Evidence map›Paper›PMID 40313195›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2025

Comparison of Luteal Support Protocols in Frozen IVF/ICSI Cycles: A Network Meta-Analysis.

Neerujah Balachandren, Meenakshi Veeramani, Sureka Suriyakumar, Sarah Wiley, Dimitrios Mavrelos, Ephia Yasmin, Stavroula L Kastora

Abstract readComparative StudySystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Neerujah BalachandrenUniversity College London, UCL EGA Institute for Women's Health, London, UK.
Meenakshi VeeramaniSchool of Medicine, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-4955-8270
Sureka SuriyakumarUniversity College London, UCL EGA Institute for Women's Health, London, UK.
Sarah WileyDepartment of Obstetrics and Gynaecology, Barnet Hospital, Royal Free London NHS Foundation Trust, London, UK.
Dimitrios MavrelosUniversity College London, UCL EGA Institute for Women's Health, London, UK.
Ephia YasminUniversity College London, UCL EGA Institute for Women's Health, London, UK.
Stavroula L KastoraUniversity College London, UCL EGA Institute for Women's Health, London, UK.ORCID https://orcid.org/0000-0003-4470-5267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLuteal support is a core success factor of frozen embryo transfers (FET). However, inconsistency across recommended protocols generates notable heterogeneity across reproductive outcomes.

objectiveTo determine the most effective luteal support strategy (LPS) based on five key factors related to the effectiveness of FET cycles. SEARCH STRATEGY: Twelve databases and two prospective registers were searched from inception to 1st January 2024. The study was prospectively registered under the PROSPERO database (CRD42024513549). SELECTION CRITERIA: Randomised Controlled Trials (RCTs) and observational studies of women undergoing frozen embryo transfers were included. DATA COLLECTION AND ANALYSIS: Bayesian network meta-analysis (NMA) model presenting random effects, risk ratios (RRs) with 95% credibility intervals (CrIs) was employed. Primary outcomes included clinical pregnancy, live birth, and miscarriage. Secondary outcomes included biochemical pregnancy and multiple pregnancy events. MAIN

resultsFourteen studies, of which eight RCTs, comparing 12 interventions upon 4688 participants, were included. Overall, CiNeMa risk of bias was moderate, and network inconsistency per outcome was low. Thirteen studies reported on clinical pregnancy events with vaginal progesterone (VP) and a single or double dose of subcutaneous GnRH agonist (GnRHa), significantly improving clinical pregnancy, RR 1.86 [95% CrI 1.18, 2.93].

conclusionsThe addition of 0.1 mg subcutaneous GnRH agonist in a single (Day 3 post ET) or double (Day 3 and Day 6 post ET) schema upon a vaginal progesterone regimen till Week 12 appears to improve clinical pregnancy events in FET cycles.

Indexed as

Embryo TransferFertilization in VitroLuteal PhaseProgesteroneSperm Injections, IntracytoplasmicAdministration, IntravaginalCryopreservationFemaleGonadotropin-Releasing HormoneHumansPregnancyPregnancy RateRandomized Controlled Trials as TopicGonadotropin-Releasing HormoneProgesteroneclinical pregnancyfertilityfrozen‐embryo transferlive birthluteal supportmiscarriagemultiple pregnanciesnetwork meta‐analysis

Identifiers

PMID40313195
PMCPMC12232591

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Registered trials

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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.