Cochrane · systematic review · CD009090

Metformin during ovulation induction with gonadotrophins followed by timed intercourse or intrauterine insemination for subfertility associated with polycystic ovary syndrome

Bordewijk, EM, Nahuis, M, Costello, MF, 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
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

Metformin versus placebo co‐treatment for assisted reproduction for subfertility associated with polycystic ovary syndrome

Population: patients with subfertility associated with polycystic ovary syndrome
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate (per woman)
Metformin vs placebo co‐treatment
OR 2.31 [1.24, 4.33]2 studies · 180 participantsLow
Downgraded: risk of bias, imprecision
Multiple pregnancy rate (per woman)
Metformin vs placebo co‐treatment
OR 0.55 [0.15, 1.95]4 studies · 232 participantsLow
Downgraded: risk of bias, imprecision
Ongoing pregnancy rate (per woman)
Metformin vs placebo co‐treatment
OR 2.46 [1.36, 4.46]4 studies · 232 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate (per woman)
Metformin vs placebo co‐treatment
OR 2.51 [1.46, 4.31]5 studies · 264 participantsLow
Downgraded: risk of bias, imprecision