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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
Interventions (ibuprofen, tolfenamic acid, aspirin, tranexamic acid) vs placebo or active comparators (paracetamol, tranexamic acid)
Menstrual blood loss % occurrence of heavy menstrual bleeding (alkaline hematin method)
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 Number of bleeding days (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)
Menstrual blood loss % occurrence heavy menstrual bleeding (PBAC score)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Percentage days bleeding or spotting (questionnaire)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 118 participantsLow
Intervention NR
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
Intervention NR
Menstrual blood loss
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Duration of bleeding Median number of bleed days (diary)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 168 participantsLow
Intervention NR
Side effects: gastrointestinal disorders, headache, breast tenderness, musculoskeletal disorders
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 1 [0.49, 2.02]1 study · 168 participantsLow
Intervention NR
Mifepristone vs vitamin B
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Duration of bleeding % spotting and bleeding days
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 58 participantsVery low
Intervention NR
Naproxen vs estradiol
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Duration of bleeding Median number of bleeding and spotting days (diary)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 106 participantsVery low
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
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
Intervention NR
Side effects: gastroesophageal reflux
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 3.22 [0.13, 81.19]1 study · 86 participantsVery low
Interventions (ibuprofen, tolfenamic acid) vs placebo
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) vs placebo
Reduction in painful menstruation
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 1 [0.11, 8.95]1 study · 20 participantsLow
Interventions (ibuprofen, tolfenamic acid) vs placebo
Menstruation "more painful than normal"
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
OR 0.71 [0.44, 1.44]1 study · 310 participantsVery low
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Menstrual blood loss Volume blood loss (pictorial chart in mL)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 94 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Duration of bleeding Number of bleeding days (menstrual record)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted2 studies · 152 participantsLow
Interventions (vitamin B1, mefenamic acid, tranexamic acid) vs placebo or active comparators (desmopressin, sodium diclofenac, flavonoids)
Menstrual blood loss Mean reduction of PBAC score
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)
Menstrual blood loss Volume of blood loss (alkaline hematin method)
Interventions to prevent or treat heavy menstrual bleeding or pain associated with intrauterine‐device use (2022) · Cochrane
no estimate extracted1 study · 38 participantsVery low
Immediate vs delayed postpartum insertion of contraceptive implants
Rate of initiation of contraceptive implants · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 1.48 [1.11, 1.98]5 studies · 715 participantsModerate
Immediate vs delayed postpartum insertion of IUDs
Utilization rate at 6 months postpartum · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 1.02 [0.64, 1.62]6 studies · 971 participantsVery low
Immediate vs delayed postpartum insertion of IUDs
Utilization rate at 12 months postpartum · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 0.86 [0.5, 1.49]3 studies · 796 participantsVery low
Immediate vs delayed postpartum insertion of IUDs
Unintended pregnancy at 12 months postpartum · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 0.26 [0.17, 0.41]1 study · 1000 participantsLow
Immediate vs delayed postpartum insertion of IUDs
Any breastfeeding at 6 months (hormonal IUD) · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 0.9 [0.63, 1.3]5 studies · 435 participantsVery low
Immediate vs delayed postpartum insertion of contraceptive implants
Utilization rate at 6 months postpartum · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 1.16 [0.9, 1.5]3 studies · 330 participantsVery low
Immediate vs delayed postpartum insertion of contraceptive implants
Utilization rate at 12 months postpartum · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 0.98 [0.93, 1.04]2 studies · 164 participantsVery low
Immediate vs delayed postpartum insertion of contraceptive implants
Adverse effect: mean days of prolonged vaginal bleeding within 6 weeks postpartum · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
MD 2.98 [2.71, 8.66]2 studies · 420 participantsLow
Immediate vs delayed postpartum insertion of contraceptive implants
Adverse effects other than prolonged vaginal bleeding · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 2.06 [1.38, 3.06]1 study · 215 participantsLow
Immediate vs delayed postpartum insertion of contraceptive implants
Unintended pregnancy rate at 12 months postpartum · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 1.82 [0.38, 8.71]1 study · 64 participantsVery low
Immediate vs delayed postpartum insertion of contraceptive implants
Any breastfeeding at six months postpartum · postpartum people who desire a contraceptive implant for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 0.97 [0.92, 1.01]2 studies · 225 participantsLow
Immediate vs delayed postpartum insertion of IUDs
Rate of initiation of IUDs · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 1.27 [1.07, 1.51]10 studies · 1894 participantsModerate
Immediate vs delayed postpartum insertion of IUDs
Expulsion by 6 months · postpartum people who desire IUDs for contraception
Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception (2022) · Cochrane
RR 4.55 [2.52, 8.19]8 studies · 1206 participantsLow
Summary of findings table ‐ Ibuprofen 1600 mg vs paracetamol 2000 mg
Pain score · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extracted1 study · 108 participantsModerate
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Pain score · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extracted1 study · 107 participantsLow
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Gastrointestinal side effects (nausea) · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.85 [0.33, 2.19]1 study · 107 participantsLow
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Gastrointestinal side effects (vomiting) · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.76 [0.35, 1.63]1 study · 107 participantsLow
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Gastrointestinal side effects (diarrhoea) · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.82 [0.38, 1.76]1 study · 107 participantsLow
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Complete abortion rate ‐ not reported · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Induction to expulsion interval ‐ not reported · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Unscheduled contact with care ‐ not reported · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Patient satisfaction with analgesia · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.97 [0.42, 2.21]1 study · 104 participantsLow
Summary of findings table ‐ Pregabalin 300 mg vs placebo
Patient satisfaction with abortion care overall · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 1.84 [0.8, 4.22]1 study · 105 participantsLow
Summary of findings table ‐ Ibuprofen 800 mg vs placebo
Pain score · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extracted1 study · 61 participantsLow
Summary of findings table ‐ Ibuprofen 1600 mg vs paracetamol 2000 mg
Gastrointestinal side effects (nausea) ‐ not reported · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Ibuprofen 800 mg vs placebo
Gastrointestinal side effects (nausea) · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 1.52 [0.53, 4.37]1 study · 61 participantsLow
Summary of findings table ‐ Ibuprofen 800 mg vs placebo
Gastrointestinal side effects (vomiting) · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.19 [0.04, 0.97]1 study · 61 participantsLow
Summary of findings table ‐ Ibuprofen 800 mg vs placebo
Gastrointestinal side effects (diarrhoea) ‐ not reported · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Ibuprofen 800 mg vs placebo
Complete abortion rate · women having medical abortion before 14 weeks' gestation
Pain management for medical abortion before 14 weeks’ gestation (2022) · Cochrane
OR 0.69 [0.17, 2.85]1 study · 61 participantsLow