The Effects of Chamomile and Flaxseed on Pelvic Pain, Dyspareunia, and Dysmenorrhea in Endometriosis: A Controlled Randomized Clinical Trial
Abstract
Background: Chamomile and flaxseed are traditionally used medicinal plants to treat painful menstruation. Therefore, this study aimed to investigate the effects of chamomile and flaxseed on pelvic pain, dyspareunia, and dysmenorrhea in endometriosis patients.
Materials and Methods: A controlled randomized clinical trial was conducted on 102 endometriosis patients referred to Reyhane Infertility Center of Qom University of Medical Sciences, Iran, from July 2021 to March 2022. Patients were divided into three groups: chamomile, flaxseed, and placebo, using the block randomization method. Patients used 1000 mg capsules (three times a day) for 8 weeks. A Visual Analog Scale (VAS) was used to measure the severity of pain. Pelvic pain, dyspareunia, and dysmenorrhea were assessed on three occasions Data were analyzed using the Chi‑square, repeated measures ANCOVA, and ANOVA. All statistical analysis was performed using SPSS version 20.
Results: Before the intervention, there was no significant difference between the three groups regarding dysmenorrhea, pelvic pain, or dyspareunia (p > 0.05). The mean score of pelvic pain (on one and two‑month follow‑ups) in the chamomile and flaxseed groups (F = 383.07, p < 0.001) was lower than that in the placebo group. The mean score of dyspareunia (on one and two‑month follow‑ups) in the chamomile and flaxseed groups was significantly lower than that in the placebo group (F2 = 479.34, p < 0.001). The mean score of dysmenorrhea on one and two‑month follow‑ups (F2 = 385.67, p < 0.001) in the chamomile and flaxseed groups was lower than that in the placebo group.
Conclusions: Chamomile and flaxseed may reduce pelvic pain, dyspareunia, and dysmenorrhea associated with endometriosis.
Keywords
Full Text:
PDFReferences
Abokhrais IM, Denison FC, Whitaker LH, Saunders PT, Doust A, Williams LJ, et al. A two‑arm parallel double‑blind randomised controlled pilot trial of the efficacy of Omega‑3 polyunsaturated fatty acids for the treatment of women with endometriosis‑associated pain (PurFECT1). PLoS One 2020;15:e0227695. doi: 10.1371/journal.pone. 0227695.
Della Corte L, Di Filippo C, Gabrielli O, Reppuccia S, La Rosa VL, Ragusa R, et al. The burden of endometriosis on women’s lifespan: A narrative overview on quality of life and psychosocial wellbeing. Int J Environ Res Public Health 2020;17:4683. doi: 10.3390/ijerph 17134683.
Carlyle D, Khader T, Lam D, Vadivelu N, Shiwlochan D, Yonghee C. Endometriosis pain management: A review. Curr Pain Headache Rep 2020;24:1‑9. doi: 10.1007/s11916‑020‑00884‑6.
Berek JS. Novak E. Berek & Novak’s Gynecology. 16th ed. New York: Lippincott Williams & Wilkins; 2020.
Amirsalari S, Behboodi Moghadam Z, Taghizadeh Z, Jafar Abadi MN, Sabaghzadeh Irani P, Goodarzi S, et al. The effect of garlic tablets on the endometriosis‑related pains: A randomized placebo‑controlled clinical trial. Evid Based Complement Alternat Med 2021;2021:5547058. doi: 10.1155/2021/5547058.
Amini L, Shami M, Chegini R. The relationship between serum levels of oxidative stress biomarkers and dysmenorrhea, dyspareunia and pelvic pain in women with endometriosis. Iran J Nurs 2020;33:58‑68.
Bina F, Soleymani S, Toliat T, Hajimahmoodi M, Tabarrai M, Abdollahi M, et al. Plant‑derived medicines for treatment of endometriosis: A comprehensive review of molecular mechanisms. Pharmacol Res 2019;139:76‑90.
Meresman GF, Götte M, Laschke MW. Plants as source of new therapies for endometriosis: A review of preclinical and clinical studies. Hum Reprod Update 2021;27:367‑92.
Shabani F, Zareian MA. Evaluation of the synergism of medicinal effects of chamomile and ginger on pain and symptoms of primary dysmenorrhea: A randomized controlled trial. Complement Med J 2020;9:3852‑67.
Niazi A, Moradi M. The effect of chamomile on pain and menstrual bleeding in primary dysmenorrhea: A systematic review. Int J Community Based Nurs Midwifery 2021;9:174‑86.
Najafi B, Mojab F, Ghaderi L, Farhadifar F, Roshani D, Seidi J. The effect of chamomile flower essence on pain severity after elective caesarean section under spinal anaesthesia: A randomized clinical trial. J Clin Diagnos Res 2017;11:1.
Nowak W, Jeziorek M. The role of flaxseed in improving human health. Healthcare 2023;11:395‑415.
Jafarnezhad F, Adib Moghaddam E, Ahmad Emami S, Saki A, Hami M, Mohammadzadeh Vatanchi A. Comparative effect of flaxseed and evening primrose oil with vitamin E on severity of cyclic mastalgia in women. The Iranian Journal of Obstetrics, Gynecology and Infertility 2016;19:8‑16.
Rahmati Ahmadabad S, Azarbayjani MA, Nasehi M. The effects of high intensity interval training and flaxseed oil supplement on pain feeling in male rats. Sport Physiol 2017;9:119‑30.
Almassinokiani F, Khodaverdi S, Solaymani‑Dodaran M, Akbari P, Pazouki A. Effects of vitamin D on endometriosis‑related pain: A double‑blind clinical trial. Med Sci Monit 2016;22:49‑60.
Smhaak S. Aladvyeh M. Sixth, ed. School of Traditional Medicine, Tehran University of Medical Sciences: Last edition. Sabze Azang; 2013.
Pardakhty A, Mollaei Emamzadeh M, Emami SA, Taleghani A, Mohammadpour F, Javadi B. Formulation of a niosomal gel containing chamomile hydro alcoholic extract with analgesic effect by film hydration method. North Khorasan Univ Med Sci 2021;13:53‑63.
Kimura R, Schwartz J, Bennett‑Guerrero E. A narrative review on the potential therapeutic benefits of chamomile in the acute care setting. J Herb Med 2023;41:1007‑14.
Santosuosso M. Treating Endometriosis Naturally. Alternative Medicine. 2023;69:28-31.
Khalesi ZB, Beiranvand SP, Bokaie M. Efficacy of chamomile in the treatment of premenstrual syndrome: A systematic review. J Pharmacopuncture 2019;22:204‑9.
Habibabad HZ, Afrasiabifar A, Mansourian A, Mansourian M, Hosseini N. Effect of chamomile aromatherapy with and without oxygen on pain of women in post cesarean section with spinal anesthesia: A randomized clinical trial. Heliyon 2023;9:e15323. doi: 10.1016/j.heliyon. 2023.e15323.
Aradmehr M, Azhari S, Ahmadi S, Azmoude E. The effect of chamomile cream on episiotomy pain in Primiparous women: A randomized clinical trial. J Caring Sci 2017;6:19‑28.
Dai YL, Li Y, Wang Q, Niu FJ, Li KW, Wang YY, et al. Chamomile: A review of its traditional uses, chemical constituents, pharmacological activities and quality control studies. Molecules 2022;28:133.
Saghafi N, Rhkhshandeh H, Pourmoghadam N, Pourali L, Ghazanfarpour M, Behrooznia A, et al. Effectiveness of matricaria chamomilla (chamomile) extract on pain control of cyclic mastalgia: A double‑blind randomised controlled trial. J Obstet Gynaecol Res 2018;38:81‑4.
Ansari R, Zarshenas MM, Dadbakhsh AH. A review on pharmacological and clinical aspects of linum usitatissimum L. Curr Drug Discov Technol 2019;16:148‑58.
Mirghafourvand M, Mohammad Alizadeh Charandabi S, Javadzadeh Y, Ahmadpour P. Comparing the effects of vitexagnus and flaxseed on premenstrual symptoms: A randomized controlled trial. HAYAT 2015;21:68‑78.
Soleimani M, Yousefzadeh S, Salari R, Mousavi Vahed SH, Mazloum SR. The effects of flaxseed ointment on cesarean wound healing: Randomized clinical trial. Iran J Obstet Gynecol Infertil 2019;22:64‑71.
Ghaseminasab‑Parizi M, Nazarinia MA, Akhlaghi M. The effect of flaxseed with or without anti‑inflammatory diet in patients with rheumatoid arthritis, a randomized controlled trial. Eur J Nutr 2022;1:1-3.
Refbacks
- There are currently no refbacks.