Evidence map›Paper›PMID 30842755›Full record

ReviewFrontiers in endocrinology2019

Advanced Maternal Age in IVF: Still a Challenge? The Present and the Future of Its Treatment.

Filippo Maria Ubaldi, Danilo Cimadomo, Alberto Vaiarelli, Gemma Fabozzi, Roberta Venturella, Roberta Maggiulli, Rossella Mazzilli, Susanna Ferrero, Antonio Palagiano, Laura Rienzi

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 95 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 6 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.

NCT06154083 phase4recruitingnot on this mapstarted 2023, after this paper: background citation

The Impact of Ovarian Stimulation Intensity on Embryo Euploidy in Advanced Age Women

TypeinterventionalSponsorFundación Santiago Dexeus FontRan2023 to 2026Enrolled110ConditionsFertilityArmsFollitropin-delta (Rekovelle) 20 mcg/day from D1, Follitropin-delta (Rekovelle) 15 mcg/day from D1
NCT06528340 completednot on this mapstarted 2025, after this paper: background citation

Study of Pregnancies Outcomes in Advanced Maternal Age Women

Typeobservational_patient_registrySponsorCentro di Ricerca Clinica SalentinoRan2025 to 2026Enrolled1,000ConditionsAdvanced Maternal Age Pregnancy, Premature, Labor Complication, Delivery ComplicationArmsspontaneous delivery
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  18. Indications for Micro-Injection of Sperm in Assisted Reproduction: A Consensus Statement.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
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35 more citing papers are in PubMed but not listed here.

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

10 authors.

Filippo Maria UbaldiClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Danilo CimadomoClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Alberto VaiarelliClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Gemma FabozziClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Roberta VenturellaDepartment of Experimental and Clinical Medicine, University Magna Græcia of Catanzaro, Catanzaro, Italy.
Roberta MaggiulliClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Rossella MazzilliClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Susanna FerreroClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.
Antonio PalagianoDepartment of Gynecological, Obstetrical and Reproductive Sciences, University of Campania Luigi Vanvitelli, Caserta, Italy.
Laura RienziClinica Valle Giulia, G.en.e.r.a. Centers for Reproductive Medicine, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced maternal age (AMA; >35 year) is associated with a decline in both ovarian reserve and oocyte competence. At present, no remedies are available to counteract the aging-related fertility decay, however different therapeutic approaches can be offered to women older than 35 year undergoing IVF. This review summarizes the main current strategies proposed for the treatment of AMA: (i) oocyte cryopreservation to conduct fertility preservation for medical reasons or "social freezing" for non-medical reasons, (ii) personalized controlled ovarian stimulation to maximize the exploitation of the ovarian reserve in each patient, (iii) enhancement of embryo selection via blastocyst-stage preimplantation genetic testing for aneuploidies and frozen single embryo transfer, or (iv) oocyte donation in case of minimal/null residual chance of pregnancy. Future strategies and tools are in the pipeline that might minimize the risks of AMA through non-invasive approaches for embryo selection (e.g., molecular analyses of leftover products of IVF, such as spent culture media). These are yet challenging but potentially ground-breaking perspectives promising a lower clinical workload with a higher cost-effectiveness. We also reviewed emerging experimental therapeutic approaches to attempt at restoring maternal reproductive potential, e.g., spindle-chromosomal complex, pronuclear or mitochondrial transfer, and chromosome therapy.

Indexed as

advanced maternal ageembryo selectionoocyte cryopreservationoocyte donationovarian stimulationsingle embryo transfer

Identifiers

PMID30842755
PMCPMC6391863

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.