Evidence map›Paper›PMID 26949110›Full record

Trial reportFertility and sterility2016

Predictors of pregnancy and live-birth in couples with unexplained infertility after ovarian stimulation-intrauterine insemination.

Karl R Hansen, Amy Linnea W He, Aaron K Styer, Robert A Wild, Samantha Butts, Lawrence Engmann, Michael P Diamond, Richard S Legro, Christos Coutifaris, Ruben Alvero and 8 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled 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 NCT01044862 (Assessment of Multiple Intrauterine Gestations From Ovarian Stimulation), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
12.8field-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.

NCT01044862 phase3completednot on this map

Assessment of Multiple Intrauterine Gestations From Ovarian Stimulation

TypeinterventionalSponsorYale UniversityRan2010 to 2014Enrolled900ConditionsPregnancy, Unexplained InfertilityArmsLetrozole (aromatase inhibitor), Clomiphene Citrate, Follicle Stimulating Hormone (gonadotropin)
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Optimizing outcomes in intrauterine insemination: A narrative synthesis of two decades of clinical research (2000-2024).International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  7. Article
  8. Observational
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  12. Article
  13. Review
  14. Observational
  15. Article
  16. Article
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  19. Article
  20. Inequities in Medically Assisted Reproduction: a Scoping Review.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 12 institutions in 1 country.

Karl R HansenDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address: karl-hansen@ouhsc.edu.
Amy Linnea W HeDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Aaron K StyerDepartment of Obstetrics, Gynecology, and Reproductive Biology, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts.
Robert A WildDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Samantha ButtsDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.
Lawrence EngmannDepartment of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut.
Michael P DiamondDepartment of Obstetrics and Gynecology, Georgia Regents University, Augusta, Georgia.
Richard S LegroDepartment of Obstetrics and Gynecology, Pennsylvania State University, Hershey, Pennsylvania.
Christos CoutifarisDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.
Ruben AlveroDepartment of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado.
Randal D RobinsonDepartment of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, Texas.
Peter CassonDepartment of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont.
Gregory M ChristmanDepartment of Obstetrics and Gynecology, Shands Hospital, University of Florida, Gainesville, Florida.
Hao HuangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado.
Esther EisenbergEunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Heping ZhangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Eunice Kennedy Shriver National Institute of Child Health and Human Development Reproductive Medicine Network
Yale University · USUniversity of Colorado Denver · USUniversity of Oklahoma Health Sciences Center · USUniversity of Pennsylvania · USAugusta University · USEunice Kennedy Shriver Center · USHarvard University · USPennsylvania State University · USThe University of Texas Health Science Center at San Antonio · USUF Health Shands Hospital · USUniversity of Connecticut · USUniversity of Vermont · US

Funding

Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
Testosterone-GnRH Frequency and the Evolution of PCOS in AdolescenceP50HD028934 · NICHD · UNIVERSITY OF VIRGINIA · PI HAISENLEDER, DANIEL J. · 2014 to 2018
$8.6M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1990 to 2017
$5.2M
GHSU/WSU Cooperative Reproductive Medicine NetworkU10HD039005 · NICHD · WAYNE STATE UNIVERSITY · PI DIAMOND, MICHAEL PETER · 2000 to 2017
$5.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038992 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2000 to 2017
$5.0M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038998 · NICHD · UNIVERSITY OF COLORADO DENVER · PI POLOTSKY, ALEX JOEL · 2000 to 2015
$2.6M
The Clinical Research/Reproductive Scientist Training Program (CREST)R25HD075737 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Nanette F. Santoro · 2013 to 2026
$2.3M
Cooperative Multicenter Reproductive Medicine Network (U10)U10HD055936 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, YOLANDA R · 2007 to 2014
$2.1M
The Utility of Empiric Medical Treatment of Infertile Oligo-asthenospermic MenU10HD055944 · NICHD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MCGEE, ELIZABETH A · 2007 to 2013
$2.1M
Letrozole Therapy for IVF/ET: Effects on Multiple Pregnancy and Treatment BurdenU10HD055942 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ROBINSON, RANDAL D. · 2007 to 2015
$1.7M
Luteal Progesterone Supplementation in Clomiphene Citrate-IUI CyclesU10HD077680 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HANSEN, KARL RICHARD · 2013 to 2017
$1.5M
NICHD NIH HHS P50 HD028934NICHD NIH HHS R25 HD075737NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD038992NICHD NIH HHS U10 HD038998NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925NICHD NIH HHS U10 HD055936NICHD NIH HHS U10 HD055942NICHD NIH HHS U10 HD055944NICHD NIH HHS U10 HD077680
6 · The paper itself

Abstract

objectiveTo identify baseline characteristics of couples that are likely to predict conception, clinical pregnancy, and live birth after up to four cycles of ovarian stimulation with IUI in couples with unexplained infertility.

designSecondary analyses of data from a prospective, randomized, multicenter clinical trial investigating pregnancy, live birth, and multiple pregnancy rates after ovarian stimulation-IUI with clomiphene citrate, letrozole, or gonadotropins.

settingOutpatient clinical units. PATIENT(S): Nine-hundred couples with unexplained infertility who participated in the Assessment of Multiple Intrauterine Gestations from Ovarian Stimulation clinical trial. INTERVENTION(S): As part of the clinical trial, treatment was randomized equally to one of three arms and continued for up to four cycles or until pregnancy was achieved. MAIN OUTCOME MEASURE(S): Conception, clinical pregnancy, and live-birth rates. RESULT(S): In a multivariable logistic regression analysis, after adjustment for other covariates, age, waist circumference, income level, duration of infertility, and a history of prior pregnancy loss were significantly associated with at least one pregnancy outcome. Other baseline demographic and lifestyle characteristics including smoking, alcohol use, and serum levels of antimüllerian hormone were not significantly associated with pregnancy outcomes. CONCLUSION(S): While age and duration of infertility were significant predictors of all pregnancy outcomes, many other baseline characteristics were not. The identification of level of income as a significant predictor of outcomes independent of race and education may reflect differences in the underlying etiologies of unexplained infertility or could reveal disparities in access to fertility and/or obstetrical care. CLINICAL

trial registrationNCT01044862.

Indexed as

Live BirthAdultFemaleHumansInfertility, FemaleInfertility, MaleInsemination, ArtificialMaleOvulation InductionPredictive Value of TestsPregnancyPregnancy OutcomeProspective Studiesintrauterine inseminationovarian stimulationpredictorspregnancyUnexplained infertility

Identifiers

PMID26949110
PMCPMC4893990
OpenAlexW2292674967

What OpenQuestion holds

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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.