Cochrane · systematic review · CD006900

Ovulation triggers in anovulatory women undergoing ovulation induction

George, K, Kamath, MS, Nair, R, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 100%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

Human chorionic gonadotrophin versus no ovulation trigger in clomiphene‐induced cycles

Population: women with anovulatory infertility undergoing ovulation induction with clomiphene citrate
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate Live fetus delivered beyond 20 completed weeks' gestation
Human chorionic gonadotrophin vs no ovulation trigger
OR 0.97 [0.52, 1.83]305 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Ovulation rate Ultrasound evidence of collapsed follicle or mid‐luteal serum progesterone < 10 ng/mL
Human chorionic gonadotrophin vs no ovulation trigger
OR 0.99 [0.36, 2.77]305 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Clinical pregnancy rate Ultrasound evidence of pregnancy
Human chorionic gonadotrophin vs no ovulation trigger
OR 1.02 [0.56, 1.89]305 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Miscarriage rate per clinical pregnancy Spontaneous pregnancy loss before 20 weeks' gestation
Human chorionic gonadotrophin vs no ovulation trigger
OR 1.19 [0.17, 8.23]54 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias