“…Also clinical findings about its galactagogue activity (Di Pierro, Callegari, Carotenuto, & Tapia, 2008) and ovulatory effect in women with PCO (Taher, Atia, & Amin, 2012) shows its effect on female sex hormones. Serotonergic (Rossmanith & Ruebberdt, 2009) and noradrenergic (Osuchowski, Johnson, He, & Sharma, 2004) pathways and opioid receptors (Malekinejad, Taheri‐Broujerdi, Moradi, & Tabatabaie, 2011; Malekshah & Khaleghian, 2019) are other involved pathways in hot flashes which may be modulated by S. marianum (Imenshahidi, Rezaee, Mostofi, & Karimi, 2011; Solati, Yaghmaei, & Mohammdadi, 2012; Yaghmaei, Oryan, Mohammadi, & Solati, 2012). The effect on these receptors can also justify the good effect of this production on improving sleep, mood and other aspects of psychological condition in this study which measured by GCS and HFRDIS.…”