Abstract
Background and Objectives: The Quercus (oak) fruit and especially the internal layer of the fruit (jaft) is rich in tannin (polyphenolic compound) and due to its astringent effects on the smooth muscles, we decided to evaluate this effect of extract of Oak Gall for vaginal tightening and rejuvenation in women with vaginal relaxation. Methods: This double blind clinical trial was performed on women with vaginal relaxation at Asali Hospital in Khorramabad from May to October 2012 and was candidate for colporrhaphy due to different types of pelvic organ prolapse. Sampling method was done on nonprobability basis according to the number of patients referred to clinic. Using blocked random allocation method, the participants were divided into 4 groups of 30 patients (three intervention group and one control group) who were age-matched. Then, an extract of Oak Gall in specified concentrations (10 - 15 and 20 grams in 1.5%, 2% and 2.5% jells) were administered to each intervention group. Finally, the obtained data were analyzed with Chi-square, Pearson, Fisher’s exact test and ANOVA using SPSS software version 19. Results: A total of 120 patients entered into the study with mean age of 36 ± 5.4 years. The evaluation of mean scores showed that sense of sexual satisfaction and orgasm, sense of vaginal tightness during intercourse, sense of vaginal lubrication and loss of vaginal dryness was significantly improved in patients in intervention group. Also other parameters including urinary incontinence, sense of vaginal mass exit, lack of orgasm, sense of air outflow during intercourse, sense of calmness after sex and loss of libido were significantly reduced in the group of patients who received jell 2.5% compared to other groups (P < 0.0001). Conclusion: Our findings show that using topical jell of Oak Gall not only is associated with contracting effects, but also improves vaginal lubrication and reduces its dryness. Regarding the lack of previous studies in this field and considering some limitations of this study, we suggest that Oak Gall to be used for management of women with vaginal relaxation.
Highlights
Sexual desire is a God given gift that requires proper attention like other blessings and natural instincts such as sleep, hunger, thirst etc. and requires proper care and hygiene as well as appropriate treatment if any problem or disease occurs [1] [2]
The evaluation of mean scores showed that sense of sexual satisfaction and orgasm, sense of vaginal tightness during intercourse, sense of vaginal lubrication and loss of vaginal dryness was significantly improved in patients in intervention group
The pelvic organ prolapse and relaxation of pelvic floor muscles have been recognized as factors that affect sexual satisfaction [9], and one third of women with pelvic organ prolapse suffer from sexual dysfunction and lack of sexual satisfaction [10], but the study by Weber et al did not show significant correlation between sexual satisfaction and pelvic organ prolapse [11]
Summary
Sexual desire is a God given gift that requires proper attention like other blessings and natural instincts such as sleep, hunger, thirst etc. and requires proper care and hygiene as well as appropriate treatment if any problem or disease occurs [1] [2]. Relaxation of pelvic floor muscles is one of the physical problems [7] that leads to pelvic organ prolapse, dysfunction of pelvic organs, dyspareunia, low back pain, sexual dysfunction and lack of sexual satisfaction in couples [8]. Kogel exercises, physiotherapy and hormone therapy are nonsurgical methods and posterior and anterior colporrhaphy are surgical methods [12] Some authors such as Barder et al have shown that colporrhaphy can improve sexual function and sexual satisfaction; while others such as Roger et al have indicated that sexual satisfaction may be decreased in participants 3 - 6 months after surgery [9] [13]. The evaluation of mean scores showed that sense of sexual satisfaction and orgasm, sense of vaginal tightness during intercourse, sense of vaginal lubrication and loss of vaginal dryness was significantly improved in patients in intervention group. Regarding the lack of previous studies in this field and considering some limitations of this study, we suggest that Oak Gall to be used for management of women with vaginal relaxation
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