Evidence map›Paper›PMID 28089575›Full record

Trial reportFertility and sterility2017

Association of uterine fibroids and pregnancy outcomes after ovarian stimulation-intrauterine insemination for unexplained infertility.

Aaron K Styer, Susan Jin, Dan Liu, Baisong Wang, Alex J Polotsky, Mindy S Christianson, Wendy Vitek, Lawrence Engmann, Karl Hansen, Robert Wild and 12 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Fertility and sterility, 2017. 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The epidemiology and pathogenesis of uterine fibroids.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Literature Review on the Role of Uterine Fibroids in Endometrial Function.Reproductive sciences (Thousand Oaks, Calif.) · 2018
    Review
  12. Review
  13. 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

22 authors at 17 institutions in 2 countries.

Aaron K StyerDepartment of Obstetrics, Gynecology, and Reproductive Biology, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts. Electronic address: astyer@mgh.harvard.edu.
Susan JinDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Dan LiuDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Baisong WangShanghai, Jiao Tong University, Shanghai, People's Republic of China.
Alex J PolotskyDepartment of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado.
Mindy S ChristiansonDepartment of Obstetrics and Gynecology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Wendy VitekDepartment of Obstetrics and Gynecology, University of Rochester School of Medicine, Rochester, New York.
Lawrence EngmannDepartment of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, Connecticut.
Karl HansenDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Robert WildDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
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, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Randal D RobinsonDepartment of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, 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.
Alicia ChristyDivision of Women's Reproductive Health, US Department of Veteran's Affairs, Washington, DC.
Michael P DiamondDepartment of Obstetrics and Gynecology, Augusta University, Augusta, Georgia.
Esther EisenbergThe Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland.
Heping ZhangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado.
National Institute of Child Health and Human Development Reproductive Medicine Network
Yale University · USUniversity of Colorado Denver · USUniversity of Oklahoma Health Sciences Center · USAugusta University · USBrown University · USEunice Kennedy Shriver Center · USHarvard University · USJohns Hopkins University · USPennsylvania State University · USShanghai Jiao Tong University · CNThe University of Texas Health Science Center at San Antonio · USUConn Health · USUF Health Shands Hospital · USUnited States Department of Veterans Affairs · USUniversity of Pennsylvania · USUniversity of Rochester · USUniversity of Vermont · US

Funding

Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
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 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 investigate the association of non-cavity-distorting uterine fibroids and pregnancy outcomes after ovarian stimulation-intrauterine insemination (OS-IUI) in couples with unexplained infertility.

designSecondary analysis from a prospective, randomized, multicenter clinical trial investigating fertility outcomes after OS-IUI.

settingReproductive Medicine Network clinical sites. PATIENT(S): Nine hundred couples with unexplained infertility who participated in the Assessment of Multiple Intrauterine Gestations from Ovarian Stimulation (AMIGOS) clinical trial. INTERVENTION(S): Participants were randomized to one of three arms (clomiphene citrate, letrozole, or gonadotropins), and treatment was continued for up to four cycles or until pregnancy was achieved. MAIN OUTCOMES MEASURE(S): Conception (serum hCG increase), clinical pregnancy (fetal cardiac activity), and live birth rates. RESULT(S): A total of 102/900 participants (11.3%) had at least one documented fibroid and a normal uterine cavity. Women with fibroids were older, more likely to be African American, had a greater uterine volume, lower serum antimüllerian hormone levels, and fewer antral follicles than women without fibroids. In conception cycles, clinical pregnancy rates were significantly lower in participants with fibroids than in those without uterine fibroids. Pregnancy loss before 12 weeks was more likely in African American women with fibroids compared with non-African American women with fibroids. There was no difference in conception and live birth rates in subjects with and without fibroids. CONCLUSION(S): No differences were observed in conception and live birth rates in women with non-cavity-distorting fibroids and those without fibroids. These findings provide reassurance that pregnancy success is not impacted in couples with non-cavity-distorting fibroids undergoing OS-IUI for unexplained infertility. CLINICAL TRIAL REGISTRATION NUMBER: NCT01044862.

Indexed as

Insemination, ArtificialAbortion, SpontaneousAdultBlack or African AmericanDrug Therapy, CombinationFemaleFertilityFertility AgentsHumansInfertilityLeiomyomaLive BirthOvulationOvulation InductionPregnancyPregnancy RateFertility AgentsIntrauterine inseminationovarian stimulationpregnancyunexplained infertilityuterine fibroids

Identifiers

PMID28089575
PMCPMC5472203
OpenAlexW2573004001

What OpenQuestion holds

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LicenceTDM
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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.