The effect of clomiphene citrate, herbal mixture, and herbal mixture along with clomiphene citrate on clinical and para-clinical parameters in infertile women with polycystic ovary syndrome: a randomized controlled clinical trial
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INTRODUCTION: ) alone and in combination with clomiphene citrate (CC) compared to CC on the treatment of polycystic ovary syndrome (PCOS). MATERIAL AND METHODS: = 20) and group 3 (n = 20) received herbal mixture capsules 700 mg/day and the herbal mixture along with CC for 3 months, respectively. Finally, several related parameters were measured, including the level of sex steroids, homeostatic model assessment for insulin resistance (HOMA-IR), lipid profile (primary outcomes), thyroid hormones, and clinical features. The analysis was based on intention-to-treat analysis. RESULTS: No statistically significant differences were observed between the groups in terms of socio-demographic characteristics. However, after adjustment for baseline, luteinizing hormone (aMD = 4.9; 95% CI: 3.7-6.2), luteinizing hormone/follicle-stimulating hormone (aMD = 0.9; 95% CI: 0.7-1.2), total testosterone (aMD = -0.12; 95% CI: -0.2 to -0.01) in group 2 and free testosterone (aMD = -6.0; 95% CI: -9.7 to -2.3) in group 3 revealed a significant difference compared to group 1. In addition, HOMA-IR in group 2 (aMD = -1.3; 95% CI: -2.4 to -0.2) decreased significantly compared to group 1. Further, total cholesterol, triglycerides, low-density lipoprotein cholesterol, and very low-density lipoprotein cholesterol decreased significantly in group 2 (aMD = -21.8; 95% CI: -31.5 to -12.1; aMD = -29.9; 95% CI: -47.9 to -12.0; aMD = -21.2; 95% CI: -31.3 to -11.1; aMD = -5.1; 95% CI: -7.5 to -2.7) and group 3 (aMD = -18.3; 95% CI: -27.4 to -9.2; aMD = -26.9; 95% CI: -43.8 to -9.9; aMD = -21.4; 95% CI: -31.1 to -11.7; aMD = -5.9; 95% CI: -8.3 to -3.6) compared to group 1, respectively. However, high-density lipoproteins cholesterol in group 2 (aMD = 6.8; 95% CI: 2.9-10.7) and group 3 (aMD = 10.7; 95% CI: 7.2-14.7) increased remarkably compared to group 1. Overall, clinical outcomes improved significantly in all groups (p < 0.05). CONCLUSIONS: In general, the herbal mixture along with CC was found to improve free testosterone, HOMA-IR, lipid profile, and clinical features of PCOS women.
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In a study of 60 women, after three menstrual cycles, those who took an herbal mixture (spearmint, ginger, cinnamon, citrus) with or without CC exhibited substantial improvement in serum antioxidant concentrations, HOMA-IR, fasting blood glucose, and insulin levels compared to CC alone.
“After three menstrual cycles, the women who took the herbal mixture with or without the use of CC exhibited a substantial improvement in serum antioxidant concentrations, insulin resistance (HOMA-IR), fasting blood glucose, and insulin levels in relation to the group that used CC only.”
From Nutritional and herbal interventions for polycystic ovary syndrome (PCOS): a comprehensive review of dietary approaches, macronutrient impact, and herbal medicine in management (2025) · cites this paper as [207]
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- Authors
- Ainehchi, N., Khaki, A., Ouladsahebmadarek, E., Hammadeh, M., Farzadi, L., Farshbaf-Khalili, A., Asnaashari, S., Khamnei, H., Khaki, A. A., & Shokoohi, M.
- Affiliations
- Tabriz University of Medical Sciences (IR)
- Saarland University (DE)
- University of Tabriz (IR)
- Corresponding author
- Ouladsahebmadarek, Elaheh
- ORCID
- Venue
- Archives of Medical Science
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2020
- Volume
- 16
- Issue
- 6
- Pages
- 1304-1318
- ISSN
- 1734-1922 (ISSN-L)
- PMC
- PMC7667414
- OpenAlex
- W3007882296
- Cited by
- 31
- References
- 68
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 1 · 2019: 1
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Archives of Medical Science (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Funders
- National Science Foundation
- Iran National Science Foundation
- Ministry of Health and Medical Education
- Tabriz University of Medical Sciences (5.4.9505)
- University of Tabriz
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Keywords
- clomiphene citrate, herbal medicine, polycystic ovary syndrome, female infertility, insulin resistance, HOMA-IR, lipid profile, sex hormones, luteinizing hormone, follicle-stimulating hormone, free testosterone, thyroid hormones, combination therapy, ovulation induction, herbal medicine safety and efficacy, adverse effects, cost-effectiveness, quality of life
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