Ekstrak kulit buah delima yang mengandung asam elagat saat ini sedang dikembangkan menjadi terapi alternatif sebagai pengganti hormon untuk wanita pascamenopause. Asam elagat memiliki aktifitas estrogen pada tikus yang di ovariektomi. Namun belum diketahui apakah kandungan ekstrak kulit buah delima dapat memberikan efek estrogenik pada wanita pascamenopause. Oleh karena itu dilakukan penelitian untuk menilai pengaruh efek estrogenik pada kulit buah delima terhadap wanita pascamenopause.
Hipotesis penelitian ini adalah ekstrak kulit buah delima dapat memperbaiki keluhan klimakterik, kadar hormon estradiol dan FSH pada wanita pascamenopause. Penelitian ini merupakan uji klinik acak terkontrol,plasebo, buta ganda, paralel, pada 30 subyek wanita pascamenopause. Subyek menerima kapsul placebo atau ekstrak kulit buah delima 1100mg/hari selama 8 minggu. Sebelum dan sesudah perlakuan dilakukan pemeriksaan terhadap subyek penelitian wawancara keluhan klimkaterik menggunakan questioner Menopause Rating Scale/MRS serta pemeriksaan hormon estradiol dan FSH.
Penelitian ini menunjukkan bahwa pemberian ekstrak kulit buah delima dapat memperbaiki keluhan klimakterik terutama keluhan psikologikal, serta terdapat kecenderungan perbaikan kadar hormon estradiol dan FSH pada wanita pascamenopause, tidak ditemukan kejadian tidak diharapkan dan perubahan parameter laboratorium pada seluruh subyek penelitian. Dari penelitian ini dapat diambil kesimpulan bahwa ekstrak kulit buah delima dapat bersifat sebagai fitoestrogen pada wanita pascamenopause dan bersifat aman.
Pomegranate (Punica granatum L.) peel extract contain elagat acid currently being developed as an alternative as hormone replacement therapy for postmenopausal women. Elagat acid has been proved estrogen activity on ovariectomized rats. However, it has not been discovered yet whether extract pomegranate (Punica granatum L.) peel could provide estrogenic effects on postmenopausal women. Therefore this study to assess the effect of estrogenic effects on the pomegranate (Punica granatum L.) peel for postmenopausal women.
The hypothesis of this study is the pomegranate peel extract could improve climacteric complaints, estradiol and FSH hormone levels in postmenopausal women. This study is a randomized, controlled clinical trial, placebo, double blind, parallel, on 30 subjects postmenopausal women. Subjects receiving placebo or 1100mg / day capsules of pomegranate (Punica granatum L.) peel extract for 8 weeks. An interview using a Menopause Rating Scale / MRS questionnaire and examinations of hormones estradiol and FSH were conducted before and after the treatment carried out.
This study showed that administration of pomegranate (Punica granatum L.) peel extract can improve climacteric complaints, especially psychological complaints, and there was a tendency of estradiol and FSH hormone levels improvement to postmenopausal women, there were no such unexpected events and changes in laboratory parameters in all study subjects. From this study, we could stated that pomegranate (Punica granatum L.) peel extract could safely act as phytoestrogens in postmenopausal women.