Evidence map›Paper›PMID 21586137›Full record

SynthesisReproductive biology and endocrinology : RB&E2011

Dehydroepiandrosterone (DHEA) supplementation in diminished ovarian reserve (DOR).

Norbert Gleicher, David H Barad

2 registry-linked trialsOpen access · goldAbstract readEvaluation StudySystematic Review
In one paragraph

Synthesis in Reproductive biology and endocrinology : RB&E, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 83 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 5 pooled it
20.8field-weighted citation impact, top 1% of its field
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.

NCT01915186 nacompletednot on this map

A Randomized Controlled Trial on the Effect of Dehydroepiandrosterone (DHEA) Supplementation on Ovarian Reserve Markers, Response to a Standard Low Dose FSH Stimulation and IVF Cycle Outcomes in Patients With Normal and Poor Ovarian Reserve

TypeinterventionalSponsorThe University of Hong KongRan2010 to 2013Enrolled104ConditionsFemale Infertility Due to Diminished Ovarian ReserveArmsDihydroepiandrosterone (DHEA)
NCT02432248 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Effect of Dehydroepiandrosterone on Live Birth Rate in Subfertile Patients With Poor Ovarian Responds

TypeinterventionalSponsorThe Affiliated Hospital of Inner Mongolia Medical UniversityRan2015 to 2024Enrolled350ConditionsSubfertilityArmsDehydroepiandrosterone, placebo(medical starch)
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 5 syntheses or guidelines pooled it, 228 citations in OpenAlex.

  1. Pooled it
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  14. Current radiopharmaceuticals · 2024
    Review
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  18. Should Dehydroepiandrosterone Be Administered to Women?The Journal of clinical endocrinology and metabolism · 2022
    Review
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  20. Article

23 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Norbert GleicherCenter for Human Reproduction (CHR) and Foundation for Reproductive Medicine, New York, NY, USA. ykizawa@thechr.com
David H Barad
Albert Einstein College of Medicine · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith infertility populations in the developed world rapidly aging, treatment of diminished ovarian reserve (DOR) assumes increasing clinical importance. Dehydroepiandrosterone (DHEA) has been reported to improve pregnancy chances with DOR, and is now utilized by approximately one third of all IVF centers world-wide. Increasing DHEA utilization and publication of a first prospectively randomized trial now warrants a systematic review.

methodsPubMed, Cochrane and Ovid Medline were searched between 1995 and 2010 under the following strategy: [<dehydroepiandrosterone or DHEA or androgens or testosterone > and <ovarian reserve or diminished ovarian reserve or ovarian function >]. Bibliographies of relevant publications were further explored for additional relevant citations. Since only one randomized study has been published, publications, independent of evidence levels and quality assessment, were reviewed.

resultsCurrent best available evidence suggests that DHEA improves ovarian function, increases pregnancy chances and, by reducing aneuploidy, lowers miscarriage rates. DHEA over time also appears to objectively improve ovarian reserve. Recent animal data support androgens in promoting preantral follicle growth and reduction in follicle atresia. DISCUSSION: Improvement of oocyte/embryo quality with DHEA supplementation potentially suggests a new concept of ovarian aging, where ovarian environments, but not oocytes themselves, age. DHEA may, thus, represent a first agent beneficially affecting aging ovarian environments. Others can be expected to follow.

Indexed as

AnimalsCell CountDehydroepiandrosteroneFemaleFertility Agents, FemaleHormone Replacement TherapyHumansOvaryPregnancyPrimary Ovarian InsufficiencyRandomized Controlled Trials as TopicDehydroepiandrosteroneFertility Agents, Female

Identifiers

PMID21586137
PMCPMC3112409
OpenAlexW2035042809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.