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Background and Objective: The results of surgical treatment, successfulness and methods of evaluation in gender dysphoria are highly variable. This study was done to determine the status of sexual function in patients with impaired gender identity after sexual re-assignment male to female surgery.
Methods: This cross-sectional study, conducted on 40 patients referred to surgery clinic in Tehran during 2014-2015. Female sexual function index (FSFI) questionnaire was used to assess the status of sexual function.
Results: Ninety- five percent of patients had a healthy sexual desire and arousal. Also, 75%, 55.4% and 27.5% of patients had satisfaction, moisture content and good orgasm, respectively. The pain was tolerable in 25% of cases; however, in terms of overall sexual function, only 12.5% of patients had a satisfactory sexual performance. The relationship between education, occupation, residence and previous history of mental illness with sexual function was not significant. Also, 42.9% of patients who had not desirable sexual performance, had a history of drug abuse, and all these subjects reported desirable sexual performance.
Conclusion: Sexual function in cases that have undergone surgery was not suitable. Sexual pain and anorgasmia were important factors in this condition.

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Background and Objective: Many studies have been done on the effects of ginseng and green tea on inflammatory factors and liver enzymes, but no research has yet studied the comparative effects of ginseng and green tea extracts with Pomeol Breuler on C-reactive protein (CRP) and liver enzymes in hyperlipidemic rats. This study was done to evaluate the effects of ginseng and green tea extracts in comparison with Pomeol Bruler on CRP and liver enzymes in hyperlipidemic rats.
Methods: In this experimental study, 42 male Wistar rats were randomly allocated into 7 groups. Animals in group 1 (control group) received a normal diet. The experimental groups 2-7 received a high-fat diet for a month. The groups were treated with the extract for 8 weeks and by intraperitoneal injection. Groups 1 and 2 received 77.5 mg/kg/day and 155 mg/kg/day green tea extract, respectively. Groups 3 and 4 received 103.3 mg/kg/day and 206.6 mg/kg/day ginseng extract, respectively. Group 5 received 0.16 g/kg/day of Pomeol Bruler, and group 6 received green tea extract (155 mg/kg/day) and ginseng extract (206.6 mg/kg/day). At the end of the treatment, the level of CRP and liver enzymes including aspartate transaminase (AST) and alanine transaminase (ALT) were measured.
Results: The level of CRP was significantly reduced in the rats treated with ginseng, green tea, and Pomeol Bruler compared with the control group (P<0.05). The level of AST and ALT did not differ significantly between the ginseng, green tea, Pomeol Bruler, and control groups.
Conclusion: The combined use of ginseng and green tea with Pomeol Breuler for 8 weeks may reduce inflammatory factors but does not affect liver enzymes.