Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

111 questions · 118 findings · 48 reviews

No studies found 32 · 27.1%GRADE not reported 0 · 0%Very low 38 · 32.2%Low 36 · 30.5%Moderate 11 · 9.3%High 1 · 0.8%

Myo‐inositol vs clomiphene

Adverse event ‐ multiple pregnancy · subfertile women with polycystic ovary syndrome

It is very uncertain whether myo‐inositol changes adverse event ‐ multiple pregnancy compared with an ovulation induction agent (clomiphene) (very low certainty).

1 finding from 1 review

Chinese herbal medicine (CHM) + follicle aspiration + ovulation induction vs follicle aspiration + ovulation induction

Adverse event ‐ multiple pregnancy · subfertile women with PCOS

It is very uncertain whether chinese herbal medicine (CHM) plus follicle aspiration plus… changes multiple pregnancy (adverse events) compared with follicle aspiration plus ovulation induction (very low certainty).

1 finding from 1 review

Intervention not reported

Adverse events ‐ Multiple pregnancy · women with subfertility

The review found no eligible studies for this question.

1 finding from 1 review

Ultrasound‐guided transvaginal ovarian needle drilling with gonadotropin (Gn) vs Gn

Multiple pregnancy rate · clomiphene‐resistant polycystic ovarian syndrome in subfertile women

It is very uncertain whether ultrasound‐guided transvaginal ovarian needle drilling with… changes multiple pregnancy rate (per woman) compared with gn (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Progestogens vs placebo or no pretreatment

Multiple pregnancy rate · ovarian stimulation protocols for women undergoing ART

The review found no eligible studies for this question.

2 findings from 1 review

Ultrasound‐guided embryo transfer vs clinical touch

Multiple pregnancy rate · Women undergoing embryo transfer as part of IVF or ICSI cycle

Ultrasound‐guided embryo transfer showed no clear difference in multiple pregnancy (per woman randomised) compared with clinical touch (moderate certainty).

1 finding from 1 review

Combined oral contraceptive pill vs no pretreatment

Multiple pregnancy rate · women undergoing assisted reproduction

Combined oral contraceptive pill showed no clear difference in multiple pregnancy rate (COCP + Ant vs Ant) compared with no pretreatment (low certainty).

2 findings from 1 review

Recombinant follicle stimulating hormone vs urinary‐derived gonadotrophins

Multiple pregnancy rate · ovulation induction in polycystic ovarian syndrome

Recombinant follicle stimulating hormone showed no clear difference in incidence of multiple pregnancy (per woman) compared with urinary‐derived gonadotrophins (low certainty).

1 finding from 1 review