Meta AnalysisID 7164

来曲唑联合炔雌醇环丙孕酮治疗多囊卵巢综合征:一项系统评价与Meta分析

CRD42023457145

There is limited and controversial research on whether the combination of prepregnancy ethinylestradiol and acetone acetate with letrozole can improve pregnancy outcomes.We aim to evaluate the efficacy and safety of Letr

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Meta Analysis Id
7164
Evidence Id
15722
Core Evidence Id
15722
Source Meta Analysis Id
7147
Herb2 Meta Analysis Id
HBMA007147
Crd Id
CRD42023457145
Title
Letrozole combined with ethinylestradiol cyproterone for polycystic ovary syndrome:A systematic review and meta-analysis
Review Question
There is limited and controversial research on whether the combination of prepregnancy ethinylestradiol and acetone acetate with letrozole can improve pregnancy outcomes.We aim to evaluate the efficacy and safety of Letrozole combined with ethinylestradiol and cyproterone acetate the treatment of polycystic ovary syndrome(PCOS) by meta-analysis.
Study Type Included
The inclusion criteria were RCTs published in Chinese or English. The exclusion criteria: principles, guide, case report, etc.
Condition Being Studied
Polycystic ovary syndrome is a common reproductive endocrine disease in women of childbearing age. The prevalence rate in China is 5.61%. At present, the etiology of polycystic ovary syndrome is unknown, the pathological mechanism is complex, and it is difficult to cure it.
Participant
The research subjects are patients with polycystic ovary syndrome. There was no restriction on age, severity or stage of the disease, and the diagnosis is based on professional books or literature (such as guidelines).
Animal
Human Disease Modelled
Intervention
The inclusion criteria were defined as follows: participants in intervention group were limited to people with polycystic ovary syndrome(PCOS), and treated with Letrozole plus ethinylestradiol and cyproterone acetate. If they were given extra treatments, that needed to be consistent with control group.
Comparator Control
The inclusion criteria were defined as follows: participants in control group were limited to people with polycystic ovary syndrome(PCOS), and simply treated with ethinylestradiol and cyproterone acetate.If they were given extra treatments, that needed to be consistent with control group.
Main Outcome
Pregnancy rate,Ovulation rate, Miscarriage rate.
Outcome Measure
Additional Outcome
Follicle growth time, Number of dominant follicles, Diameter of dominant follicles, Endometrial thickness, Uterine volume, Ovarian volume, Uterine artery pulsatility index (PI), Uterine artery resistance index (RI), Follicle stimulating hormone (FSH), Luteinizing hormone (LH), FSH/LH, Estradiol (E2), Testosterone (T), Prolactin (PRL), Progesterone (P), Anti-Mullerian hormone (AMH), Inhibin B (INHB), Visceral adipose tissue-derived serpin (Vaspin), Sex hormone-binding globulin (SHBG), Monocyte Chemoattractant Protein-1 (MCP-1), Number of mature follicles during ovulation, Clinical efficacy, Satisfaction score, Cervical mucus score, LH/FSH, Insulin resistance index (HOMA-IR)、Natural abortion rate, Biochemical pregnancy rate, Ovarian hyperstimulation syndrome (OHSS), Follicular luteinization(LUFS), Multiple pregnancies, Endometrial thickness on the day of hCG injection, E2 on the day of hCG injection, T on the day of hCG injection, Endometrial thickness during ovulation, Ovarian volume during ovulation, The incidence of adverse events.
Study Method
Systematic review
Keyword
MeSH headings have not been applied to this record
Contact
Bao Yi Zhang [email protected]
Organisational Affiliation
Beijing University of Chinese Medicine
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-12-13
Registration Date
2023-12-24
Anticipated Start Date
2023-08-24
Anticipated Completion Date
2024-02-29
Title Cn
来曲唑联合炔雌醇环丙孕酮治疗多囊卵巢综合征:一项系统评价与Meta分析
Title En
Letrozole combined with ethinylestradiol cyproterone for polycystic ovary syndrome:A systematic review and meta-analysis
Bilingual Status
complete