Evidence map›Paper›PMID 35943567›Full record

SynthesisArchives of gynecology and obstetrics2023

The optimal route of progesterone administration for luteal phase support in a frozen embryo transfer: a systematic review.

Abdulla Almohammadi, Ainharan Raveendran, Mairead Black, Abha Maheshwari

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Trial
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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

4 authors.

Abdulla AlmohammadiDepartment of Reproductive Medicine, Sidra Medicine Hospital, Doha, Qatar. abdulla.ibr@hotmail.com.ORCID http://orcid.org/0000-0002-8139-4843
Ainharan RaveendranDepartment of Obstetrics and Gynaecology, Aberdeen Royal Infirmary, Aberdeen Maternity Hospital, Aberdeen, UK.
Mairead BlackUniversity of Aberdeen, Aberdeen Maternity Hospital, Aberdeen Centre for Women's Health Research, Aberdeen, UK.
Abha MaheshwariAberdeen Fertility Centre, Aberdeen Maternity Hospital, Reproductive Medicine, Aberdeen, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the optimal route of progesterone administration for luteal phase support in a frozen embryo transfer.

designSystematic review. PATIENTS: Women undergoing frozen embryo transfer (FET).

interventionsWe conducted an extensive database search of Medline (PubMed), Embase, Web of Science, and Cochrane Trials Register using relevant keywords and their combinations to find randomized controlled trials (RCTs) comparing the routes (i.e., oral, vaginal, intramuscular) of progesterone administration for luteal phase support (LPS) in artificial FET.

main outcome measuresClinical pregnancy, live birth, miscarriage.

resultsFour RCTs with 3245 participants undergoing artificial endometrial preparation (EP) cycles during FET were found to be eligible. Four trials compared vaginal progesterone with intramuscular progesterone and two trials compared vaginal progesterone with oral progesterone. One study favored of vaginal versus oral progesterone for clinical pregnancy rates (RR 0.45, 95% CI 0.22-0.92) and other study favored intramuscular versus vaginal progesterone for clinical pregnancy rates (RR 1.46, 95% CI 1.21-1.76) and live birth rates (RR 1.62, 95% CI 1.28-2.05). Tabulation of overall evidence strength assessment showed low-quality evidence on the basis that for each outcome-comparison pair, there were deficiencies in either directness of outcome measurement or study quality.

conclusionThere was little consensus and evidence was heterogeneous on the optimal route of administration of progesterone for LPS during FET in artificial EP cycles. This warrants more trials, indirect comparisons, and network meta-analyses. PROPERO NO: CRD42021251017.

Indexed as

Luteal PhaseProgesteroneEmbryo TransferFemaleHumansLipopolysaccharidesPregnancyPregnancy RateLipopolysaccharidesProgesteroneFrozen embryo transferLive birthLuteal phase supportMiscarriageProgesterone

Identifiers

PMID35943567
PMCPMC10293378

What OpenQuestion holds

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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.