Evidence map›Paper›PMID 40838207›Full record

ArticleFrontiers in endocrinology2025

Management of LH/FSH deficiency among assisted reproduction specialists in Spain: a Delphi consensus.

Sonia Lobo, Beatriz Álvaro, Joana Peñarrubia, Carlos Ignacio García Fernández, Elisa Gil, Joaquín Llácer

Abstract readConsensus Statement
In one paragraph

Article in Frontiers in endocrinology, 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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  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

6 authors.

Sonia LoboHuman Reproduction Unit, Hospital La Paz, Madrid, Spain.
Beatriz ÁlvaroReproductive Medicine Service, Hospital de Sant Pau y Fundació Puigvert., Barcelona, Spain.
Joana PeñarrubiaIVI-RMA, Reproductive Medicine, Barcelona, Spain.
Carlos Ignacio García FernándezMerck S.L.U., Medical Affairs, An Affiliate of Merck KGaA Darmstadt Germany, Madrid, Spain.
Elisa GilIVI-RMA, Reproductive Medicine, Zaragoza, Spain.
Joaquín LlácerGinefiv-GeneraLife, Reproductive Medicine, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) deficiency can decrease women fertility, due to compromised gametogenesis and steroidogenesis. Several factors, like age, LH/FSH and their receptor polymorphisms, and gonadotrophin-releasing hormone analogue protocols; might result in a hypo-response to ovarian stimulation. The International Committee for Monitoring Assisted Reproduction Technologies (ICMART) highlighted the importance of addressing LH/FSH deficiency for a successful outcome. The aim was to understand if consensus exists on LH/FSH deficiency management among specialists in assisted reproduction based on the latest available evidence. Methods: An online, two-round Delphi consensus questionnaire was conducted from December 2021 to January 2022. The questionnaire comprised 21 statements concerning the action of LH/FSH in disrupted physiological conditions, clinical presentation of LH/FSH deficiency and its importance in assisted reproduction. A 70% agreement threshold was established for each statement. Results: Responses from 45 and 42 assisted reproduction Spanish specialists were gathered in the first and second rounds. Consensus was reached in almost half (10/21) of the statements. Participants mostly agreed on the relevance of LH/FSH deficiency due to a reduction of the action and production of gonadotropins, the importance of the effect of different glycosylation variants and age in LH/FSH action and of estradiol (E Conclusions: It is important to consider the diverse factors that can lead to LH/FSH deficiency in order to optimize its management and improve reproductive outcomes.

Indexed as

Follicle Stimulating HormoneLuteinizing HormoneReproductive Techniques, AssistedAdultDelphi TechniqueFemaleHumansMaleOvulation InductionSpainSurveys and QuestionnairesFollicle Stimulating HormoneLuteinizing HormoneconsensusdeficiencyDelphifollicle-stimulating hormoneluteinizing hormone

Identifiers

PMID40838207
PMCPMC12361164

What OpenQuestion holds

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Read underepoch 390

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.