Document Detail


Is ultrasound monitoring of the ovaries during ovulation induction by clomiphene citrate essential? A systematic review.
MedLine Citation:
PMID:  21973125     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The study objective was to investigate whether ultrasound (US) monitoring is essential during treatment with clomiphene citrate (CC) for ovulation induction, as recommended by the Royal College of Obstetricians and Gynaecologists (RCOG) and the National Institute for Clinical Excellence (NICE). We performed a systematic review of all studies investigating the effects of US in the treatment of ovulatory dysfunction with CC. The main objective of this review was to investigate whether US monitoring during CC treatment reduced multiple pregnancy rates. There was insufficient evidence to suggest that US monitoring reduces multiple pregnancy rates or improves pregnancy rates. On the other hand, no indication that treatment with CC is safe without US monitoring was identified. The small number of relevant studies and the heterogeneity observed in the methodologies of each study prohibit reliable conclusions to be drawn. There is currently no basis for amending the evidence base (good-practice points) used in the RCOG and NICE guidelines, which recommend the use of US to monitor the ovaries during stimulation with CC.
Authors:
N Galazis; M Zertalis; Z Haoula; W Atiomo
Related Documents :
18330065 - Knowledge of and perceptions about sexually transmitted diseases and pregnancy: a quali...
20934895 - Obstetric management of adolescents with bleeding disorders.
8488215 - The nimh community violence project: i. children as victims of and witnesses to violence.
10429845 - Adolescent pregnancy prevention: a review of interventions and programs.
11517295 - Interactions between progesterone receptor isoforms in myometrial cells in human labour.
16506265 - Total activin a in maternal blood as a marker of preterm delivery in low-risk asymptoma...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  31     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  566-71     Citation Subset:  IM    
Affiliation:
Nottingham Medical School.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The impact of raised BMI on the outcome of assisted reproduction: Current concepts.
Next Document:  Pelvic girdle pain during pregnancy and puerperium.