Evidence map›Paper›PMID 23433095›Full record

ArticleReproductive biology and endocrinology : RB&E2013

Can cycle day 7 FSH concentration during controlled ovarian stimulation be used to guide FSH dosing for in vitro fertilization?

Yaakov Bentov, Eliezer Burstein, Courtney Firestone, Ross Firestone, Navid Esfandiari, Robert F Casper

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07460674 (Serum FSH Levels During Controlled Ovarian Stimulation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 18% 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.

NCT07460674 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Serum FSH Levels During Controlled Ovarian Stimulation

TypeobservationalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2026 to 2030Enrolled500ConditionsFemale Subjects Undergoing Controlled Ovarian Hyperstimulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  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 at 5 institutions in 1 country.

Yaakov BentovToronto Centre for Advanced Reproductive Technology, Toronto, ON, Canada. ybentov@tcart.ca
Eliezer Burstein
Courtney Firestone
Ross Firestone
Navid Esfandiari
Robert F Casper
Mount Sinai Hospital · CACentre for Social Innovation · CALunenfeld-Tanenbaum Research Institute · CAOccupational Cancer Research Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen stimulating a patient with poor ovarian response for IVF, the maximal dose of gonadotropins injected is often determined by arbitrary standards rather than a measured response. The purpose of this study was to determine if serum FSH concentration during an IVF stimulation cycle reflects follicular utilization of FSH and whether serum FSH values may inform dose adjustments of exogenous FSH.

methodsIn this retrospective cross sectional study we studied 155 consecutive IVF cycles stimulated only with recombinant human FSH. We only included long GnRH agonist protocols in which endogenous FSH levels were suppressed. We correlated the serum concentration of cycle day (CD) 7 FSH with the number of oocytes retrieved, cleaving embryos and pregnancy rate.

resultsWe found that a CD7 FSH concentration above 22 IU/L was associated with poor response regardless of the daily dose of FSH injected and a lower pregnancy rate.

conclusionsWe concluded that CD7 FSH concentration during stimulation could be used to guide FSH dosing in poor responders. If the CD7 FSH concentration is above 22 IU/L increasing the dose of FSH in an attempt to recruit more growing follicles is unlikely to be successful.

Indexed as

AdultCross-Sectional StudiesFemaleFertilization in VitroFollicle Stimulating HormoneGonadotropin-Releasing HormoneHumansOvulation InductionRetrospective StudiesFollicle Stimulating HormoneGonadotropin-Releasing Hormone

Identifiers

PMID23433095
PMCPMC3607851
OpenAlexW2154167891

What OpenQuestion holds

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LicenceCC BY
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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.