Cochrane · systematic review · CD000099

Growth hormone for in vitro fertilisation (IVF)

Sood, A, Mohiyiddeen, G, Ahmad, G, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 64.3%Low 5 · 35.7%Moderate 0 · 0%High 0 · 0%

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.

Questions and results

Adjuvant growth hormone compared to no adjuvant: routine use for in vitro fertilisation (IVF)

Population: women with infertility
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman randomised
Adjuvant growth hormone vs no adjuvant: routine use
OR 1.32 [0.4, 4.43]2 studies · 80 participantsVery low
Downgraded: risk of bias, imprecision
Clinical pregnancy rate per woman randomised
Adjuvant growth hormone vs no adjuvant: routine use
OR 1.78 [0.49, 6.5]1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision
Number of women with at least one oocyte retrieved per woman randomised
Adjuvant growth hormone vs no adjuvant: routine use
OR 2.86 [0.11, 74.31]1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision
Mean number of oocytes retrieved
Adjuvant growth hormone vs no adjuvant: routine use
no estimate extracted2 studies · 80 participantsVery low
Downgraded: risk of bias, imprecision
Embryo transfer achieved per woman randomised
Adjuvant growth hormone vs no adjuvant: routine use
OR 7.36 [0.36, 151.91]1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision
Mean units of gonadotrophin used
Adjuvant growth hormone vs no adjuvant: routine use
no estimate extracted2 studies · 80 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Adjuvant growth hormone vs no adjuvant: routine use
no estimate extracted2 studies · 80 participantsLow

Adjuvant growth hormone compared to no adjuvant: poor responders for in vitro fertilisation (IVF)

Population: women with infertility subclassified as poor responders
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman randomised
Adjuvant growth hormone vs no adjuvant: poor responders
OR 1.77 [1.17, 2.7]8 studies · 737 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Clinical pregnancy rate per woman randomised
Adjuvant growth hormone vs no adjuvant: poor responders
OR 1.85 [1.35, 2.53]11 studies · 1033 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Number of women with at least one oocyte retrieved per woman randomised
Adjuvant growth hormone vs no adjuvant: poor responders
OR 5.67 [1.54, 20.83]2 studies · 148 participantsLow
Downgraded: risk of bias, publication bias
Mean number of oocytes retrieved
Adjuvant growth hormone vs no adjuvant: poor responders
no estimate extracted12 studies · 1153 participantsLow
Downgraded: risk of bias, publication bias
Embryo transfer achieved per woman randomised
Adjuvant growth hormone vs no adjuvant: poor responders
OR 2.32 [1.08, 4.96]4 studies · 214 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Mean units gonadotropin used
Adjuvant growth hormone vs no adjuvant: poor responders
no estimate extracted8 studies · 685 participantsLow
Downgraded: risk of bias, publication bias
Adverse events
Adjuvant growth hormone vs no adjuvant: poor responders
no estimate extracted7 studies · 512 participantsVery low
Downgraded: imprecision, inconsistency