Skip to main navigation menu Skip to main content Skip to site footer

Research Articles

Vol. 13 No. 2 (2026)

Ethnomedicinal plants used for treating dyspareunia in southern Pakistan

DOI
https://doi.org/10.14719/pst.11228
Submitted
10 August 2025
Published
26-03-2026 — Updated on 01-04-2026
Versions

Abstract

The current research is the first conducted to record the native remedial flora utilised by the occupants of southern areas of Pakistan for the curing of dyspareunia (painful sexual intercourse). For the contemporary study, an ethnomedicinal exploration of 3 chief rustic locations of southern regions (Thar Desert, Bahawalpur and Cholistan Desert) of Pakistan was conducted during January 2024 to February 2025. All through the current research, 20 curative flora belonging to 16 families were recognised. Lamiaceae was the chief family with 3 species. Likewise, the major life form was herbs (11 species). Similarly, the technique of formulation was decoction (11 species). The greatest value of informant consensus factor (ICF) was about 0.97 which enabled informants to attain orgasm. The maximum consensus index (CI) value was gained for Rosa gallica L. (98.4 %). Correspondingly, the maximum cultural significance index (CSI) was 52.4 for Nigella sativa L. Likewise, the uppermost value of relative frequency of citation for Tribulus terrestris L. was 0.56. The most used medicinal plants in the study area with 100 % FL were Cocos nucifera L., Cousinia stocksii C.Winkl., etc which were used to treat muscular pain along with contractions in the pelvic area, and to relieve aching feelings in non-penetrative sexual activity respectively. The current study recorded that 3 chief distant regions of southern areas of Pakistan have significant diversity of curative plants, for curing of dyspareunia (painful sexual intercourse). Therefore, the present research provides a base for further pharmacological and phytochemical investigation for the assessment of their bioactive compounds that might leads to innovative drug discovery.

References

  1. 1. Khadim S, Malik K, Qureshi R, Rehman S. Ethnogynecological study of traditional therapeutic plants used by the indigenous communities: A case study from District Gujrat Punjab, Pakistan. Ethn Res and App. 2023;26:1–23. http://doi.org/10.32859/era
  2. 2. Rehman S, Iqbal Z, Qureshi R, Younas M. Ethnomedicinal study of medicinal plants used by the inhabitants of tribal District North Waziristan, Khyber Pakhtunkhwa, Pakistan. Ethnobot. Res. Appl. 2023;26:1–32. http://doi.org/10.32859/era
  3. 3. Rehman S, Iqbal Z, Qureshi R, Ur Rahman I, Khan MA, Elshaer MM, et al. Ethnogynaecological knowledge of traditional medicinal plants used by the indigenous communities of north Waziristan, Pakistan. Evid Based Complement Altern Med. 2022; 2022(1):6528264. https://doi.org/10.1155/2022/6528264
  4. 4. Aziz A, Abbas Q, Azhar MF, Ali E, Perveen S, Ahmad HB, et al. Assessment of diversity and cultural importance of wild Plants in district Sargodha, Punjab, Pakistan. Ethnobot. Res. Appl. 2024;28:1–14. http://doi.org/10.32859/era.28.33.1-14
  5. 5. Tariq A, Mussarat S, Adnan M, Abd Allah EF, Hashem A, Alqarawi AA, et al. Ethnomedicinal evaluation of medicinal plants used against gastrointestinal complaints. Biomed Res Int. 2015;2015(1):892947. https://doi.org/10.1155/2015/892947
  6. 6. Sharif A, Shah NA, Rauf A, Hadayat N, Gul A, Nawaz G, et al. Ethnomedicinal uses of plants for various diseases in the remote areas of Changa Manga Forest, Pakistan. Braz J Biol. 2022;84:e255916. https://doi.org/10.1590/1519-6984.255916
  7. 7. Usman M, Ditta A, Ibrahim FH, Murtaza G, Rajpar MN, Mehmood S, et al. Quantitative ethnobotanical analysis of medicinal plants of high-temperature areas of Southern Punjab, Pakistan. Plants. 2021;10(10):1974. https://doi.org/10.3390/plants10101974
  8. 8. Omilani A. Ethnobotanical survey of the medicinal plants used in the treatment of sexually transmitted diseases in Ibadan, Oyo State, Nigeria. Sci Open Prep. 2021. https://doi.org/10.14293/S2199-1006.1.SOR-.PPH0HJ1.v1
  9. 9. Arora V, Mukhopadhyay S, Morris E. Painful sex (dyspareunia): a difficult symptom in gynecological practice. Obstet Gynaecol Reprod Med. 2020;30(9):269–75. https://doi.org/10.1016/j.ogrm.2020.06.001
  10. 10. Alizadeh A, Farnam F. Coping with dyspareunia, the importance of inter and intrapersonal context on women’s sexual distress: a population-based study. Reprod Health. 2021;18(1):161. https://doi.org/10.1186/s12978-021-01206-8
  11. 11. Sorensen J, Bautista KE, Lamvu G, Feranec J. Evaluation and treatment of female sexual pain: a clinical review. Cureus. 2018;10(3). https://doi.org/10.7759/cureus.2379
  12. 12. Del Forno S, Raspollini A, Doglioli M, Andreotti A, Spagnolo E, Lenzi J, et al. Painful sexual intercourse, quality of life and sexual function in patients with endometriosis: not just deep dyspareunia. Arch Gynecol Obstet. 2024;310(4):2091–100. https://doi.org/10.1007/s00404-024-07643-7
  13. 13. Facchin F, Buggio L, Dridi D, Barbara G, Vercellini P. The subjective experience of dyspareunia in women with endometriosis: a systematic review with narrative synthesis of qualitative research. Int J Environ Res Public Health. 2021;18(22):12112. https://doi.org/10.3390/ijerph182212112
  14. 14. Malik K, Ahmad M, Zafar M, Sultana S, Tariq A, Rashid N. Medicinal plants used for treatment of prevalent diseases in Northern Pakistan of Western Himalayas. In medicinal plants-use in prevention and treatment of diseases. Intech Open. 2019; https://doi.org/10.5772/intechopen.89932
  15. 15. Yaseen G, Ahmad M, Sultana S, Alharrasi AS, Hussain J, Zafar M. Ethnobotany of medicinal plants in the Thar Desert (Sindh) of Pakistan. J Ethnopharmacol. 2015;163, 43–59. https://doi.org/10.1016/j.jep.2014.12.053
  16. 16. Ali E, Azhar MF, Bussmann RW. Ethnobotanical inventory and medicinal applications of plants used by the local people of Cholistan desert, Pakistan. Ethnobot Res Appl. 2023;25. http://doi.org/10.32859/era.25.21.1-23
  17. 17. Anwar T, Qureshi H, Naeem H, Shahzadi S, Sehar Z, Hassan R. Exploration of the wild edible plants used for basic health care by local people of Bahawalpur and adjacent regions, Pakistan. Foods. 2023;12(19):3557. https://doi.org/10.3390/foods12193557
  18. 18. Haider S, Haq F, Kontakiotis G, Ahmad Z, Besiou E, Malik SM, et al. Spatiotemporal analysis of temperature variability and trends in the Cholistan desert, Pakistan: Implications for water management and sustainable development. Environ Earth Sci. 2025;84(22):665. https://doi.org/10.1007/s12665-025-12665-8
  19. 19. Anwar F, Mohsin M, Arshad S. A statistical survey on the socioeconomic and demographic livelihood of brick kiln workers: A case study of Bahawalpur district, Punjab, Pakistan. Proc Pak Acad Sci A. 2023;60(4):55–67. https://doi.org/10.53560/PPASA(60-4)826
  20. 20. Siddique Z, Ahmed HM, Hussein KN, Hassan KI, Meena BI. Herbal medicinal uses and their practices in human health care and livestock from district Haripur, Khyber Pakhtunkhwa, Pakistan. Vet Med Sci. 2022;8(6):2683–95. https://doi.org/10.1002/vms3.948
  21. 21. Khan M, Musharaf S. Ethnobotanical studies on plant resources of Sheikh Maltoon, district Mardan, Pakistan. J Med Plant Res. 2014;4. https://doi.org/10.5376/mpr.2014.04.0005
  22. 22. Iqbal M, Khan SM, Ahmad Z, Hussain M, Shah SN, Kamran S, et al. Vegetation classification of the margalla foothills, islamabad under the influence of edaphic factors and anthropogenic activities using modern ecological tools. Pak J Bot. (2021);53(5):1831–43.
  23. 23. Jan HA, Abidin SZU, Bhatti MZ, Ahmad L, Alghamdi AK, Alkreathy HM. Medicinal plants and related ethnomedicinal knowledge in the communities of Khadukhel Tehsil, Buner District, Pakistan. Sustainability. 2022;14(20):13077. https://doi.org/10.3390/su142013077
  24. 24. Hassan N, Nisar M, Kakar SUR, Hassan F, Zhiwei Z, Nong L, et al. Determination of informant consensus factor of medicinal plants used as therapy in district Dir Lower Pakistan. J Med Plants Stud. 2017;5(4):183–8.
  25. 25. Bekele M, Woldeyes F, Lulekal E, Bekele T, Demissew S. Ethnobotanical investigation of medicinal plants in Buska Mountain range, Hamar district, Southwestern Ethiopia. J Ethnobiol Ethnomed. 2022;18(1):1–26. https://doi.org/10.1186/s13002-022-00558-0
  26. 26. Shaheen H, Qureshi R, Qaseem MF, Amjad MS, Bruschi P. The cultural importance of indices: A comparative analysis based on the useful wild plants of Noorpur Thal Punjab, Pakistan. Eur J Integr Med European. 2017;12:27–34. https://doi.org/10.1016/j.eujim.2017.04.003
  27. 27. Ahmad M, Zafar M, Shahzadi N, Yaseen G, Murphey TM, Sultana S. Ethnobotanical importance of medicinal plants traded in Herbal markets of Rawalpindi-Pakistan. J Herb Med. 2018;11:78–89. https://doi.org/10.1016/j.hermed.2017.10.001
  28. 28. Umair M, Altaf M, Bussmann RW, Abbasi AM. Ethnomedicinal uses of the local flora in Chenab riverine area, Punjab province Pakistan. J Ethnobiol Ethnomed. 2019;15(1):7. https://doi.org/10.1186/s13002-019-0285-4
  29. 29. Sameen A, Sadia H, Sultana T, Khan K, Malik K, Shah H, et al. Ethnobotanical study of medicinal plants used for treatment of Diabetes in Southern Punjab, Pakistan. Ethnobot Res Appl. 2025;30:1–10. http://doi.org/10.32859/era
  30. 30. Amjad MS, Zahoor U, Bussmann RW, Altaf M, Gardazi SMH, Abbasi AM. Ethnobotanical survey of the medicinal flora of Harighal, Azad Jammu & Kashmir, Pakistan. J ethnobiol ethnomed. 2020;16(1):65. https://doi.org/10.1186/s13002-020-00417-w
  31. 31. Zareef H, Gul MT, Qureshi R, Aati H, Munazir M. Application of ethnobotanical indices to document the use of plants in traditional medicines in Rawalpindi district, Punjab-Pakistan. Ethnobot Res Appl. 2023;25:1–29. http://doi.org/10.32859/era
  32. 32. Ali M, Aldosari A, Tng DY, Ullah M, Hussain W, Ahmad M, et al. Traditional uses of plants by indigenous communities for veterinary practices at Kurram District, Pakistan. Ethnobot Res Appl. 2019;18:1–19. http://doi.org/10.32859/era.18.24.1-19
  33. 33. Lawal IO, Olufade II, Rafiu BO, Aremu AO. Ethnobotanical survey of plants used for treating cough associated with respiratory conditions in Ede South local government area of Osun State, Nigeria. Plants. 2020;9(5):647. https://doi.org/10.3390/plants9050647
  34. 34. Ahmad K, Ahmad M, Huber FK, Weckerle CS. Traditional medicinal knowledge and practices among the tribal communities of Thakht-e-Sulaiman Hills, Pakistan. BMC Complement Med Ther. 2021;21(1):230. https://doi.org/10.1186/s12906-021-03403-1
  35. 35. Umair M, Altaf M, Abbasi AM. An ethnobotanical survey of indigenous medicinal plants in Hafizabad district, Punjab-Pakistan. PloS one. 2017;12(6):e0177912. https://doi.org/10.1371/journal.pone.0177912
  36. 36. Meñiza JF, Pasco MM, Alimbon JA. A review of ethnobotanical studies reveals over 500 medicinal plants in Mindanao, Philippines. Plant Diversity. 2024;46(5):551–64. https://doi.org/10.1016/j.pld.2024.05.001
  37. 37. Mekonnen AB, Mohammed AS, Tefera AK. Ethnobotanical study of traditional medicinal plants used to treat human and animal diseases in Sedie Muja District, South Gondar, Ethiopia. Evid Based Complement Altern Med. 2022;2022(1):7328613. https://doi.org/10.1155/2022/7328613
  38. 38. Li T, Luo B, Tong Y, Wei G, Chai L, Hu R. Medicinal flora of the baiku yao people An ethnobotanical documentation in South China. BMC Complement Med Ther. 2024;24(1):242. https://doi.org/10.1186/s12906-024-04545-8
  39. 39. Huang W, Li P, Liu Y, Ju Y, Wang J, Ntumwel CB, et al. Ethnobotanical study on medicinal plants used by Li people in Ledong, Hainan Island, China. Acta Soc Bot Pol. 2016;85(1). https://doi.org/10.5586/asbp.3485
  40. 40. Huang SS, Huang CH, Ko CY, Chen TY, Cheng YC, Chao J. An ethnobotanical study of medicinal plants in Kinmen. Front Pharmacol. 2022;12:681190. https://doi.org/10.3389/fphar.2021.681190
  41. 41. Dery G, Dzitse S, Tom-Dery D. Ethnobotanical survey of medicinal plants in Sissala East municipality of the upper West region, Ghana. Phytomedicine Plus. 2023;3(3):100461. https://doi.org/10.1016/j.phyplu.2023.100461
  42. 42. Benamar K, Koraichi SI, Benamar S, Fikri-Benbrahim K. Ethnobotanical study of medicinal plants used by the population of Ain Chkef (North central Morocco). Ethnobot Res Appl. 2023;26:1–23. http://doi.org/10.32859/era.26.4.1-23
  43. 43. Jarić S, Kostić O, Miletić Z, Marković M, Sekulić D, Mitrović M, et al. Ethnobotanical and ethnomedicinal research into medicinal plants in the Mt Stara Planina region (south eastern Serbia, Western Balkans). J ethnobiol ethnomed. 2024;20(1):7. https://doi.org/10.1186/s13002-024-00647-2
  44. 44. Ayele AH, Seid A, Mekonnen AB, Adnew WW, Yemata G. Ethnobotanical study of the traditional use of medicinal plants used for treating human diseases in selected districts of West Gojjam zone, Amhara Region, Ethiopia. Phytomedicine Plus. 2024;4(3):100620. https://doi.org/10.1016/j.phyplu.2024.100620
  45. 45. Son MJ, Kim S, Kim YE, Kim BY, Yeum CS, Lee JC, et al. Clinical effectiveness of decoction form of herbal medicine in primary care treatment of allergic rhinitis: A retrospective cohort study. Integr Med Res. 2023;12(3):100973. https://doi.org/10.1016/j.imr.2023.100973
  46. 46. Bitwell C, Indra SS, Luke C, Kakoma MK. A review of modern and conventional extraction techniques and their applications for extracting phytochemicals from plants. Scientific African. 2023;19:e01585. https://doi.org/10.1016/j.sciaf.2023.e01585
  47. 47. Lee IH, Lee HS, Kang K, Park SI, Kwon TW, Moon SJ, et al. Influence of decoction duration of FDY2004 on its physicochemical components and antioxidant and antiproliferative activities. Nat Prod.Commun. 2020;15(10):1934578X20968437. https://doi.org/10.1177/1934578X20968437
  48. 48. Hussain W, Badshah L, Ullah M, Ali M, Ali A, Hussain F. Quantitative study of medicinal plants used by the communities residing in Koh-e-Safaid Range, northern Pakistani-Afghan borders. J ethnobiol ethnomed. 2018;14(1):30. https://doi.org/10.1186/s13002-018-0229-4
  49. 49. Wei Y, Jiang N, Liu T, Liu C, Xiao W, Liang L, et al. The comparison of extraction methods of ganjiang decoction based on fingerprint, quantitative analysis and pharmacodynamics. Chinese Medicine. 2020;15(1):81. https://doi.org/10.1186/s13020-020-00355-5
  50. 50. Emre G, Dogan A, Haznedaroglu MZ, Senkardes I, Ulger M, Satiroglu A, et al. An ethnobotanical study of medicinal plants in Mersin (Turkey). Front Pharmacol. 2021;12:664500. https://doi.org/10.3389/fphar.2021.664500
  51. 51. Ullah I, Akhtar S, Adnan M, Nawab J, Ullah S, Abdullah-Al-Wadud M. Ethnobotanical knowledge and ethnomedicinal uses of plant resources by urban communities of Khyber Pakhtunkhwa, Pakistan: a novel urban ethnobotanical approach. J Ethnobiol Ethnomed. 2025;21(1):13. https://doi.org/10.1186/s13002-025-00766-4
  52. 52. Ghafouri S, Safaeian R, Ghanbarian G, Lautenschläger T, Ghafouri E. Medicinal plants used by local communities in southern Fars Province, Iran. Scientific Reports. 2025;15(1):5742. https://doi.org/10.1038/s41598-025-88341-5
  53. 53. Muthukrishnan S, Ramachandran A. Ethnobotanical study of the medicinal plants used by rural communities in the foothill villages of the Alagar Hills region, Eastern Ghats, Tamil Nadu, India. Ethnobot Res Appl. 2025;30:1–41. http://doi.org/10.32859/era
  54. 54. Shariat U, Hussain W, Nasim S, Ahmad S, Khan S, Faisal S, et al. Ethnobotanical documentation of medicinal flora traditionally used for pediatric diseases in Khar, district Bajaur, Khyber Pakhtunkhwa, Pakistan. Ethnobot Res Appl. 2025;30:1–19. http://doi.org/10.32859/era
  55. 55. Gul H, Anwar I, Ibrar KU, Hussain A, Fazal M. Ethnobotanical study of indigenous medicinal plants of district Swabi, Khyber Pakhtunkhwa, Pakistan. Pak J Weed Sci Res. 2025;31(2):90. https://doi.org/10.17582/journal.PJWSR/2024/31.2.90.103
  56. 56. Ullah S, Badshah L, Ali A, Muhammad N. Quantitative assessment and status of ethnomedicinal plants of Sheen Ghar Valley, Dir Lower, Khyber Pakhtunkhwa, Pakistan. Plant Sci Today. 2020;7(1):17–22. https://doi.org/10.14719/pst.2020.7.1.625
  57. 57. Mukaila YO, Ajao AAN. Analysis and survey of medicinal plants used by the indigenous people of Ede, Osun State, Nigeria. Plant Biosyst. 2025;159(1):121–32. https://doi.org/10.1080/11263504.2024.2446842
  58. 58. Gangurde VV, Kalarikkal VW, Rahangdale DY, Krishna N, Nagayya S, Bandi V, et al. Traditional medicinal plants used by ethnic communities in Senapati and Kangpokpi districts of Manipur, India: a quantitative assessment. Discover Plants. 2025;2(1):82. https://doi.org/ 10.1007/s44372-025-00141-3
  59. 59. Anwar T, Qureshi H, Shahzadi S, Siddiqi EH, Ali HM, Abdelhamid MM, et al. Exploring the benefits of wild plants in dietary nutrition: investigating perspectives, choices, health impacts and sustainable practices. BMC Complement. Med Ther. 2024;24(1):86. https://doi.org/10.1186/s12906-024-04379-4
  60. 60. Mohammadi H, Saghaian S. Factors affecting consumption of different forms of medicinal plants: The case of licorice. Agriculture. 2022;12(9):1453. https://doi.org/10.3390/agriculture12091453
  61. 61. Tefera Y, Lulekal E, Warkineh B. Human–forest interaction of useful plants in the W of Ayzurish Forest, North Showa Zone, Ethiopia: cultural significance index, conservation, and threats. J Ethnobiol Ethnomed. 2025;21(1):16. https://doi.org/10.1186/s13002-025-00759-3
  62. 62. Lulesa F, Alemu S, Kassa Z, Awoke A. Ethnobotanical investigation of medicinal plants utilized by indigenous communities in the Fofa and Toaba sub-districts of the Yem Zone, Central Ethiopian Region. J Ethnobiol Ethnomed. 2025;21(1):1–50. https://doi.org/10.1186/s13002-025-00768-2
  63. 63. Kacholi DS. Ethnobotanical study of medicinal herbs used by the Luguru tribe against various human ailments in Morogoro rural district, Tanzania. Sci World J. 2025;2025(1):6134739. https://doi.org/10.1155/tswj/6134739
  64. 64. Chaachouay N, Benkhnigue O, Fadli M, El Ibaoui H, Zidane L. Ethnobotanical and ethnopharmacological studies of medicinal and aromatic plants used in the treatment of metabolic diseases in the Moroccan Rif. Heliyon. 2019;5(10). https://doi.org/10.1016/j.heliyon.2019.e02191
  65. 65. Bencheikh N, Elbouzidi A, Baraich A, Bouhrim M, Azeroual A, Addi M, et al. Ethnobotanical survey and scientific validation of liver-healing plants in northeastern Morocco. Front Pharmacol. 2024;15:1414190. https://doi.org/10.3389/fphar.2024.1414190
  66. 66. Elhasnaoui A, Janah I, El-Haidani A, Lahrach N. Medicinal knowledge and ethnopharmacological applications of Matricaria pubescens (Desf.) Sch. Bip in the Draa-tafilalet region, Morocco. Ethnobot Res Appl. 2025;30:1–9. http://doi.org/10.32859/era.30.62.1-9

Downloads

Download data is not yet available.