Effect of a food supplement on sexual function in women with low sexual desire

ISRCTN ISRCTN12928573
DOI https://doi.org/10.1186/ISRCTN12928573
Secondary identifying numbers LBC-0001
Submission date
18/03/2019
Registration date
28/03/2019
Last edited
02/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Women with low sexual desire may have problems when starting or having stable sexual relationships, and they may feel unsatisfied and experience marital disorders. Studies have demonstrated that women with low desire, low excitement, or sexual pain are clearly associated with negative feelings regarding their physical and emotional satisfaction, as well as their happiness. In addition, women suffering from those problems tend to experience much more negative emotions and psychological states than women with normal sexual activity.
Our objective was to study the effect of an extract with natural components on women with low sexual desire.
In this study, the multi-ingredient food supplement, Libicare®, has shown an improvement in desire, arousal, lubrication, orgasm, and sexual satisfaction domains, with a clear increase in free testosterone numbers and a decrease in SHBG levels in postmenopausal women.

Who can participate?
Postmenopausal women aged ≥ 45 and ≤ 65 (no natural menses for at least 1 year), with a stable partner and at risk of sexual dysfunction according to score of validated questionnaire.

What does the study involve?
All women were included at routine clinical visits and were treated with 2 tablets of Libicare®, one every 12 hours, daily for 2 months (9 weeks). Libicare® is an oral food supplement containing dry extracts of Trigonella foenum graecum, Turnera diffusa, Tribulus terrestris, and Ginkgo biloba.

What are the possible benefits and risks of participating?
All the participants have been informed, before their inclusion, of the possible risks and benefits, and of all the aspects of the study and have signed an Informed Consent expressing their willingness to participate.
Possible benefits: improving in sexual function.
Possible risks: due to characteristics of Libicare ingredients important risks were not expected.

Where is the study run from?
Instituto Palacios de Salud y Medicina de la Mujer, Madrid, Spain

When is the study starting and how long is it expected to run for?
August 2017 to November 2018

Who is funding the study?
Procare Health SL

Who is the main contact?
Dr Danial Khorsandi, danialkhorsandi92@gmail.com

Contact information

Dr Danial Khorsandi
Scientific

Passeig del Ferrocarril 339
Castelldefels
2nd floor
Barcelona
08860
Spain

ORCiD logoORCID ID 0000-0002-5245-5555
Phone +34617772262
Email khorsandi.d@procarehealth.com

Study information

Study designObservational prospective non-controlled pilot study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participants information sheet.
Scientific titleEffect of a multi-ingredient based food supplement on sexual function in women with low sexual desire. Pilot study.
Study objectivesThe Libicare® food supplement will improve sexual function in women.
Ethics approval(s)No approval needed.
The pilot study that has been presented has been carried out following a well-defined protocol, and in accordance with the main premises of Good Clinical Practices and the Declaration of Helsinki.
Health condition(s) or problem(s) studiedFemale sexual dysfunction.
InterventionAll women were included at routine clinical visits and were treated with 2 tablets of Libicare®, one every 12 hours, daily for 2 months (9 weeks). Libicare® is an oral food supplement containing dry extracts of Trigonella foenum graecum, Turnera diffusa, Tribulus terrestris, and Ginkgo biloba. Libicare® is manufactured by Procare Health (Barcelona, Spain).

All participants were visited at baseline (initial visit) and after 9 weeks (final visit).
Primary variable: Total score of Female Sexual Function Index (FSFI) at 9 weeks vs baseline.
Secondary variables: FSFI score for each domain, and levels of free testosterone and sex hormone binding globulin at 9 weeks vs baseline.
Serum levels of free testosterone and sex hormone-binding globulin (SHBG) were measured in the LABCO Laboratory. SHBG was measured with chemiluminescent immunoassay Immulite 2000 XPi (Siemens Healthcare Diagnostics, Eschborn, Germany). The estimation of serum free testosterone hormone levels was carried out using the ELISA technique (The DiaMetra Italy kit (DKO-015))
Intervention typeSupplement
Primary outcome measureSexual function measured using Female Sexual Function Index (FSFI) at 9 weeks vs baseline.
Secondary outcome measures1. FSFI score for each domain at 9 weeks vs baseline.
2. Levels of free testosterone and sex hormone binding globulin at 9 weeks vs baseline.
Overall study start date01/05/2017
Completion date31/08/2019

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsThis is a pilot study in which 29 patients were included
Total final enrolment29
Key inclusion criteria1. Healthy, postmenopausal women (no natural menses for at least 1 year) aged ≥ 45 and ≤ 65. Hysterectomized patients should have an FSH level above 40 IU.
2. Stable partner, living together for at least 15 days a month and being sexually available.
3. Risk of sexual dysfunction established at FSFI score< 25.83.
4. Integrity of the vaginal mucosa (without lesions or bleeding).
5. Women willing to and capable of understanding and signing an informed consent after receiving an explanation on the nature of the whole study.
6. Consenting to participate in the study and signing the Informed Consent form.
7. No desire for pregnancy in the next 3 months.
Key exclusion criteria1. Pregnant women or with suspected pregnancy.
2. Within 3 months following delivery or abortion.
3. Breastfeeding women.
4. Women with severe pain in sexual relationships (DMS-V).
5. Non-diagnosed abnormal genital bleeding or presence of vaginal lesions.
6. Women with symptoms of vaginal infection or signs of any other genital infection.
7. Women allergic or hypersensitive to the components of the study treatment.
8. Severe psychiatric disorder.
9. Use of any hormonal treatment with estrogens, progestogens, or estrogens and progestogens within 3 previous months prior to selection.
10. Use of any other drug or experimental device within 30 days prior to selection.
• Any condition preventing the patient from participating in the study, at the researcher’s discretion.
Date of first enrolment01/07/2017
Date of final enrolment30/01/2018

Locations

Countries of recruitment

  • Spain

Study participating centre

Instituto Palacios de Salud y Medicina de la Mujer
Calle de Antonio Acuña, 9
Madrid
28009
Spain

Sponsor information

Instituto Palacios de Salud y Medicina de la Mujer
Hospital/treatment centre

Calle de Antonio Acuña 9
Madrid
28009
Spain

Phone 915 78 05 17
Email ipalacios@institutopalacios.com
Website https://institutopalacios.com/
ROR logo "ROR" https://ror.org/01kvepn75

Funders

Funder type

Industry

Procare Health SL

No information available

Results and Publications

Intention to publish date01/07/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planWe are going to publish a research paper in BMC woman's Health on July 2019
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 30/04/2019 02/05/2019 Yes No

Editorial Notes

02/05/2019: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.
29/03/2019: Internal review.
25/03/2019: Trial’s existence confirmed by Adknoma Health Research.