study was conducted on 100 women who were candidate for colporrhaphy in Mashhad's state hospitals during 2009-2011. They were divided to groups. The first group underwent colporrhaphy in more than 6 months before and the other group was candidate for colporrhaphy. Two groups were asked to fill the questionnaires of demographic information, marital satisfaction scale, Pelvic Organ Prolapse /Urinary Incontinence Sexuale (PISQ), Index of Sexual Satisfaction (ISS), depression, anxiety and stress scale (DASS 21). In all sample units, operations were done in the same procedure. Data were analyzed using SPSS software version 18. P value less than 0.05 was considered significant. Results: There was a correlation between sexual satisfaction and colporrhaphy (p=0.033), as sexual satisfaction after surgery decreased by 18%. 16 women (32%) complained of dyspareunia and 25 women (50%) complained of vaginal stenosis after colporrhaphy. However, sexual function did not change after surgery (p=0.189) and postoperative sexual function score of desire (p=0.578), arousal (p=0.470) and orgasm (p=0.408) had not significant differences with before surgery. Colporrhaphy decreased stress urinary incontinence (p=0.000). Conclusion: Although colporrhaphy improves stress incontinence in women, but had no effects on sexual function and decreases sexual satisfaction. Colporrhaphy is better to be done only for curative purposes and in conditions such as severe and unbearable symptoms of prolapse and incontinency.