Evidence map›Paper›PMID 30728019›Full record

SynthesisReproductive biology and endocrinology : RB&E2019

The role of recombinant LH in women with hypo-response to controlled ovarian stimulation: a systematic review and meta-analysis.

Alessandro Conforti, Sandro C Esteves, Francesca Di Rella, Ida Strina, Pasquale De Rosa, Alessia Fiorenza, Fulvio Zullo, Giuseppe De Placido, Carlo Alviggi

Erratum issued 2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Reproductive biology and endocrinology : RB&E, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 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.

NCT07121751 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Optimal Stimulation of Hypo-responders Undergoing IVF: a Prospective, Randomized, Controlled Trial

TypeinterventionalSponsorDunamenti REK Istenhegyi IVF CenterRan2025 to 2027Enrolled150ConditionsHypo-responder, Infertility (IVF Patients), OVARIAN STIMULATIONArmsuse of combination of recombinant FSH and recombinant LH, higher dose recFSH, unchanged dose
NCT07632300 narecruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety of Biphasic IVM in Low Prognosis Patients Classified as Poseidon Group 1A

TypeinterventionalSponsorMỹ Đức HospitalRan2026 to 2027Enrolled25ConditionsHealthy Adult Females, Healthy Adult MaleArmsBiphasic-IVM
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  18. Introduction: luteinizing hormone for life's journey.Reproductive biology and endocrinology : RB&E · 2025
    Article
  19. The role of recombinant LH in ovarian stimulation: what's new?Reproductive biology and endocrinology : RB&E · 2025
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alessandro ConfortiDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy. confale@hotmail.it.ORCID http://orcid.org/0000-0002-5676-0055
Sandro C EstevesANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.
Francesca Di RellaDepartment of Senology, Medical Oncology, National Cancer Institute, IRCCS "Fondazione G.Pascale", Naples, Italy.
Ida StrinaDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Pasquale De RosaDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Alessia FiorenzaUnit of Obstetrics and Gynaecology, Department of Experimental and Clinical Medicine, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Fulvio ZulloDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Giuseppe De PlacidoDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Carlo AlviggiDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the role of recombinant human LH supplementation in women with hypo-response to ovarian stimulation.

methodsWe performed a systematic review and meta-analysis of prospective clinical trials in which recombinant FSH monotherapy protocols were compared with LH-supplemented protocols in hypo-responders. A search was conducted of the Scopus, MEDLINE databases without time or language restrictions. Primary outcome was clinical pregnancy rate.

resultsSignificantly higher clinical pregnancy rates (odds ratio: 2.03, P = 0.003), implantation rates (odds ratio: 2.62, P = 0.004) and number of oocytes retrieved (weight mean differences: 1.98, P = 0.03) were observed in hypo-responders supplemented with recombinant LH versus hypo-responders who underwent FSH monotherapy. No differences in terms of mature oocytes or miscarriage rates were found between the two groups.

conclusionIn conclusion, our analysis confirms that women with a hypo-response to exogenous gonadotropins might benefit from LH supplementation. However, more trials are required before a definitive conclusion can be drawn.

Indexed as

Clinical Trials as TopicEmbryo ImplantationFemaleFollicle Stimulating HormoneGonadotropinsHumansLuteinizing HormoneOvulation InductionPregnancyPregnancy RateProspective StudiesRecombinant ProteinsFollicle Stimulating HormoneGonadotropinsLuteinizing HormoneRecombinant ProteinsAssisted reproductive technologiesHypo-respondersIn vitro fertilizationLHOvulation inductionRecombinant LH

Identifiers

PMID30728019
PMCPMC6366097

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.