Evidence map›Paper›PMID 33059886›Full record

Trial reportFertility and sterility2021

Lifestyle modifications alone or combined with hormonal contraceptives improve sexual dysfunction in women with polycystic ovary syndrome.

Marissa Steinberg Weiss, Andrea Hsu Roe, Kelly C Allison, William C Dodson, Penny M Kris-Etherton, Allen R Kunselman, Christy M Stetter, Nancy I Williams, Carol L Gnatuk, Stepanie J Estes and 4 more

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

Trial report in Fertility and sterility, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00704912 (Treatment of Hyperandrogenism vs. Insulin Resistance in Infertile PCOS Women), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 13% 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.

NCT00704912 phase2completednot on this map

Treatment of Hyperandrogenism vs. Insulin Resistance in Infertile PCOS Women

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2008 to 2014Enrolled217ConditionsPolycystic Ovary SyndromeArmsOrlistat/Meal Replacement/Lifestyle Modification, Loestrin 1/20, Combination of treatments
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Article
  8. Article
  9. Sexual dysfunction in women with PCOS: a case control study.Human reproduction (Oxford, England) · 2023
    Observational
  10. Female sexual behavior is disrupted in a preclinical mouse model of PCOS via an attenuated hypothalamic nitric oxide pathway.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  11. Impact of infertility duration on female sexual health.Reproductive biology and endocrinology : RB&E · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Marissa Steinberg WeissDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Andrea Hsu RoeDivision of Family Planning, Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Kelly C AllisonDepartment of Psychology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
William C DodsonDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
Penny M Kris-EthertonDepartment of Nutritional Sciences, Penn State College of Health and Human Development, University Park, Pennsylvania.
Allen R KunselmanDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Christy M StetterDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Nancy I WilliamsDepartment of Kinesiology, Penn State College of Health and Human Development, University Park, Pennsylvania.
Carol L GnatukDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
Stepanie J EstesDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
David B SarwerCenter for Obesity Research and Education, Temple University College of Public Health, Philadelphia, Pennsylvania.
Christos CoutifarisDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Richard S LegroDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Anuja DokrasDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: adokras@pennmedicine.upenn.edu.
Pennsylvania State University · USUniversity of Pennsylvania · USPenn State Milton S. Hershey Medical Center · USTemple University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
PROJECT 3 - Steroid-Metabolic Interactions In the Control of GnRH NeuronsU54HD028934 · NICHD · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI MARSHALL, JOHN C · 1998 to 2013
$16.5M
Treatment of Hyperandrogenism vs. Insulin Resistance in Infertile PCOS WomenR01HD056510 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2008 to 2012
$3.1M
MIGRATION AND URBAN FERTILITYR01HD029834 · NICHD · YALE UNIVERSITY · PI GUINNANE, TIMOTHY W · 1995 to 1997
–
NCATS NIH HHS UL1 TR000127NICHD NIH HHS R01 HD029834NICHD NIH HHS R01 HD056510NICHD NIH HHS U54 HD028934
6 · The paper itself

Abstract

objectiveTo describe the prevalence of female sexual dysfunction in a well-defined polycystic ovary syndrome (PCOS) population, and to assess the impact of common PCOS treatments on sexual function.

designSecondary analysis of a randomized controlled trial, oral contraceptive pills and weight loss in PCOS.

settingTwo academic medical centers. PATIENTS: Women with PCOS (N = 114) defined by the Rotterdam criteria.

interventionsContinuous oral contraceptive pill (OCP) or intensive lifestyle modification (Lifestyle) or the combination (Combined) for 16 weeks.

main outcome measuresChange in Female Sexual Function Index (FSFI) and Female Sexual Distress Scale-Revised (FSDS-R) scores after 16 weeks.

resultsThere was no change in total FSFI or FSDS-R score in any treatment group; however, an increase in the FSFI desire domain subscore was observed in the Lifestyle and Combined treatments, indicating improved sexual desire over the 16-week period. Overall, 33 participants (28.9%) met criteria for sexual dysfunction by FSFI criteria (baseline score ≤26.55). Among this group, FSFI score improved after 16 weeks of Lifestyle and Combined treatments. There was no change in prevalence of sexual dysfunction in treatment groups at 16 weeks. Use of OCPs did not alter FSFI scores. CONCLUSION(S): Female sexual dysfunction is highly prevalent among women with PCOS. Our findings suggest that common treatments for PCOS, including intensive lifestyle modification and the combination of intensive lifestyle modification and OCPs, have the potential to improve sexual function in these women; the mechanism for these improvements is likely multifactorial. CLINICAL TRIAL REGISTRATION NUMBER: NCT00704912.

Indexed as

Risk Reduction BehaviorAdultBody Mass IndexCombined Modality TherapyContraceptives, Oral, HormonalFemaleHumansLibidoObesityPolycystic Ovary SyndromeSexual Dysfunction, PhysiologicalWeight LossContraceptives, Oral, Hormonalfemale sexual dysfunctionlifestyle modificationoral contraceptive pillsPolycystic ovary syndrome

Identifiers

PMID33059886
PMCPMC10132366
OpenAlexW3091779884

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.