Luteal phase support in in vitro fertilization:: Meta-analysis of randomized trials

被引:58
作者
Nosarka, S [1 ]
Kruger, T [1 ]
Siebert, I [1 ]
Grové, D [1 ]
机构
[1] Univ Stellenbosch, Dept Obstet & Gynaecol, ZA-7505 Tygerberg, South Africa
关键词
luteal phase support; in vitro fertilization; pregnancy rate; meta-analysis;
D O I
10.1159/000084546
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective:To determine if luteal phase support improves the pregnancy rate in in vitro fertilization (IVF) cycles. Design: A meta-analysis of randomized trials of luteal phase support was carried out with the main outcome measure being the pregnancy rate per cycle. Results: Fifty-nine trials were evaluated. Eighteen trials met the inclusion criteria. Five main themes were identified: human chorionic gonadotropin (hCG) versus progesterone; progesterone versus progesterone and hCG; progesterone versus placebo; hCG versus placebo, and hCG versus progesterone versus no support. Conclusion: Luteal phase support is definitely indicated in IVF treatment cycles. This meta-analysis favored hCG above progesterone as luteal phase support with respect to pregnancy rates. Further prospective randomized trials are needed to determine a definite consensus with respect to the duration of luteal phase support in IVF cycles. Copyright (C) 2005 S. Karger AG, Basel.
引用
收藏
页码:67 / 74
页数:8
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