Evidence mapPaperPMID 39606509Full record

ReviewCureus2024

Role of In Vitro Fertilization (IVF) in Unexplained Infertility Management: A Systematic Review.

Nadin A Mahabbat, Taghreed A Khan, Maad F Elyas, Ahmed A Mahabbat, Ayman M Oraif

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

5 authors.

Nadin A MahabbatDepartment of Obstetrics and Gynecology, King Abdulaziz Medical City, Women's Health Hospital, Riyadh, SAU.
Taghreed A KhanDepartment of Obstetrics and Gynecology, Heraa General Hospital, Mecca, SAU.
Maad F ElyasDepartment of Obstetrics and Gynecology, International Medical Center, Jeddah, SAU.
Ahmed A MahabbatMedicine, Ibn Sina National College, Jeddah, SAU.
Ayman M OraifDepartment of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unexplained infertility presents a significant reproductive challenge globally, affecting couples who are unable to conceive despite comprehensive fertility evaluations. This condition carries emotional, physical, and economic burdens, with a moderate to high prevalence, underscoring the need for effective interventions. In vitro fertilization (IVF) has emerged as a crucial treatment option for unexplained infertility, offering a unique approach to conception when traditional diagnostic tests fail to identify specific causes. However, the efficacy, safety, and comparative benefits of IVF in this context warrant comprehensive evaluation through systematic reviews. A systematic review was conducted to assess the effectiveness and outcomes of IVF in cases of unexplained infertility. Inclusion criteria encompassed peer-reviewed studies focusing on human subjects diagnosed with unexplained infertility and evaluating IVF outcomes. Comprehensive searches were performed across electronic databases, and eligible studies were selected based on predetermined criteria. Data extraction was conducted independently by two researchers, and quality assessment was performed using standardized tools. The search yielded 10 studies comprising 73,884 patients, published between 2000 and 2021. Variability in methodological quality was observed across randomized controlled trials, while cohort studies demonstrated consistently high quality. Studies assessed outcomes like pregnancy success rate (46.2-47.9%), live birth rates (29.4-49%), time to pregnancy (9-14 months), cost-effectiveness, and adverse events such as ovarian hyperstimulation syndrome. Elective single embryo transfer (eSET) was found effective, and donor oocytes had higher live birth rates than autologous cycles. Multiple gestations and canceled IVF cycles were common. The systematic review underscores the complexity of IVF treatment for unexplained infertility, with variability in outcomes influenced by multiple factors. Strategies such as eSET and donor oocyte cycles show promise in optimizing treatment efficacy and safety. However, challenges such as heterogeneity, moderate to high risk of bias across studies, and cost considerations warrant careful interpretation and further research.

Indexed as

embryo transferinfertility managementin vitro fertilizationtreatmentunexplained infertility

Identifiers

PMID39606509
PMCPMC11600464

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.