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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

515 questions in 31 reviews · Fertility Regulation

current versions
No studies 99 · 19.2%Ungraded 11 · 2.1%Very low 70 · 13.6%Low 147 · 28.5%Moderate 153 · 29.7%High 35 · 6.8%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Mifepristone (600 mg) plus prostaglandin vs mifepristone (200 mg) plus prostaglandin
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Prostaglandin alone vs combined regimen
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.9 [0.74, 1.1]12 studies · 2722 participantsLow
Prostaglandin alone vs combined regimen
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.65 [0.75, 3.64]5 studies · 1485 participantsLow
Prostaglandin alone vs combined regimen
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.33 [0.03, 3.13]1 study · 300 participantsLow
Oral misoprostol alone vs vaginal misoprostol alone
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 3.68 [1.56, 8.71]2 studies · 216 participantsLow
Oral misoprostol alone vs vaginal misoprostol alone
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.21 [0.92, 1.61]2 studies · 216 participantsLow
Oral misoprostol alone vs vaginal misoprostol alone
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.25 [0.65, 2.39]1 study · 100 participantsLow
Oral misoprostol alone vs vaginal misoprostol alone
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Sublingual misoprostol alone vs vaginal misoprostol alone
Failure to achieve complete abortion · first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.69 [0.37, 1.28]5 studies · 2705 participantsLow
Sublingual misoprostol alone vs vaginal misoprostol alone
Nausea · first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.61 [0.78, 3.33]4 studies · 2505 participantsLow
Sublingual misoprostol alone vs vaginal misoprostol alone
Women's dissatisfaction with the procedure · first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.14 [0.07, 0.29]1 study · 220 participantsLow
Mifepristone (600 mg) plus prostaglandin vs mifepristone (200 mg) plus prostaglandin
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Sublingual misoprostol alone vs vaginal misoprostol alone
Blood transfusion · first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 5 [0.24, 102.96]1 study · 220 participantsVery low
Misoprostol 800 µg plus mifepristone 200 mg vs misoprostol 400 µg plus mifepristone 200 mg
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.63 [0.51, 0.78]3 studies · 4424 participantsModerate
Misoprostol 800 µg plus mifepristone 200 mg vs misoprostol 400 µg plus mifepristone 200 mg
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.99 [0.94, 1.05]3 studies · 4424 participantsModerate
Misoprostol 800 µg plus mifepristone 200 mg vs misoprostol 400 µg plus mifepristone 200 mg
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.75 [0.6, 0.93]3 studies · 4420 participantsModerate
Misoprostol 800 µg plus mifepristone 200 mg vs misoprostol 400 µg plus mifepristone 200 mg
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Medical abortion self‐administered at home vs administered
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.63 [0.68, 3.94]4 studies · 2263 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Interventions versus comparisons
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Duration of bleeding
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 38 participantsVery low
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Side effects: gastrointestinal disturbances (diarrhoea, lower abdominal pain), headache and sweating
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 4.69 [1.2, 18.44]1 study · 38 participantsVery low
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Menstrual blood loss PBAC score
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 100 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Menstrual blood loss Number of pads per day
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 100 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Duration of bleeding Number of bleeding days
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 100 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Side effects: headache
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 0.58 [0.18, 1.92]1 study · 100 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Side effects: vomiting
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 0.74 [0.25, 2.18]1 study · 100 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Duration of bleeding Number of bleeding days
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted4 studies · 290 participantsVery low
Ulipristal acetate vs placebo
Interventions vs comparisons
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Ulipristal acetate vs placebo
Duration of bleeding Total bleeding in 90 days (bleeding calendar)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 24 participantsVery low
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Vitamin B1 vs placebo
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 participantsUngraded
Mefanamic acid vs Vitex agnus
Interventions vs comparisons
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Mefanamic acid vs Vitex agnus
Menstrual blood loss PBAC score
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Mefanamic acid vs Vitex agnus
Side effects: nausea
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 1 [0.06, 16.53]1 participantsUngraded
Mefanamic acid vs Vitex agnus
Side effects: abdominal pain
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 0.33 [0.01, 8.22]0 participantsUngraded
Tranexamic acid vs sodium diclofenac
Pelvic pain
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 1 [0.06, 17.25]1 study · 38 participantsVery low
Naproxen vs placebo
Naproxen vs placebo
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Naproxen vs placebo
Overall pain relief score (4‐point scale)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 33 participantsLow
Naproxen vs placebo
Daily pain relief score (6‐point scale)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 33 participantsLow
Naproxen vs placebo
Need for additional analgesia (self‐recorded)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 0.29 [0.05, 1.8]1 study · 33 participantsLow
Naproxen vs placebo
Side effects: gastrointestinal symptoms
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 2.11 [0.18, 25.17]1 study · 33 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Menstrual blood loss Number of pads (diary record)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 110 participantsLow
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Ibuprofen vs placebo
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Menstrual blood loss (alkaline hematin method)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
MD 14.11NRUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Duration of bleeding (menstrual diary)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
MD 0.2NRUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Side effects: eye and mouth swelling, stomach cramps, fatigue, irritability (diary record)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted2 participantsUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Menstrual blood loss Menstruation "more abundant than normal" (questionnaire)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted0 participantsUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Side effects: dyspepsia, diarrhoea, headache, fatigue (questionnaire)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted0 participantsUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Aspirin vs paracetamol
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Menstrual blood loss (alkaline hematin method)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
MD 0.3NRUngraded
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Adverse events or side effects
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies