Evidence map›Paper›PMID 34164348›Full record

ArticleResearch and reports in urology2021

Evaluating the Combination of Human Chorionic Gonadotropin and Clomiphene Citrate in Treatment of Male Hypogonadotropic Hypogonadism: A Prospective Study.

The Son Trinh, Nguyen Ba Hung, Le Thi Thu Hien, Ngo Anh Tuan, Dinh Cong Pho, Quan Anh Dung, Duc Anh Do, Ha Duc Quang, Hoang Van Ai, Pham Ngoc Hung

Open access · goldAbstract read
In one paragraph

Article in Research and reports in urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

10 authors at 2 institutions in 1 country.

The Son TrinhMilitary Institute of Clinical Embryology and Histology, Vietnam Military Medical University, Hanoi, Vietnam.ORCID 0000-0002-3807-9645
Nguyen Ba HungAndrology and Fertility Hospital of Hanoi - AF Hanoi, Hanoi, Vietnam.
Le Thi Thu HienAndrology and Fertility Hospital of Hanoi - AF Hanoi, Hanoi, Vietnam.
Ngo Anh TuanDepartment of Health Economics, Vietnam Military Medical University, Hanoi, Vietnam.ORCID 0000-0001-9468-2134
Dinh Cong PhoDepartment of Infection Control, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam.ORCID 0000-0002-0810-8521
Quan Anh DungFaculty of Medicine, Vietnam Military Medical University, Hanoi, Vietnam.ORCID 0000-0001-5699-230X
Duc Anh DoFaculty of Medicine, University of Medical Sciences of Revolutionary Armed Force (UCIMED de Las FAR), Marianao, Havana, Cuba.ORCID 0000-0002-7493-4717
Ha Duc QuangAndrology and Fertility Hospital of Hanoi - AF Hanoi, Hanoi, Vietnam.
Hoang Van AiMilitary Institute of Clinical Embryology and Histology, Vietnam Military Medical University, Hanoi, Vietnam.
Pham Ngoc HungDepartment of Epidemiology, Vietnam Military Medical University, Hanoi, Vietnam.ORCID 0000-0002-5458-8001
Vietnam Military Medical University · VNVinmec International Hospital · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we evaluated MHH patients who wished to preserve fertility, assessing the efficacy of a short course (12 months) of a combined hCG +clomiphene citrate. MATERIALS AND

methodsThe cross-sectional study included 19 patients with hypogonadotropic hypogonadism who were admitted to the Andrology and Fertility Hospital of Hanoi between March 2016 and March 2018. Using hCG every three days in combination with clomiphene citrate 25mg per day until normal testosterone levels are reached, maintain the dose until spermatozoa are present.

resultsThe mean age was 30.2 ± 5.6. Differences in penis length between the time before and after treatment were significant (p=0.005). The average dose of hCG using in our study was 5579 ± 1773.7 IU. After treatment 6 months and 12 months, the changes in clinical features in all patients and the total hypogonadotropic hypogonadism group were statistically significant (p<0.001). In particular, the differences in testosterone hormone levels in the partial hypogonadotropic hypogonadism group were also statistically significant (p=0.03). No adverse event was observed in our study. The number of patients appearing sperm in the semen is 9 patients (47.4%) after 12 months, but most of the sperm were completely deformed (<1%), and the average motility in the progressive motility group was below 8%.

conclusionIn conclusion, a combination of hCG and clomiphene citrate may be an option for MHH patients who desired fertility. After 12 months, 47.4% of patients have sperm in semen but almost all of them were deformity. Hormone profile and secondary sexual characteristics improved significantly. There was no adverse event in our study that considered it as safe therapy.

Indexed as

CCclomiphene citratehCGhuman chorionic gonadotropinmale hypogonadotropic hypogonadismMHHpartial hypogonadotropic hypogonadismpartital HHtotal HHtotal hypogonadotropic hypogonadismtreatment

Identifiers

PMID34164348
PMCPMC8214562
OpenAlexW3167249606

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.