Evidence map›Paper›PMID 34154604›Full record

SynthesisReproductive biology and endocrinology : RB&E2021

Recombinant human luteinizing hormone co-treatment in ovarian stimulation for assisted reproductive technology in women of advanced reproductive age: a systematic review and meta-analysis of randomized controlled trials.

Alessandro Conforti, Sandro C Esteves, Peter Humaidan, Salvatore Longobardi, Thomas D'Hooghe, Raoul Orvieto, Alberto Vaiarelli, Danilo Cimadomo, Laura Rienzi, Filippo Maria Ubaldi and 2 more

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Reproductive biology and endocrinology : RB&E, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07691073 (The Impact of Ovarian Stimulation With hMG on Embryo Quality in Advanced Age Women. A Randomized Controlled Trial), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT07691073 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Ovarian Stimulation With hMG on Embryo Quality in Advanced Age Women. A Randomized Controlled Trial

TypeinterventionalSponsorFundacion DexeusRan2026 to 2029Enrolled240ConditionsInfertilityArms10 mcg of follitropin-delta + 150 of hMG, 5 mcg of follitropin-delta + 225 of hMG
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Introduction: luteinizing hormone for life's journey.Reproductive biology and endocrinology : RB&E · 2025
    Article
  12. The role of recombinant LH in ovarian stimulation: what's new?Reproductive biology and endocrinology : RB&E · 2025
    Review
  13. Pharmacogenomic of LH and its receptor: are we ready for clinical practice?Reproductive biology and endocrinology : RB&E · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 8 institutions in 6 countries.

Alessandro ConfortiUniversity of Naples Federico II, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy. alessandro.conforti@unina.it.ORCID http://orcid.org/0000-0002-5676-0055
Sandro C EstevesANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.
Peter HumaidanFaculty of Health, Aarhus University, Aarhus, Denmark.
Salvatore LongobardiMerck Serono S.p.A, Rome, Italy.
Thomas D'HoogheDepartment of Development and Regeneration, Biomedical Sciences Group, KU Leuven (University of Leuven), Merck, Leuven, Belgium.
Raoul OrvietoDepartment of Obstetrics and Gynecology, Chaim Sheba Medical Center, Ramat Gan, Israel.
Alberto VaiarelliClinica 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.
Laura RienziClinica Valle Giulia, G.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Filippo Maria UbaldiClinica Valle Giulia, G.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Fulvio ZulloUniversity of Naples Federico II, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Carlo AlviggiUniversity of Naples Federico II, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Clinica Valle Giulia · ITUniversity of Naples Federico II · ITAarhus University · DKFederico II University Hospital · ITMerck (Germany) · DEMerck Serono (Italy) · ITTel Aviv University · ILUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral studies suggest that luteinizing hormone (LH) could improve IVF outcome in women of advanced reproductive age by optimizing androgen production. In this review, we assessed the role of recombinant-human LH (r-hLH) and recombinant human follicle stimulating hormone (r-hFSH) co-treatment in ovarian stimulation for assisted reproductive technology in women of advanced reproductive age candidates for assisted reproduction. MATERIAL AND

methodsUsing a preregistered protocol we systematically searched Medline/PubMed, Scopus and the ISI Web of Science databases to identify randomized controlled trials in which r-hFSH monotherapy protocols were compared with r-hFSH/r-hLH co-treatment in women ≥35 years undergoing fresh IVF cycles. We calculated the pooled odds ratio (OR) for dichotomous data and the weight mean difference (WMD) for continuous data with an associated 95% confidence interval (CI). The meta-analyses were conducted using the random-effect model. P values < 0.05 were considered statistically significant. Subgroup analyses of all primary and secondary outcomes were performed only in women aged 35-40 years.

resultsTwelve studies were identified. In women aged between 35 and 40 years, r-hFSH/r-hLH co-treatment was associated with higher clinical pregnancy rates (OR 1.45, CI 95% 1.05-2.00, I

conclusionAlthough more oocytes were retrieved in patients who underwent r-hFSH monotherapy, this meta-analysis suggests that r-hFSH/r-hLH co-treatment improves clinical pregnancy and implantation rates in women between 35 and 40 years of age undergoing ovarian stimulation for assisted reproduction technology. However, more RCTs using narrower age ranges in advanced age women are warranted to corroborate these findings.

Indexed as

Reproductive Techniques, AssistedAdultCombined Modality TherapyFemaleHumansLuteinizing HormoneOvulation InductionRandomized Controlled Trials as TopicRecombinant ProteinsReproductionLuteinizing HormoneRecombinant ProteinsAdvanced reproductive ageAssisted reproductive technologyIn vitro fertilizationLuteinizing hormoneRecombinant luteinizing hormone

Identifiers

PMID34154604
PMCPMC8215738
OpenAlexW3175889818

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.