Cited by 31Ovarian function and disordersReproductive Health and TechnologiesEndometriosis Research and Treatment

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

Open access
Ainehchi, Nava, Khaki, Arash, Ouladsahebmadarek, Elaheh, Hammadeh, Mohamad, Farzadi, Laya, Farshbaf-Khalili, Azizeh, Asnaashari, Solmaz, Khamnei, Hossein +2 more·2020·Archives of Medical Science

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.5114/aoms.2020.93271

Cites

68 of 68 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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]

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

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
Venue
Archives of Medical Science
Published
2020
Volume
16
Issue
6
Pages
1304-1318
ISSN
1734-1922 (ISSN-L)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review