Comparison of Rosemary and Mefenamic Acid Capsules on Menstrual Bleeding and Primary Dysmenorrhea: A Clinical Trial
Abstract
Background: Primary dysmenorrhea is the most common complaint of women. Imbalance secretion of prostaglandin from the endometrium during menstruation cycle is effective in primary dysmenorrhea and menstrual bleeding. The aim of this study was to compare rosemary capsule and mefenamic acid on menstrual bleeding and primary dysmenorrhea.
Materials and Methods: This randomized double‑blinded study was conducted on 82 students with primary dysmenorrhea in the Islamic Azad University of Mashhad in 2016. Participants had moderate dysmenorrhea and normal menstrual bleeding. No intervention was carried out at the two cycles. During the next two cycles, participants were randomly divided into two groups (rosemary and mefenamic acid(. Participants in the intervention group received 250mg rosemary capsules and the control group received 250mg mefenamic acid capsules in the first 3 days of menstruation. The visual analogue scale (VAS) was used to determine the severity of pain and Hingham chart to determine the amount of bleeding in menstruation. Independent t‑tests, Mann‑Whitney were used for statistical analysis. p < 0.05 was considered statistically significant.
Results: Pain intensity score standard deviation (SD) before and after intervention for rosemary group were 40.39 (11.41) and 23.57 (12.78) (t41 = 9.90, p < 0.001). For the control group, they were 46.75 (13.32) and 28.29 (17.21) (t39 = 9.10, p < 0.001). Menstrual bleeding score (SD) before and after intervention for rosemary group were 55.21 (21.32) and 46.30 (24.16) (t41 = 2.60, p = 0.01). For the control group, they were 51.05 (23.87) and 43.43 (29.47) (t39 = 2.10, p = 0.01). There was no statistically significant difference between the pain severity and menstrual bleeding score SD in these two groups.
Conclusions: Rosemary capsules reduce the menstrual bleeding and primary dysmenorrhea the same as mefenamic acid capsules.
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Jalambadani Z, Shojaeezadeh D, Hosseini M, Sadeghi R. Effect of relaxation education, based on theory of planned behavior on students’ painful dismenorrhea. J Birjand Univ Med Sci 2015;22:238‑47.
Berek J. Berek and Novak’s Gynecology. 15th ed. Tehran: Golban; 2012. p. 459‑62.
Charandabi SM, Nashtaei MS, Kamali S, Majlesi R. The effect of acupressure at the Sanyinjiao point (SP6) on primary dysmenorrhea in students resident in dormitories of Tabriz. Iran J Nurs Midwifery Res 2011;16:309‑17.
De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. Dysmenorrhea in adolescents and young adults: A review in different country. Acta Bio Medica Atenei Parmensis 2016;87:233‑46.
Kharaghani R, Damghanian M. The prevalence of dysmenorrhea in Iran: A systematic review and meta‑analysis. Irani Red Crescent Med J 2017;19:e40856.
Bakhtshirin F, Abedi S, YusefiZoj P, Razmjooee D. The effect of aromatherapy massage with lavender oil on severity of primary dysmenorrhea in Arsanjan students. Iran J Nurs Midwifery Res 2015;20:156‑60.
Farahmand M, Zahedi Asl S, Abbaspur Z, AbdolRahman R. Effects of vitamin E and Ibuprofen on amount, duration and interval of bleeding in patients with primary dysmenorrhea. Kowsar Med J 2009;14:49‑52.
Mohammad Alizadeh Charandabi S, Mirghafourvand M, Javadzadeh Y, Nezamivand Chegini S. Effect of calcium with and without magnesium on amount and duration of menstrual bleeding in students with primary dysmenorrhea. Iran J Obstet Gynecol Infertil 2014;16:1‑8.
Rahimi M, Ziaee S, Babaei G, Rabiei M. The effect of vitamin E in the treatment of menorrhagia in patient with dysfunctional uterine bleeding. Daneshvar 2009;16:59‑66.
Shobeiri F, Zeraati F, Araghchian M, Nazari M. The effect of fennelin, vitagnus and mefenamic acid in the treatment of menstrual bleeding. Sci J Hamadan Univ Med Sci 2014;21:171‑6.
Speroff L, Fritz MA, editors. Clinical Gynecologic Endocrinology and Infertility. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2011
Bokaie M, Enjezab B. The effects of oral fennel extract on the intensity of menstrual bleeding in relieving dysmenorrheal: A randomized clinical trial. Community Health J 2014;8:55‑62.
Zeraati F, Shobeiri F, Nazari M, Araghchian M, Bekhradi R. Comparative evaluation of the efficacy of herbal drugs (fennelin and vitagnus) and mefenamic acid in the treatment of primary dysmenorrhea. Iran J Nurs Midwifery Res 2014;19:581‑4.
Davari M, Reihani M, Khoshrang N. The aromatherapy effect of rosemary and lavander on primary dysmenorrhea: A clinical controlled trial. J Isfahan Med Sch 2014;32:1‑9.
Jafarnejad F, Mohanazadeh Falahieh F, Rakhshandeh H, Shakeri MT. Comparison of the effect of nigella sativa and mefenamic acid on menstrual hemorrhage in the students with primary dysmenoreha. Iran J Obstet Gynecol Infertil 2016;18:5‑10.
Shoja N, Dianat M, Hoseyni Nik S, Ramazani G. The evaluation of the protective effects of the hydro‑alcoholic extract of rosemary (Rosmarinus officinalis L.) on ventricular arrhythmias in rats. J Babol Univ Med Sci 2015;17:66‑72.
Emami A, Fasihi M, Mehregan A. Reference Book of Medicinal Plants. Vol. 2. Tehran: Andishavar; 2013. p. 1199‑201.
Mengoni ES, Vichera G, Rigano LA, Rodriguez‑Puebla ML, Galliano SR, Cafferata EE, et al. Suppression ofCOX‑2, IL‑1β and TNF‑α expression and leukocyte infiltration in inflamed skin by bioactive compounds from Rosmarinus officinalis L. Fitoterapia 2011;82:414‑21.
Moaveni P. Medicinal Plants. Shahryar: Gods; 2009. p. 81‑2.
Bahrami‑Taghanaki H, Javanmard Khoshdel M, Noras M, Azizi H, Azizi H, Hafizi Lotfabadi L. Effects of acupuncture and Mefenamic acid on primary dysmenorrhea. Iran J Obstet Gynecol Infertil 2017;19:31‑41.
Phumdoung S, Rattanaparikonn A, Maneechot K. Pain during the first stage of laber. Songklanagarind Med J 2004;22:163‑71.
Biri A, Bozkurt N, Korucuoğlu Ü, Yilmaz E, Tıraş B, Güner H. Use of pictorial chart of managing menorrhagia among Turkish women. J Turk Ger Gynecol Assoc 2007;9:35‑7.
Shirvani MA, Motahari‑Tabari N, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: A randomized clinical trial. Arch Gynecol Obstet 2015;291:1277‑81.
Sinkovic A, Suran D, Lokar L, Fliser E, Skerget M, Novak Z, et al. Rosemary extracts improve flow‑mediated dilatation of the brachial artery and plasma PAI‑1 activity in healthy young volunteers. Phytother Res 2011;25:402‑7.
Sekhavat L, Zare TF, Karimzadeh MMA. Comparison of mefenamic acid, and tranexamic acid in treatment of hypermenorrhea. Iran J Obstet Gynecol Infertil 2007;9:17‑22.
Karimian Z, Sadat Z, Abedzadeh M, Sarafraz N, Kafaei Atrian M, Bahrami N. Comparison the effect of mefenamic acid and Matricariachamomilla on primary dysmenorrhea in Kashan medical university students. J Ardabil Univ Med Sci 2013;13:413‑20.
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