Evidence map›Paper›PMID 38867686›Full record

ArticleJournal of the Turkish German Gynecological Association2024

Impact of stimulation with luteinizing hormone activity on IVF outcomes in patients with polycystic ovary syndrome.

Nir Kugelman, Amrita Pooni, Keren Rotshenker-Olshinka, Véronique Bellemare, Alyson Digby, Michael H Dahan

Abstract read
In one paragraph

Article in Journal of the Turkish German Gynecological Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nir KugelmanDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0000-0002-2473-7408
Amrita PooniDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0009-0009-0389-9182
Keren Rotshenker-OlshinkaDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0000-0003-3070-8619
Véronique BellemareDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0000-0001-6201-4959
Alyson DigbyDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0000-0002-6827-2825
Michael H DahanDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University Faculty of Medicine, Montreal, Canada.ORCID 0000-0002-8121-7708

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare in-vitro fertilization (IVF) outcomes in polycystic ovary syndrome (PCOS) patients treated with follicle stimulating hormone (FSH) alone or FSH and luteinizing hormone (LH), under freeze-all gonadotropin-releasing hormone (GnRH) antagonist protocols. Material and Methods: This retrospective study at a university center included PCOS patients, who underwent freeze-all GnRH antagonist IVF cycles between January 2013 and December 2019. They were divided into FSH-only and FSH + LH groups, focusing on pregnancy and live birth rates. Results: The study included 82 patients: 43 received FSH + LH and 39 FSH only. Baseline characteristics were similar, except for higher thyroid stimulating hormone levels in the FSH-only group. The FSH + LH group required a lower mean ± standard deviation total dose of FSH (1271.5±376.7 vs. 1407.2±645.3 IU, p=0.02), had a shorter mean cycle length (7.3±3.4 vs. 8.3±1.6 days, p=0.004), and had a higher mean number of follicles stimulated (36.9±15.9 vs. 35.9±9.7, p=0.008) compared to the FSH-only group. No significant differences in pregnancy and live birth rates were noted at first transfer, but the cumulative live birth rate was significantly higher in the FSH-only group [30 of 39 (76.9%) vs. 24 of 43 (55.8%), p=0.044]. Conclusion: LH supplementation in PCOS patients undergoing GnRH antagonist IVF protocols may impair cumulative live birth rates, despite lowering FSH requirement and reducing IVF cycle length. These results highlight the complex role of LH in IVF outcomes for PCOS patients, suggesting a need for further large studies to fully understand the impact of LH in such treatments.

Indexed as

fertilization in vitro outcomeluteinizing hormone treatmentovarian stimulationPolycystic ovary syndrome

Identifiers

PMID38867686
PMCPMC11576635

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.