Startseite Effect of fennel on primary dysmenorrhea: a systematic review and meta-analysis
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Effect of fennel on primary dysmenorrhea: a systematic review and meta-analysis

  • Hadis Shahrahmani , Masumeh Ghazanfarpour , Nasim Shahrahmani , Fatemeh Abdi , Robert D. E. Sewell und Mahmoud Rafieian-Kopaei EMAIL logo
Veröffentlicht/Copyright: 11. Januar 2021

Abstract

Background

One of the most common complaints for women is dysmenorrhea. Several studies investigated the treatment effects of medicinal plants on primary dysmenorrhea.

Objectives

This systematic review and meta-analysis investigates the effect of Foeniculum vulgare (Fennel) on pain in primary dysmenorrhea in comparison to non-steroidal anti-inflammatory drugs such as mefenamic acid.

Methods

PubMed, EMBASE, EBSCO Web of Science, Scopus, Cochrane library, Cochrane Central Register of Controlled Trials (CENTRAL), Science Direct, ProQuest, ISI Web of Science, Google Scholar, Magiran, SID, Iran Medex, and Irandoc were searched up to January 2019. Quality assessment of clinical trials was conducted using Jadad scoring system. Totally, 12 studies were entered in the meta-analysis. I2 was calculated to determine heterogeneity. Fixed effects and/or random effects models were applied.

Results

Meta-analysis of these trials showed that F. vulgare intake decreased significantly the intensity of dysmenorrhea compared to the placebo (SMD −0.632; CI: −0.827 to −0.436; p<0.001; heterogeneity p=0.807; I2=0%; fixed effect model; seven articles). However, the effect of Mefenamic acid with F. vulgare was not different from each other (SMD=−0.214; CI: −0.446 to 0.017; p=0.07; heterogeneity p=0.58; I2=0%; fixed effect model; six trials).

Conclusion

The F. vulgare alleviates dysmenorrhea. Regarding the same effect of F. vulgare with NSAIDs, it is highly recommend to the women suffered from dysmenorrhea specifically the ones who have high tendency toward herbal medicine.


Corresponding author: Mahmoud Rafieian-Kopaei, Medical Plants Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran, Phone: +989131811842, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  3. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication. Authors declare that they have no competing interests.

References

1. Habibi, N, Huang, MSL, Gan, WY, Zulida, R, Safavi, SM. Prevalence of primary dysmenorrhea and factors associated with its intensity among undergraduate students: a cross-sectional study. Pain Manag Nurs 2015;16:855–61. https://doi.org/10.1016/j.pmn.2015.07.001.Suche in Google Scholar PubMed

2. Iacovides, S, Avidon, I, Baker, FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update 2015;21:762–78. https://doi.org/10.1093/humupd/dmv039.Suche in Google Scholar PubMed

3. Unsal, A, Ayranci, U, Tozun, M, Arslan, G, Calik, E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci 2010;115:138–45. https://doi.org/10.3109/03009730903457218.Suche in Google Scholar PubMed PubMed Central

4. Latthe, P, Latthe, M, Say, L, Gülmezoglu, M, Khan, KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health 2006;6:177–84. https://doi.org/10.1186/1471-2458-6-177.Suche in Google Scholar PubMed PubMed Central

5. Vincenzo De Sanctis, M, Soliman, A, Bernasconi, S, Bianchin, L, Bona, G, Bozzola, M, et al.. Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev 2015;13:465–73.Suche in Google Scholar

6. Shewte, M, Sirpurkar, M. Dysmenorrhoea and quality of life among medical and nursing students: a cross-sectional study. Nat J Commun Med 2016;7:474–9.Suche in Google Scholar

7. Emem, E, Hassan, H. Correlation between quality of life and dysmenorrhea among nursing schools students. Int J Nurs Sci 2017;7:123–32.Suche in Google Scholar

8. Al-Jefout, M, Seham, A-F, Jameel, H, Randa, A-Q, Luscombe, G. Dysmenorrhea: prevalence and impact on quality of life among young adult Jordanian females. J Pediatr Adolesc Gynecol 2015;28:173–85. https://doi.org/10.1016/j.jpag.2014.07.005.Suche in Google Scholar PubMed

9. Marjoribanks, J, Proctor, M, Farquhar, C, Sangkomkamhang, US, Derks, RS. Nonsteroidal anti‐inflammatory drugs for primary dysmenorrhoea. Cochrane Database Syst Rev 2003;1–163. https://doi.org/10.1002/14651858.cd001751.Suche in Google Scholar PubMed

10. Zahradnik, H-P, Hanjalic-Beck, A, Groth, K. Nonsteroidal anti-inflammatory drugs and hormonal contraceptives for pain relief from dysmenorrhea: a review. Contraception 2010;81:185–96. https://doi.org/10.1016/j.contraception.2009.09.014.Suche in Google Scholar PubMed

11. Zigler, RE, McNicholas, C. Unscheduled vaginal bleeding with progestin-only contraceptive use. Am J Obstet Gynecol MFM 2017;216:443–50. https://doi.org/10.1016/j.ajog.2016.12.008.Suche in Google Scholar PubMed

12. Zhang, J, Onakpoya, IJ, Posadzki, P, Eddouks, M. The safety of herbal medicine: from prejudice to evidence. Evid Based Complement Alternat Med 2015;2015:1–3. https://doi.org/10.1155/2015/316706.Suche in Google Scholar PubMed PubMed Central

13. Ghazanfarpour, M, Shokrollahi, P, Khadivzadeh, T, Baharian Sharghi, N, Mirzaii Najmabadi, K, Babakhanian, M, et al.. Effect of Foeniculum vulgare (fennel) on vaginal atrophy in postmenopausal women: a double-blind, randomized, placebo-controlled trial. Post Reprod Health 2017;23:171–6. https://doi.org/10.1177/2053369117733629.Suche in Google Scholar PubMed

14. Al-Snafi, AE. The chemical constituents and pharmacological effects of Foeniculum vulgare—a review. IOSR J Pharm 2018;8:81–96.Suche in Google Scholar

15. Havsteen, BH. The biochemistry and medical significance of the flavonoids. Pharmacol Ther 2002;96:67–202. https://doi.org/10.1016/s0163-7258(02)00298-x.Suche in Google Scholar

16. Nazarpour, S, Azimi, H. Comparison of therapeutic effects of fennelin and mefenamic acid on primary dysmenorrhea. J Mazandaran Univ Med Sci 2007;17:54–61.Suche in Google Scholar

17. Omidvar, S, Esmailzadeh, S, Baradaran, M, Basirat, Z. Effect of fennel on pain intensity in dysmenorrhoea: a placebo-controlled trial. Ayu 2012;33:311–3. https://doi.org/10.4103/0974-8520.105259.Suche in Google Scholar

18. Namavar Jahromi, B, Tartifizadeh, A, Khabnadideh, S. Comparison of fennel and mefenamic acid for the treatment of primary dysmenorrhea. Int J Gynaecol Obstet 2003;80:153–7. https://doi.org/10.1016/s0020-7292(02)00372-7.Suche in Google Scholar

19. 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.Suche in Google Scholar

20. Salehi, A, Marzban, M, Amini, F. Effect of Foeniculum vulgare on primary dysmenorrhea: a systematic review and meta-analysis. Women Health Bull 2018;6:e74240.10.5812/whb.74240Suche in Google Scholar

21. Jadad, AR, Moore, RA, Carroll, D, Jenkinson, C, Reynolds, DJM, Gavaghan, DJ, et al.. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Contr Clin Trials 1996;17:1–12. https://doi.org/10.1016/0197-2456(95)00134-4.Suche in Google Scholar

22. Moslemi, L, Bekhradi, R, Zafari, M. Comparing the effects of vitamin E and fennel extract on intensity of primary dysmenorrhea. J Mazandaran Univ Med Sci 2012;22:103–7.Suche in Google Scholar

23. Torkzahrani, S, Akhavan-Amjadi, M, Mojab, F, Majd, HA. Clinical effects of Foeniculum vulgare extract on primary dysmenorrhea. J Reprod Infertil 2007;8:45–51.Suche in Google Scholar

24. Delaram, M, Sadeghiyan, Z. The effect of echinophora-platyloba extract on primary of dysmenorrhea. J Arak Uni Med Sci 2010;13:61–7.Suche in Google Scholar

25. Khorshidi, N, Ostad, SN, Mosaddegh, M. Clinical effects of fennel essential oil on primary dysmenorrhea. Iran J Pharm Res 2003;2003:89–93.Suche in Google Scholar

26. Modaress Nejad, V, Asadipour, M. Comparison of the effectiveness of fennel and mefenamic acid on pain intensity in dysmenorrhoea. East Mediterr Health J 2006;12:423–7.Suche in Google Scholar

27. Momenzadeh, F, Toghiri, MA, Taghizadeh, M, Mahlioji, M, Rafiee, F. Comparison the effect of fennel and mefenamic acid on severity of primary dysmenorrhea. Iran J Obstet Gynecol Infertil 2017;20:44–9.Suche in Google Scholar

28. Bokaie, M, Farajkhoda, T, Enjezab, B, Khoshbin, A, Mojgan, KZ. Oral fennel (Foeniculum vulgare) drop effect on primary dysmenorrhea: effectiveness of herbal drug. Iran J Nurs Midwifery Res 2013;18:128–32.Suche in Google Scholar

29. Motavalli, R, Shahbazzadegan, S. Comparative study of the effects of fennel with Gelofen on the severity of primary dysmenorrhea: a randomized clinical trial. Iran J Obstet Gynecol Infertil 2018;21:36–42.Suche in Google Scholar

30. Sut, N, Kahyaoglu-Sut, H. Effect of aromatherapy massage on pain in primary dysmenorrhea: a meta-analysis. Compl Ther Clin Pract 2017;27:5–10. https://doi.org/10.1016/j.ctcp.2017.01.001.Suche in Google Scholar PubMed

31. Zhou, S-F, Wang, H-Y. One review on the latest etiology research progress of primary dysmenorrhea. Reprod Dev Med 2018;2:171–7.10.4103/2096-2924.248489Suche in Google Scholar

32. Dawood, MY, Khan-Dawood, FS. Clinical efficacy and differential inhibition of menstrual fluid prostaglandin F2α in a randomized, double-blind, crossover treatment with placebo, acetaminophen, and ibuprofen in primary dysmenorrhea. Am J Obstet Gynecol MFM 2007;196:35.e1–35.e5. https://doi.org/10.1016/j.ajog.2006.06.091.Suche in Google Scholar PubMed

33. Schjerning Olsen, A-M, Fosbøl, EL, Pallisgaard, J, Lindhardsen, J, Lock Hansen, M, Køber, L, et al.. NSAIDs are associated with increased risk of atrial fibrillation in patients with prior myocardial infarction: a nationwide study. Eur Heart J Cardiovasc Pharmacother 2015;1:107–14. https://doi.org/10.1093/ehjcvp/pvv004.Suche in Google Scholar PubMed

34. Ghosh, R, Alajbegovic, A, Gomes, AV. NSAIDs and cardiovascular diseases: role of reactive oxygen species. Oxid Med Cell Longev 2015;2015:536962. https://doi.org/10.1155/2015/536962.Suche in Google Scholar PubMed PubMed Central

35. Pellow, J, Nienhuis, C. Medicinal plants for primary dysmenorrhoea: a systematic review. Compl Ther Med 2018;37:13–26. https://doi.org/10.1016/j.ctim.2018.01.001.Suche in Google Scholar

36. Badgujar, SB, Patel, VV, Bandivdekar, AH. Foeniculum vulgare Mill: a review of its botany, phytochemistry, pharmacology, contemporary application, and toxicology. Biomed Res Int 2014;2014:842674. https://doi.org/10.1155/2014/842674.Suche in Google Scholar

37. Ostad, S, Soodi, M, Shariffzadeh, M, Khorshidi, N, Marzban, H. The effect of fennel essential oil on uterine contraction as a model for dysmenorrhea, pharmacology and toxicology study. J Ethno Pharmacol 2001;76:299–304. https://doi.org/10.1016/s0378-8741(01)00249-5.Suche in Google Scholar

38. Ahmed, ZM, Eltayeb, IM, Hamad, AEH. Phytochemical screening and contractile activity of Foeniculum vulgare seeds on rat intestinal and uterine muscles. J Pharmacogn Phytochem 2017;6:346–50.Suche in Google Scholar

39. Kooti, W, Moradi, M-T, Ali-Akbari, S, Sharafi-Ahvazi, N, Asadi-Samani, M, Ashtary-Larky, D. Therapeutic and pharmacological potential of Foeniculum vulgare Mill: a review. J Herbmed Pharmacol 2015;4:1–9.Suche in Google Scholar

Received: 2019-09-03
Accepted: 2020-08-31
Published Online: 2021-01-11

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Reviews
  3. The effect of Nigella sativa on oxidative stress and inflammatory biomarkers: a systematic review and meta-analysis
  4. Effect of fennel on primary dysmenorrhea: a systematic review and meta-analysis
  5. Raising burden of non-communicable diseases: importance of integrating Yoga and Naturopathy at primary care level
  6. Research Articles Basic
  7. Marketing and legal status of phytomedicines and food supplements in Morocco
  8. Hydrogen sulfide as a mediator of endothelium-dependent relaxation evoked by Moringa oleifera leaf extract in mesenteric arterial beds isolated from L-NAME hypertensive rats
  9. Acute and sub-acute toxicity assessment of aqueous leaves extract of Crassocephalum crepidioides (Asteraceae) in Wistar rats
  10. Zingerone improves the immune responses in an animal model of breast cancer
  11. Evaluation of efficacy of Bombax ceiba extract and its major constituent, mangiferin in streptozotocin (STZ)-induced diabetic rats
  12. Bacterial endosymbiont inhabiting Leucaena leucocephala leaves and their antioxidant and antidiabetic potential
  13. Ameliorative effect of morin on dutasteride-tamsulosin-induced testicular oxidative stress in rat
  14. The potentiation of beta-lactam and anti-bacterial activities of lipophilic constituents from Mesua ferrae leaves against methicillin-resistant Staphylococcus aureus
  15. Influence of irisin on diet-induced metabolic syndrome in experimental rat model
  16. Modulatory effect of methanol extract of Annona muricata stem bark on mitochondrial membrane permeability transition pore in normal rat liver and monosodium glutamate-induced uterine hyperplasia
  17. Research Articles Clinical
  18. Functional status in adhesive capsulitis – yoga vs. physiotherapy: a quasi experimental study
  19. Okada Purifying Therapy in combination with duloxetine vs. duloxetine alone in patients with TMD and fibromyalgia: a randomized clinical study
  20. The FIFA 11+ does not alter performance in amateur female basketball players—a randomized control trial
  21. Body composition, phenotype and central obesity indices in Egyptian women with non-alcoholic fatty liver disease
  22. Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students
  23. The effects of an olive-oil massage on hemodialysis patients suffering from fatigue at a hemodialysis unit in southern India – a randomized controlled trial
  24. Effects of epigallocatechin-3-gallate of Camellia sinensis leaves on blood pressure, lipid profile, atherogenic index of plasma and some inflammatory and antioxidant markers in type 2 diabetes mellitus patients: a clinical trial
  25. The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial
  26. Effect of lumbar stabilization exercises and thoracic mobilization with strengthening exercises on pain level, thoracic kyphosis, and functional disability in chronic low back pain
  27. A prospective controlled study on Ramadan fasting in the healthy young males in summer in Germany: effect on cytokines
  28. Tualang honey versus steroid impregnated nasal dressing following endoscopic sinus surgery: a randomized controlled trial
  29. Short Communications
  30. Improved anti-arthritic activity of ginger extract, a traditional medicine, using novel drug delivery approach
  31. Efficacy of fenugreek seed extract on men's psychological and physical health: a randomized placebo-controlled double-blind clinical trial
Heruntergeladen am 17.10.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jcim-2019-0212/html
Button zum nach oben scrollen