Abdolreza Haghpanah; Amir Mohammad Jaladat; Fatemeh Atarzadeh; Amirhossein Hassani; Elham Akbarzadeh; Mohammad Mahdi Parvizi
Abstract
Background: Sexual dysfunction is one of the most prevalent complaints in men over 50 years old, which can negatively affect marital life and self-esteem. Consumption of oral drugs has various limitations, and they have serious interactions with other oral agents.Methods: In this review article, the ...
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Background: Sexual dysfunction is one of the most prevalent complaints in men over 50 years old, which can negatively affect marital life and self-esteem. Consumption of oral drugs has various limitations, and they have serious interactions with other oral agents.Methods: In this review article, the main traditional Persian medicine (TPM) sources were reviewed for topical suggestions for the treatment of men with sexual dysfunction. In addition, the herbal medicines and their constituents were reviewed in electronic databases including PubMed, Scopus, and Web of Sciences.Results: In TPM sources, various agents in oil, decoction, dry powder, suppository, and enema preparations are suggested to treat decreased libido, premature ejaculation, and erectile dysfunction. These preparations often include volatile agents that enhance percutaneous absorption. Accordingly, the literature review suggested that the mechanisms of these remedies could be related to enhancing the regional blood flow to the genitalia, inducing venous smooth muscle relaxation and increasing the tonicity of pelvic floor muscles.Conclusion: TPM suggestions in treating sexual dysfunction in men can ignite new ideas for further research based on the proposed mechanisms of action.
Maryam Hajihashemy; Shadi Zamansaraei; Abbasali Pourmomeni; Vida Sarmadi; Mahtab Ebrahim Babaei
Abstract
Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, pelvic visceral prolapse, and sexual dysfunction, which are more common in women after childbirth. In the present study, we aimed to investigate and compare pelvic floor disorders in primiparous women 2 and 6 months ...
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Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, pelvic visceral prolapse, and sexual dysfunction, which are more common in women after childbirth. In the present study, we aimed to investigate and compare pelvic floor disorders in primiparous women 2 and 6 months after vaginal delivery and cesarean section by using a questionnaire, clinical examination, and perineometer at the same time.Methods: This Prospective cohort study was performed on 76 primiparous mothers under normal delivery and cesarean section. All participants were examined after 2 to 6 months after delivery by perineometer pelvic organ prolapse quantification test (POPQ), pelvic floor distress questionnaire (PFDI-20), and female sexual function index (FSFI).Results: The mean of perineometer power and FSFI in the cesarean section group was significantly higher than in the vaginal delivery group (P<0.001). Otherwise, the mean of Anterior and posterior wall prolapse severity and mean of PFDI in the vaginal delivery group were significantly higher than cesarean section patients (P<0.05 and <0.001, respectively).Conclusion: Although the symptoms of pelvic floor muscle weakness, pelvic floor disorder, and the severity of prolapse in the vaginal delivery group was greater than the cesarean section, the improvement in sexual function and prolapse symptoms over time in the vaginal delivery group and obtaining the sameresults in questionnaires after 6 months, shows that most of these symptoms are temporary in the women who had an uncomplicated vaginal delivery, and passing of time, environmental factors and lifestyle are effective in improving most of the pelvic symptoms after delivery.
