Evidence map›Paper›PMID 39358454›Full record

ArticleArchives of gynecology and obstetrics2024

Comparison of highly purified human menopausal gonadotropin and recombinant follicle stimulating hormone use in patients undergoing in vitro fertilization with progestin-primed ovarian stimulation protocol: a single center retrospective analysis.

Selçuk Yetkinel, Pınar Çağlar Aytaç, Gülşen Doğan Durdağ, Didem Alkaş Yağınç, Esra Bulgan Kılıçdağ, Erhan Şimşek

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Selçuk YetkinelDivision of Reproductive Endocrinology and IVF Unit of the Başkent University Obstetrics and Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan Research and Application Center, Kazım Karabekir Mah. Gülhatmi Cad. No:37 Yüreğir, Adana, Turkey. syetkinel@hotmail.com.ORCID 0000-0002-2165-9168
Pınar Çağlar AytaçDivision of Reproductive Endocrinology and IVF Unit of the Başkent University Obstetrics and Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan Research and Application Center, Kazım Karabekir Mah. Gülhatmi Cad. No:37 Yüreğir, Adana, Turkey.
Gülşen Doğan DurdağDivision of Reproductive Endocrinology and IVF Unit of the Başkent University Obstetrics and Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan Research and Application Center, Kazım Karabekir Mah. Gülhatmi Cad. No:37 Yüreğir, Adana, Turkey.
Didem Alkaş YağınçDivision of Reproductive Endocrinology and IVF Unit of the Başkent University Obstetrics and Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan Research and Application Center, Kazım Karabekir Mah. Gülhatmi Cad. No:37 Yüreğir, Adana, Turkey.
Esra Bulgan KılıçdağEsra Bulgan Kılıçdağ Clinic, Adana, Turkey.
Erhan ŞimşekDivision of Reproductive Endocrinology and IVF Unit of the Başkent University Obstetrics and Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan Research and Application Center, Kazım Karabekir Mah. Gülhatmi Cad. No:37 Yüreğir, Adana, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecently, progesterone has been used to prevent LH surge instead of GnRH analogues during ART treatments, which is known as progesterone-primed ovarian stimulation (PPOS) protocol. During ART treatment, highly purified human menopausal gonadotropin (HP-hMG) and recombinant follicle stimulating hormone (rFSH) are two of the agents used for stimulation of antral follicles. The aim of this study is to compare the efficacy and success of HP-hMG and rFSH agents in the ovarian stimulation step of the PPOS protocol, which has not been previously reported in the literature.

methodsThis retrospective study was conducted at a university hospital with patients who underwent IVF treatment using PPOS protocols in between January 2019 and July 2021. For ovarian stimulation, rFSH was used in group I and HP-hMG was used in group II. Mature oocyte ratio was the primary outcome, and live birth rate was the secondary outcome. Mann-Whitney and Chi-square tests were used for statistical analysis. All p values below 0.05 were considered significant.

resultsTotal numbers of follicles, oocytes, MII, and 2PN numbers obtained were similar between the two groups. The fertilization rates were 66.7% in the rFSH group and 64.3% in the HP-hMG group (p > 0.05). The pregnancy rates were 53.5% and 46.7% in the rFSH and HP-hMG groups, respectively. There was no statistically significant difference between pregnancy, abortus, and live birth rates.

conclusionIn this study, it is demonstrated that stimulation of oocytes with either rFSH or hMG in the PPOS protocol, which has been added to IVF treatment protocols in recent years, had no statistical difference regarding mature oocyte numbers and live birth rates between the two groups. These results are consistent with the previous literature which compared rFSH and hMG in GnRH agonist and antagonist protocols.

Indexed as

Fertilization in VitroFollicle Stimulating HormoneMenotropinsOvulation InductionAdultFemaleHumansLive BirthPregnancyPregnancy RateProgesteroneProgestinsRecombinant ProteinsRetrospective StudiesFollicle Stimulating HormoneMenotropinsProgesteroneProgestinsRecombinant ProteinsHP-hMGLive birthOocytePPOSrFSH

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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.