Evidence map›Paper›PMID 38073223›Full record

ArticleTurkish journal of obstetrics and gynecology2023

What is the effect of sildenafil citrate intake on women undergoing assisted reproduction? A systematic review and meta-analysis of randomized controlled trials.

Saeed Baradwan, Mohammed Abuzaid, Majed Saeed Alshahrani, Hussein Talal Sabban, Waleed H Alkhamis, Ehab Badghish, Ammar Y Alkhiary, Ibtihal Abdulaziz Bukhari, Abdullah Alyousef, Osama Alomar and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of obstetrics and gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Vasodilators for women undergoing fertility treatment.The Cochrane database of systematic reviews · 2025
    Pooled it
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

11 authors at 8 institutions in 1 country.

Saeed BaradwanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.ORCID 0000-0003-0427-8758
Mohammed AbuzaidDepartment of Obstetrics and Gynecology, Muhayil General Hospital, Muhayil, Saudi Arabia.ORCID 0000-0001-5528-4037
Majed Saeed AlshahraniDepartment of Obstetrics and Gynecology, Faculty of Medicine, Najran University, Najran, Saudi Arabia.ORCID 0000-0001-9718-6371
Hussein Talal SabbanDepartment of Obstetrics and Gynecology, Faculty of Medicine at Rabigh, King Abdulaziz University, Rabigh, Saudi Arabia.ORCID 0000-0003-4560-8194
Waleed H AlkhamisDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia.ORCID 0000-0003-1774-2388
Ehab BadghishDepartment of Obstetrics and Gynecology, Maternity and Children Hospital, Makkah, Saudi Arabia.ORCID 0000-0001-8983-0585
Ammar Y AlkhiaryDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.ORCID 0009-0008-6489-6906
Ibtihal Abdulaziz BukhariDepartment of Obstetrics and Gynecology, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.ORCID 0000-0002-8267-5874
Abdullah AlyousefDepartment of Obstetrics and Gynecology, King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.ORCID 0009-0004-1218-3964
Osama AlomarDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0003-4715-9396
Ahmed Abu-ZaidCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID 0000-0003-2286-2181
King Faisal Specialist Hospital & Research Centre · SAAlfaisal University · SAKing Abdulaziz Hospital · SAKing Abdulaziz University · SAKing Saud Medical City · SAMaternity and Children's Hospital · SANajran University · SAPrincess Nourah bint Abdulrahman University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Assisted reproductive technologies (ART) have become a vital option for women facing fertility challenges. One of the potential interventions being explored is the use of sildenafil citrate (SC) to improve clinical outcomes in ART procedures. The aim of this study was to assess the impact of SC on clinical outcomes in women undergoing ART. A comprehensive literature search was conducted using multiple databases, including PubMed, Scopus, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials. The search covered studies from inception until April 15, 2023, and identified relevant randomized controlled trials (RCTs) for inclusion in the analysis. The endpoints were summarized as risk ratio (RR) or standardized mean difference (SMD) with 95% confidence interval (CI). After meticulous analysis, twenty-eight RCTs comprising 3,426 women were included in the study. The results revealed significant findings regarding the impact of SC on clinical pregnancy (CP) rates. Women receiving SC demonstrated a significantly higher probability of CP compared to the control group (n=21 RCTs, RR=1.43; 95% CI: 1.29, 1.59). Additionally, when SC was combined with other medications like clomiphene citrate (CC) or estradiol valerate, it further improved the likelihood of CP compared to these medications alone (RR=1.35, 95% CI: 1.19, 1.53; RR=1.55, 95% CI: 1.08, 2.22, respectively). Furthermore, the study observed that the mean endometrial thickness (ET) was significantly higher in women who received SC compared to the control group, which involved other active interventions or placebo (SMD=0.77, 95% CI: 0.20, 1.34). Particularly, the administration of SC resulted in a notably higher ET level compared to the placebo (SMD: 1.33, 95% CI: 0.15, 2.51). The findings suggest that luteal supplementation of SC can be considered a beneficial approach to enhance ET and improve the CP rate in women undergoing ART.

Indexed as

Assisted reproduction technologychemical pregnancyclinical pregnancyendometrial thicknesssildenafil citrate

Identifiers

PMID38073223
PMCPMC10711531
OpenAlexW4389482448

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.