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Oral contraceptive pretreatment significantly reduces ongoing pregnancy likelihood in gonadotropin-releasing hormone antagonist cycles: an updated meta-analysis.

TitleOral contraceptive pretreatment significantly reduces ongoing pregnancy likelihood in gonadotropin-releasing hormone antagonist cycles: an updated meta-analysis.
Publication TypeJournal Article
Year of Publication2010
AuthorsGriesinger, G., Kolibianakis E. Michaelis, Venetis C., Diedrich K., & Tarlatzis B.
JournalFertil Steril
Volume94
Issue6
Pagination2382-4
Date Published2010 Nov
ISSN1556-5653
KeywordsContraceptives, Oral, Drug Administration Schedule, Female, Fertility Agents, Female, Gonadotropin-Releasing Hormone, Hormone Antagonists, Humans, Likelihood Functions, Odds Ratio, Pregnancy, Pregnancy Rate, Randomized Controlled Trials as Topic
Abstract

Ongoing pregnancy rate (PR) per randomized woman was found to be significantly lower in patients with oral contraceptive (OC) pill pretreatment (relative risk: 0.80, 95% confidence interval [CI]: 0.66-0.97; rate difference: -5%, 95% CI: -10% to -1%; fixed effects model) after pooling data from six randomized controlled trials encompassing 1,343 patients. Duration of stimulation (weighted mean difference [WMD]: +1.33 days, 95% CI: +0.61-2.05) and gonadotropin consumption (WMD: +360 IUs, 95% CI: +158-563) were significantly increased after OC pretreatment, but there was no statistically significant gain in the number of cumulus-oocyte complexes (WMD: +0.6 cumulus-oocyte complexes, 95% CI: -0.08-1.25).

DOI10.1016/j.fertnstert.2010.04.025
Alternate JournalFertil. Steril.
PubMed ID20537631

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