Evidence map›Paper›PMID 41670932›Full record

SynthesisEndocrine2026

Female infertility and long-term cardiovascular risk: a systematic review and meta-analysis.

Christina Polymeropoulou, Nikoletta Mili, Eleni Armeni, Elina Siliogka, Areti Augoulea, Irene Lambrinoudaki

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Endocrine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Christina PolymeropoulouSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Nikoletta MiliSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Eleni ArmeniSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Elina SiliogkaSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Areti AugouleaSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Irene LambrinoudakiSecond Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece. ilambrinoudaki@med.uoa.gr.ORCID 0000-0003-1488-2668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between a personal history of infertility and the risk for future cardiovascular disease (CVD) and related manifestations like coronary heart disease (CHD), cerebrovascular disease and heart failure in women. We also considered the potential influence of exposure to assisted reproductive technology (ART) on the risk of future CVD.

methodsThis systematic review and meta-analysis of 22 studies, registered in PROSPERO (CRD42023420300), followed PRISMA guidelines. Pooled odds ratios (OR) and hazard ratios (HR) were calculated using Mantel-Haenszel and inverse variance methods, while heterogeneity was evaluated using I². Sensitivity analyses were performed to explore the impact of study design.

resultsWe observed that women with infertility compared to controls had a higher risk of incident CVD (infertile vs controls: 178,828 vs 3,398,781; HR = 1.14, 95% CI 1.12-1.16; I² = 89%), CHD (HR=1.17, 95% CI 1.12-1.23; I² = 0%), and cerebrovascular events (HR=1.16, 95% CI 1.11-1.21; I²=73%). Exposure to ART was associated with a higher risk of overall CVD across five studies (HR = 1.17, 95% CI 1.11–1.24; I² = 96%) and with increased incident stroke across four studies (HR = 1.12, 95% CI 1.03–1.23; I² = 60%), whereas no significant association was observed with CHD. However, some of the estimates were heterogenous, which limits certainty and causal inference. DISCUSSION: Women with infertility compared with controls had higher pooled estimates for incident CVD, CHD and cerebrovascular events. However, these estimates were heterogeneous (I² up to 99%), which limits certainty and precludes causal inference.

Indexed as

Cardiovascular DiseasesInfertility, FemaleFemaleHumansReproductive Techniques, AssistedRisk FactorsAssisted reproduction techniquesCardiovascular diseaseCoronary heart diseaseInfertilityStroke

Identifiers

PMID41670932
PMCPMC12894145

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.