Cochrane · systematic review · CD005070

Recombinant luteinizing hormone (rLH) and recombinant follicle stimulating hormone (rFSH) for ovarian stimulation in IVF/ICSI cycles

Mochtar, MH, Danhof, NA, Ayeleke, RO, et al. · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 2 · 33.3%Moderate 2 · 33.3%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

Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) versus rFSH alone

Population: women undergoing ovarian stimulation in IVF or ICSI treatment cycles
6 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 1.32 [0.85, 2.06]4 studies · 499 participantsVery low
Downgraded: risk of bias, imprecision
OHSS incidence
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 0.38 [0.14, 1.01]6 studies · 2178 participantsLow
Downgraded: imprecision
Ongoing pregnancy rate
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 1.2 [1.01, 1.42]19 studies · 3129 participantsModerate
Downgraded: risk of bias
Miscarriage rate
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 0.93 [0.63, 1.36]13 studies · 1711 participantsModerate
Downgraded: imprecision
Cancellation rate for low response
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 0.77 [0.54, 1.1]11 studies · 2251 participantsLow
Downgraded: risk of bias, imprecision
Cancellation rate for imminent OHSS
Recombinant luteinizing hormone (rLH) combined with recombinant follicle‐stimulating hormone (rFSH) vs rFSH alone
OR 0.6 [0.4, 0.89]8 studies · 2976 participantsVery low
Downgraded: risk of bias