Cochrane · systematic review · CD008209

Hormone therapy for uterine and endometrial development in women with premature ovarian insufficiency

Craciunas, L, Zdoukopoulos, N, Vinayagam, S, et al. · Cochrane Database of Systematic Reviews · 2022 · 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
21
current version
GRADE rated
8
No studies
13
Included studies
NR
No studies 13 · 61.9%Ungraded 0 · 0%Very low 8 · 38.1%Low 0 · 0%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

Conjugated oral oestrogens compared to transdermal 17ß‐estradiol in girls with Turner syndrome

Population: girls with Turner syndrome who were treated with prepubertal growth hormone
6 questions
OutcomeEffectEvidenceStatus / GRADE
Uterine volume (mL)(measured after 12 months)
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias, imprecision
Endometrial thickness
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extractedNRNo studies
Endometrial histology
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extractedNRNo studies
Uterine perfusion
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extractedNRNo studies
Reproductive outcomes
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extractedNRNo studies
Adverse events
Conjugated oral oestrogens vs transdermal 17ß‐estradiol
no estimate extractedNRNo studies

Low versus high 17ß‐oestradiol dose in women with Turner syndrome

Population: young women with Turner syndrome who have completed pubertal induction
7 questions
OutcomeEffectEvidenceStatus / GRADE
Uterine volume (mL)(measured after 3 years)
Low vs high 17ß‐oestradiol dose
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Uterine volume (mL) (measured after 5 years)
Low vs high 17ß‐oestradiol dose
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Endometrial thickness
Low vs high 17ß‐oestradiol dose
no estimate extractedNRNo studies
Endometrial histology
Low vs high 17ß‐oestradiol dose
no estimate extractedNRNo studies
Uterine perfusion
Low vs high 17ß‐oestradiol dose
no estimate extractedNRNo studies
Reproductive outcomes
Low vs high 17ß‐oestradiol dose
no estimate extractedNRNo studies
Adverse events
Low vs high 17ß‐oestradiol dose
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision

Oral versus vaginal administration of oestradiol and dydrogesterone in women diagnosed with premature ovarian insufficiency

Population: women with premature ovarian insufficiency (POI) awaiting oocyte donation
8 questions
OutcomeEffectEvidenceStatus / GRADE
Uterine volume (mL)(measured after 14 days)
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Uterine volume (mL)(measured after 21 days)
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Endometrial thickness (mm)(measured after 14 days)
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Endometrial thickness (mm)(measured after 21 days)
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Endometrial histology
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extractedNRNo studies
Uterine perfusion
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extractedNRNo studies
Reproductive outcomes
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extractedNRNo studies
Adverse events
Oral vs vaginal administration of oestradiol and dydrogesterone
no estimate extractedNRNo studies