Cochrane · systematic review · CD003414

Cycle regimens for frozen‐thawed embryo transfer

Ghobara, T, Gelbaya, TA, Ayeleke, RO · Cochrane Database of Systematic Reviews · 2017 · 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
28
current version
GRADE rated
16
No studies
12
Included studies
NR
No studies 12 · 42.9%Ungraded 0 · 0%Very low 8 · 28.6%Low 8 · 28.6%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

Natural cycle FET versus HT FET

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
Natural cycle FET vs HT FET
no estimate extractedNRNo studies
Miscarriage rate per woman
Natural cycle FET vs HT FET
no estimate extractedNRNo studies
Ongoing pregnancy rate per woman
Natural cycle FET vs HT FET
no estimate extractedNRNo studies
Multiple pregnancy rate per woman
Natural cycle FET vs HT FET
OR 2.48 [0.09, 68.14]1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision

Natural cycle FET versus HT plus GnRHa suppression FET

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
Natural cycle FET vs HT plus GnRHa suppression FET
OR 0.77 [0.39, 1.53]1 study · 159 participantsLow
Downgraded: imprecision
Miscarriage rate per woman
Natural cycle FET vs HT plus GnRHa suppression FET
no estimate extractedNRNo studies
Ongoing pregnancy rate per woman
Natural cycle FET vs HT plus GnRHa suppression FET
no estimate extractedNRNo studies
Multiple pregnancy rate per woman
Natural cycle FET vs HT plus GnRHa suppression FET
OR 0.58 [0.13, 2.5]1 study · 159 participantsLow
Downgraded: imprecision

Natural cycle FET versus modified natural cycle FET (HCG trigger)

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
Natural cycle FET vs modified natural cycle FET (HCG trigger)
OR 0.55 [0.16, 1.93]1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision
Miscarriage rate per woman
Natural cycle FET vs modified natural cycle FET (HCG trigger)
OR 0.2 [0.01, 4.13]1 study · 168 participantsVery low
Downgraded: risk of bias, imprecision
Ongoing pregnancy rate per woman
Natural cycle FET vs modified natural cycle FET (HCG trigger)
OR 2.44 [1.03, 5.76]1 study · 168 participantsVery low
Downgraded: risk of bias, imprecision
Multiple pregnancy per woman
Natural cycle FET vs modified natural cycle FET (HCG trigger)
no estimate extractedNRNo studies

Modified natural cycle FET (HCG trigger) versus HT FET

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
Modified natural cycle FET (HCG trigger) vs HT FET
OR 1.34 [0.88, 2.05]1 study · 959 participantsLow
Downgraded: risk of bias, imprecision
Miscarriage rate per woman
Modified natural cycle FET (HCG trigger) vs HT FET
no estimate extractedNRNo studies
Ongoing pregnancy rate per woman
Modified natural cycle FET (HCG trigger) vs HT FET
OR 1.21 [0.8, 1.83]1 study · 959 participantsLow
Downgraded: risk of bias, imprecision
Multiple pregnancy rate per woman
Modified natural cycle FET (HCG trigger) vs HT FET
no estimate extractedNRNo studies

Modified natural cycle FET (HCG trigger) versus HT + GnRHa suppression FET

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
Modified natural cycle FET (HCG trigger) vs HT + GnRHa suppression FET
OR 1.11 [0.66, 1.87]1 study · 236 participantsLow
Downgraded: risk of bias, imprecision
Miscarriage rate per woman
Modified natural cycle FET (HCG trigger) vs HT + GnRHa suppression FET
OR 0.74 [0.25, 2.19]1 study · 236 participantsLow
Downgraded: risk of bias, imprecision
Ongoing pregnancy rate
Modified natural cycle FET (HCG trigger) vs HT + GnRHa suppression FET
no estimate extractedNRNo studies
Multiple pregnancy rate per woman
Modified natural cycle FET (HCG trigger) vs HT + GnRHa suppression FET
no estimate extractedNRNo studies

HT FET versus HT + GnRHa FET

Population: women with primary or secondary subfertility
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
HT FET vs HT + GnRHa FET
OR 0.1 [0.04, 0.3]1 study · 75 participantsLow
Downgraded: imprecision, inconsistency
Miscarriage rate per woman
HT FET vs HT + GnRHa FET
OR 0.64 [0.37, 1.12]6 studies · 991 participantsLow
Downgraded: risk of bias, imprecision
Ongoing pregnancy rate per woman
HT FET vs HT + GnRHa FET
OR 1.72 [0.61, 4.85]1 study · 106 participantsVery low
Downgraded: risk of bias, imprecision
Multiple pregnancy rate per woman
HT FET vs HT + GnRHa FET
no estimate extractedNRNo studies

HMG FET versus clomiphene + HMG FET

Population: subfertile women
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per woman
HMG FET vs clomiphene + HMG FET
OR 2.49 [1.07, 5.8]1 study · 209 participantsVery low
Downgraded: risk of bias, imprecision
Miscarriage rate per woman
HMG FET vs clomiphene + HMG FET
OR 1.33 [0.35, 5.09]1 study · 209 participantsVery low
Downgraded: risk of bias, imprecision
Ongoing pregnancy rate per woman
HMG FET vs clomiphene + HMG FET
no estimate extractedNRNo studies
Multiple pregnancy rate per woman
HMG FET vs clomiphene + HMG FET
OR 1.41 [0.31, 6.48]1 study · 209 participantsVery low
Downgraded: risk of bias, imprecision