Evidence map›Paper›PMID 26820771›Full record

Trial reportFertility and sterility2016

Prospective evaluation of the impact of intermenstrual bleeding on natural fertility.

Natalie M Crawford, David A Pritchard, Amy H Herring, Anne Z Steiner

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Fertility and sterility, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01028365 (Time to Conceive), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01028365 completednot on this map

Time to Conceive: A Study of Fertility: Biomarkers of Fertility

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2008 to 2016Enrolled843ConditionsHealthyArmsNo intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Challenges and future directions in menstrual cycle research.Paediatric and perinatal epidemiology · 2020
    Article
  4. Pre-conception 25-hydroxyvitamin D (25(OH)D) and fecundability.Human reproduction (Oxford, England) · 2019
    Article
  5. Article
  6. 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

4 authors.

Natalie M CrawfordDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina. Electronic address: natalie_crawford@med.unc.edu.
David A PritchardDepartment of Biostatistics, University of North Carolina, Chapel Hill, North Carolina.
Amy H HerringDepartment of Biostatistics, University of North Carolina, Chapel Hill, North Carolina.
Anne Z SteinerDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Biomarkers of InfertilityR01HD067683 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STEINER, ANNE ZWEIFEL · 2011 to 2015
$2.7M
Time to ConceiveR21HD060229 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STEINER, ANNE ZWEIFEL · 2009 to 2010
$407k
NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD067683NICHD NIH HHS R21 HD060229
6 · The paper itself

Abstract

objectiveTo evaluate the impact of an episode of intermenstrual bleeding on the probability of conception in a menstrual cycle (fecundability).

designProspective, time-to-pregnancy cohort study.

settingCommunity-based cohort. PATIENT(S): Women trying to conceive, ages 30 to 44 years, without known infertility. INTERVENTION(S): Not applicable. MAIN OUTCOME MEASURE(S): Current cycle and subsequent cycle fecundability. RESULT(S): A total of 549 women provided 1,552 complete cycles for analysis. Intermenstrual and luteal bleeding were reported in 36% and 34% of cycles, respectively. Ninety-three percent of all intermenstrual bleeding was luteal. Cycles in which women had intermenstrual bleeding or luteal bleeding were statistically significantly less likely to result in conception (fecundability ratio [FR] 0.23; 95% confidence interval [CI], 0.16-0.34; and FR 0.22; 95% CI, 0.14-0.33). Women with an episode of intermenstrual and luteal bleeding had a statistically significant increase in the probability of pregnancy in the subsequent cycle (FR 1.61; 95% CI, 1.15-2.25; and FR 2.01; 95% CI, 1.52-2.87, respectively). CONCLUSION(S): Intermenstrual bleeding statistically significantly decreases the odds of conceiving in that cycle but does not appear to negatively impact a woman's immediate future reproductive potential. CLINICAL TRIAL REGISTRATION NUMBER: NCT01028365.

Indexed as

AdultCohort StudiesFemaleFertilityHumansMenstrual CycleMetrorrhagiaPregnancyProspective StudiesRisk FactorsTime-to-PregnancyBleedingfecundabilityintermenstrual bleedingluteal bleedingnatural fertility

Identifiers

PMID26820771
PMCPMC4853238

What OpenQuestion holds

Textmetadata
LicenceTDM
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.