Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis

Objective: In this study, we aimed at evaluation of the efficacy of Hypericum perforatum and flaxseed on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women Materials and Methods: We searched MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials (RCT) to e...

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Main Authors: Masumeh Ghazanfarpour, Ramin Sadeghi, Robab Latifnejad Roudsari, Talat Khadivzadeh, Imaneh khorsand, Maliheh Afiat, Mahdi Esmaeilizadeh
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2016-04-01
Series:Avicenna Journal of Phytomedicine
Subjects:
Online Access:http://ajp.mums.ac.ir/article_5331_f836bb0d8bccd74b9c2cc3c43b5e5fa3.pdf
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author Masumeh Ghazanfarpour
Ramin Sadeghi
Robab Latifnejad Roudsari
Talat Khadivzadeh
Imaneh khorsand
Maliheh Afiat
Mahdi Esmaeilizadeh
author_facet Masumeh Ghazanfarpour
Ramin Sadeghi
Robab Latifnejad Roudsari
Talat Khadivzadeh
Imaneh khorsand
Maliheh Afiat
Mahdi Esmaeilizadeh
author_sort Masumeh Ghazanfarpour
collection DOAJ
description Objective: In this study, we aimed at evaluation of the efficacy of Hypericum perforatum and flaxseed on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women Materials and Methods: We searched MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials (RCT) to explore trials that assessed the effectiveness of H. perforatum and flaxseed on hot flash, vaginal atrophy and estrogen-dependent cancers. In this regard, the following terms were used “menopause AND H. perforatum OR flaxseed OR Linum usitatissimum. Only randomized controlled trials were included in the study. Results: Nine RCTs were included in this systematic review. Based on the literature, flaxseed showed beneficial effect on hot flash frequency and intensity, which was not statistically significant. According to two trials, flaxseed showed estrogenic effects; however, no conclusion regarding cancer promoting or protecting effects can be made. The evidence of the efficacy of the flaxseed on alleviating vaginal atrophy was also limited due to inconsistent findings in this regard. One trial declared that Vitex agnus-castus and H. perforatum showed comparable decrease in the frequency of hot flashes. Conclusion: The results of our systematic review suggest beneficial effect on vasomotor symptom with both of flaxseed and H. perforatum. Consistent conclusion regarding estrogen-dependent cancers and maturation value is limited due to small number of trials related to flaxseed. Further trials are still needed to confirm the results of our systematic review.
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spelling doaj.art-275bf0dd57cc49768a8b4f6c2ed90e212022-12-21T18:29:27ZengMashhad University of Medical SciencesAvicenna Journal of Phytomedicine2228-79302228-79492016-04-01632732835331Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysisMasumeh Ghazanfarpour0Ramin Sadeghi1Robab Latifnejad Roudsari2Talat Khadivzadeh3Imaneh khorsand4Maliheh Afiat5Mahdi Esmaeilizadeh6Student Research Committee, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mashhad University of Medical Science, Mashhad, IranNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, IranEvidence-Based Care Research Centre, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Mashhad, IranDepartment of Microbiology, Islamic Azad University of Varamin-pishva,Tehran, IranObstetrics and Gynecology, Women's Health Research Center, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranEsfarayen faculty of Medical Sciences, Esfarayen, IranObjective: In this study, we aimed at evaluation of the efficacy of Hypericum perforatum and flaxseed on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women Materials and Methods: We searched MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials (RCT) to explore trials that assessed the effectiveness of H. perforatum and flaxseed on hot flash, vaginal atrophy and estrogen-dependent cancers. In this regard, the following terms were used “menopause AND H. perforatum OR flaxseed OR Linum usitatissimum. Only randomized controlled trials were included in the study. Results: Nine RCTs were included in this systematic review. Based on the literature, flaxseed showed beneficial effect on hot flash frequency and intensity, which was not statistically significant. According to two trials, flaxseed showed estrogenic effects; however, no conclusion regarding cancer promoting or protecting effects can be made. The evidence of the efficacy of the flaxseed on alleviating vaginal atrophy was also limited due to inconsistent findings in this regard. One trial declared that Vitex agnus-castus and H. perforatum showed comparable decrease in the frequency of hot flashes. Conclusion: The results of our systematic review suggest beneficial effect on vasomotor symptom with both of flaxseed and H. perforatum. Consistent conclusion regarding estrogen-dependent cancers and maturation value is limited due to small number of trials related to flaxseed. Further trials are still needed to confirm the results of our systematic review.http://ajp.mums.ac.ir/article_5331_f836bb0d8bccd74b9c2cc3c43b5e5fa3.pdfHot flashVaginal atrophyMenopauseSystematic reviewCancers
spellingShingle Masumeh Ghazanfarpour
Ramin Sadeghi
Robab Latifnejad Roudsari
Talat Khadivzadeh
Imaneh khorsand
Maliheh Afiat
Mahdi Esmaeilizadeh
Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
Avicenna Journal of Phytomedicine
Hot flash
Vaginal atrophy
Menopause
Systematic review
Cancers
title Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
title_full Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
title_fullStr Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
title_full_unstemmed Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
title_short Effects of flaxseed and Hypericum perforatum on hot flash, vaginal atrophy and estrogen-dependent cancers in menopausal women: a systematic review and meta-analysis
title_sort effects of flaxseed and hypericum perforatum on hot flash vaginal atrophy and estrogen dependent cancers in menopausal women a systematic review and meta analysis
topic Hot flash
Vaginal atrophy
Menopause
Systematic review
Cancers
url http://ajp.mums.ac.ir/article_5331_f836bb0d8bccd74b9c2cc3c43b5e5fa3.pdf
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