Evidence map›Paper›PMID 29430154›Full record

ArticleJournal of human reproductive sciences

Repeat Dose of Gonadotropin-releasing Hormone Agonist Trigger in Polycystic Ovarian Syndrome Undergoing

Krishna Deepika, Pookilath Baiju, Praneesh Gautham, Rathore Suvarna, Vohra Arveen, Rao Kamini

Abstract read
In one paragraph

Article in Journal of human reproductive sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Krishna DeepikaDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.
Pookilath BaijuDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.
Praneesh GauthamDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.
Rathore SuvarnaDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.
Vohra ArveenDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.
Rao KaminiDepartment of Reproductive Medicine, Milann, The Fertility Center, (A Unit of BACC Healthcare Pvt Ltd.), Bengaluru, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIs a single dose of gonadotropin-releasing hormone agonist (GnRHa) trigger to induce final oocyte maturation in polycystic ovarian syndrome (PCOS) undergoing

designThis is a prospective, randomized, double-blind, proof-of-concept study.

settingThis study was carried out at a tertiary care center. MATERIAL AND

methodsA total of 125 patients diagnosed with PCOS defined as per the ESHRE/ASRM Rotterdam criteria (2003) undergoing IVF in antagonist protocol were randomized into two groups. Group A: single dose of GnRHa 0.2 mg, 35 h prior to oocyte retrieval, and Group B: 0.2 mg GnRHa 35 h prior to oocyte retrieval + repeat dose of 0.1 mg 12 h following the 1 STATISTICAL ANALYSIS: Continuous variables were expressed as mean ± standard deviation and categorical variables as proportions where applicable. Independent sample

main outcome measuresPrimary outcome: maturity rate of the oocytes. Secondary outcomes: oocyte yield, fertilization rate, availability of good quality embryos on day 3, blastocyst conversion, OHSS rates, post-trigger serum LH (IU/L), FSH (IU/L), and P4 (ng/mL) levels implantation rate and clinical pregnancy rate.

resultsA higher number of mature (metaphase II) oocytes were obtained in Group B compared to Group A (OR of 0.47; CI: 0.38-0.57;

conclusionsA repeat dose of GnRHa trigger 12 h following the first dose probably by maintaining a sustained level of gonadotropins yielded a better maturity of oocytes, higher number of blastocysts, and a trend towards higher clinical pregnancy than a single dose in PCOS patients undergoing IVF in antagonist cycles.

Indexed as

Gonadotropin-releasing hormone agonist triggergonadotropin-releasing hormone antagonistmature oocytes (metaphase II)polycystic ovarian syndromerepeat dose

Identifiers

PMID29430154
PMCPMC5799931

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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.