مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 183 (هفته اول اسفند 1394)

One of the major problems of medical science is infertility and reduced fertility. At least one of six couples is infertile. Male infertility is considered in 40% of infertility cases. Prevalence and importance of infertility and the attention of traditional medicine scholars to the causes of infertility and treatment of this problem which its main part is recipes can be helpful, because nutrition has many effects on human health. This study was performed with aim to evaluate the causes of infertility and recipes mentioned in traditional medicine books to prevent and treat male infertility beside modern medicine.
In this systematic review study, the main textbooks of traditional medicine such as Ghanoon in the section of male fertility disorders were evaluated according to the key words of infertility and nutrition, and the causes of male infertility were studied. Then, the causes of male infertility and its treatment in the books and articles of modern medicine were studied and the results were briefly compared.
Iranian traditional physicians have described several causes for infertility and have expressed different treatments depending on the cause. Among these, the role of nutrition is highlighted. The causes of this disorder in some cases is weakness, in some cases is weakness in main organs such as brain, heart, liver and testicles, and in some cases is the main organs's mizaj. Simple food regimes can be used for treatment of many cases, therefore, in this study, treatment and nutritional measures were obtained based on the cause.
The studies showed that viewpoints are similar in Traditional Medicine and Modern Medicine); in both viewpoints, the causes of infertility can be related to the reproductive system (testicles, tract, and penis), sometimes brain, liver and kidney dysfunction, and in some cases, sexual dysfunction may be involved in infertility. These similarities show the richness of Iranian medicine and need for attention to its therapy methods. According to the results, as the first step of treatment, the list of foods presented in this study can be used. This list can be recommended to the patients in medical centers.

Pain and duration of delivery are of the factors effective on maternal and neonatal outcomes of delivery. In conducted studies, reduced pain, fetal and maternal complications by the use of non-pharmaceutical methods are not reported. Therefore, this study was performed with aim to assess the effect of massage with sesame oil on pain and duration of delivery in primiparous women.
This experimental, clinical trial study was performed on 120 primiparous women referred to Abadan Taleghani hospital for delivery in 2012. 40 women were placed in case group (the recipients of massage with sesame oil), 40 in control group 1 (recipients of massage with liquid oil (placebo)), and 40 in control group 2 (recipients of routine care).For case group, 15 minutes regular and circular massage with sesame oil in the regions of scapula, two sides of vertebral column and sacrum in three stages of dilatation 4-5, 6-7, and 8-10 cm during and after contraction was performed by the first and second researchers, and after the end of pain and if the woman had tendency, the pressure was performed on sacrum or around the whole back and shoulders.Then, with the announcement of start of labor pain by the mother, pain score was determined based on the criteria of pain assessment by the mother and was recorded by the researcher. Data were analyzed using SPSS software (version16), variance analysis test, and Tukey ratio comparison test. P
In this study, massage with sesame oil significantly reduced the length of first, second and third stages of delivery (p Use of massage with sesame oil in addition to being a safe method without side effects, reduces the length of labor stages and decreases pain in all stages of delivery especially in third stage.

Back pain during pregnancy is a common condition which is often considered as an unavoidable problem. Exercise is one of the methods to reduce it and increase physical strength and flexibility. Physiobal is also one of the exercises; therefore, this study was performed with aim to evaluate the effect of one course of physioball selected exercise on low back pain, lordosis and performance (power and flexible) of lumbar-sacral region in pregnant women.
This quasi-experimental study and applicable in terms of goal was performed on 18 healthy pregnant women (in 5-8 months of pregnancy) with age range of 20-35 years and certain degree of back pain referred to the gynecology clinic of Mashhad Omol-Banin (sa) hospital in 2015. Variables were back pain, lordosis, lumbar muscle strength and flexibility. Physioball exercise lasted for 21 sessions, 3 days a week, 60 minutes each session which included 5 to 10 minutes of warm-up and then one ball was allocated to each participant and physioball exercise was performed. The severity of exercises increased based on the principle of overload and individual abilities of pregnant women. Data were analyzed using SPSS software (version 19) and Kolmogorov-Smirnov, Levan, repeated measure analysis of variance and covariance analysis test. p
According to the findings of this study, physioball exercises reduced back pain in pregnant women (p=0.020), also strength significantly increased (p=0.000), but had no effect on the amount of lordosis (p=0.072) and lateral flexibility (p=0.11).
The physioball selected exercises during pregnancy can be an effective method to increase the strength of lumbar-sacral muscles and reduce back pain in pregnant women. But it cannot affect the amount of lordosis because as pregnancy progresses, it leads to more weight gain and weight gain seems to be the main cause of lordosis. Also, physioball exercise has no flexible significant effect on lateral flexibility of lumbar-sacral muscles.