Conventional GnRH antagonist protocols versus long GnRH agonist protocol in IVF/ICSI cycles of polycystic ovary syndrome women: a systematic review and meta-analysis

Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects o...

Full description

Saved in:
Bibliographic Details
Published inScientific reports Vol. 12; no. 1; pp. 4456 - 22
Main Authors Kadoura, Sally, Alhalabi, Marwan, Nattouf, Abdul Hakim
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 15.03.2022
Nature Publishing Group
Nature Portfolio
Subjects
Online AccessGet full text
ISSN2045-2322
2045-2322
DOI10.1038/s41598-022-08400-z

Cover

Abstract Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P  = 0.0002), shorter stimulation duration (WMD = − 0.91; 95% CI: [-1.45 to − 0.37] day, P  = 0.0009), lower gonadotropin consumption (WMD = − 221.36; 95% CI: [− 332.28 to − 110.45] IU, P  < 0.0001), lower E2 levels on hCG day (WMD = − 259.21; 95% CI: [− 485.81 to − 32.60] pg/ml, P  = 0.02), thinner endometrial thickness on hCG day (WMD = − 0.73; 95% CI: [− 1.17 to − 0.29] mm, P  = 0.001), and lower number of retrieved oocytes (WMD = − 1.82; 95% CI: [− 3.48 to − 0.15] oocytes, P  = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P  = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
AbstractList Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P = 0.0002), shorter stimulation duration (WMD = - 0.91; 95% CI: [-1.45 to - 0.37] day, P = 0.0009), lower gonadotropin consumption (WMD = - 221.36; 95% CI: [- 332.28 to - 110.45] IU, P < 0.0001), lower E2 levels on hCG day (WMD = - 259.21; 95% CI: [- 485.81 to - 32.60] pg/ml, P = 0.02), thinner endometrial thickness on hCG day (WMD = - 0.73; 95% CI: [- 1.17 to - 0.29] mm, P = 0.001), and lower number of retrieved oocytes (WMD = - 1.82; 95% CI: [- 3.48 to - 0.15] oocytes, P = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
Abstract Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P = 0.0002), shorter stimulation duration (WMD = − 0.91; 95% CI: [-1.45 to − 0.37] day, P = 0.0009), lower gonadotropin consumption (WMD = − 221.36; 95% CI: [− 332.28 to − 110.45] IU, P < 0.0001), lower E2 levels on hCG day (WMD = − 259.21; 95% CI: [− 485.81 to − 32.60] pg/ml, P = 0.02), thinner endometrial thickness on hCG day (WMD = − 0.73; 95% CI: [− 1.17 to − 0.29] mm, P = 0.001), and lower number of retrieved oocytes (WMD = − 1.82; 95% CI: [− 3.48 to − 0.15] oocytes, P = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P  = 0.0002), shorter stimulation duration (WMD = − 0.91; 95% CI: [-1.45 to − 0.37] day, P  = 0.0009), lower gonadotropin consumption (WMD = − 221.36; 95% CI: [− 332.28 to − 110.45] IU, P  < 0.0001), lower E2 levels on hCG day (WMD = − 259.21; 95% CI: [− 485.81 to − 32.60] pg/ml, P  = 0.02), thinner endometrial thickness on hCG day (WMD = − 0.73; 95% CI: [− 1.17 to − 0.29] mm, P  = 0.001), and lower number of retrieved oocytes (WMD = − 1.82; 95% CI: [− 3.48 to − 0.15] oocytes, P  = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P  = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P = 0.0002), shorter stimulation duration (WMD = − 0.91; 95% CI: [-1.45 to − 0.37] day, P = 0.0009), lower gonadotropin consumption (WMD = − 221.36; 95% CI: [− 332.28 to − 110.45] IU, P < 0.0001), lower E2 levels on hCG day (WMD = − 259.21; 95% CI: [− 485.81 to − 32.60] pg/ml, P = 0.02), thinner endometrial thickness on hCG day (WMD = − 0.73; 95% CI: [− 1.17 to − 0.29] mm, P = 0.001), and lower number of retrieved oocytes (WMD = − 1.82; 95% CI: [− 3.48 to − 0.15] oocytes, P = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P = 0.0002), shorter stimulation duration (WMD = - 0.91; 95% CI: [-1.45 to - 0.37] day, P = 0.0009), lower gonadotropin consumption (WMD = - 221.36; 95% CI: [- 332.28 to - 110.45] IU, P < 0.0001), lower E2 levels on hCG day (WMD = - 259.21; 95% CI: [- 485.81 to - 32.60] pg/ml, P = 0.02), thinner endometrial thickness on hCG day (WMD = - 0.73; 95% CI: [- 1.17 to - 0.29] mm, P = 0.001), and lower number of retrieved oocytes (WMD = - 1.82; 95% CI: [- 3.48 to - 0.15] oocytes, P = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro Fertilization/ Intra-Cytoplasmic Sperm Injection (IVF/ICSI) cycles. This review aimed to summarize the available evidence comparing the effects of conventional GnRH antagonist protocols, the most commonly used GnRH antagonist protocols, and GnRH agonist protocols on IVF/ICSI outcomes in women with polycystic ovary syndrome (PCOS). A comprehensive electronic search was carried out in Pubmed, Cochrane CENTRAL, Scopus, Web of Science, CINAHL, TRIP, ClinicalTrials.gov and ISRCTN registry from inception until 24 November 2020 without any language or date restrictions. In addition, reference lists of eligible studies and previous meta-analyses were hand-searched to identify relevant studies. Eligible randomized controlled trials were those designed to compare the effects of conventional GnRH antagonist protocols and GnRH agonist protocols on IVF/ICSI outcomes in PCOS subjects. The Cochrane ROB 2.0 tool was used to assess the risk of bias of each study, and the GRADE assessment was used to evaluate the overall quality of evidence. Data synthesis and analyses were done using Review Manager 5.3 with the assistance of Revman Web. A random-effects model was used for all meta-analysis. Dichotomous outcomes were reported as Relative Risk (RR) and continuous outcomes as Weighted Mean Difference (WMD), both with 95% CIs. The primary outcomes were Live birth rate, Ongoing pregnancy rate, and Ovarian hyperstimulation syndrome (OHSS) rate. Other IVF outcomes were considered secondary outcomes. We included ten studies with 1214 randomized PCOS women. Using GnRH antagonist protocols led to a significantly lower OHSS rate (RR = 0.58; 95% CI: [0.44 to 0.77], P = 0.0002), shorter stimulation duration (WMD = - 0.91; 95% CI: [-1.45 to - 0.37] day, P = 0.0009), lower gonadotropin consumption (WMD = - 221.36; 95% CI: [- 332.28 to - 110.45] IU, P < 0.0001), lower E2 levels on hCG day (WMD = - 259.21; 95% CI: [- 485.81 to - 32.60] pg/ml, P = 0.02), thinner endometrial thickness on hCG day (WMD = - 0.73; 95% CI: [- 1.17 to - 0.29] mm, P = 0.001), and lower number of retrieved oocytes (WMD = - 1.82; 95% CI: [- 3.48 to - 0.15] oocytes, P = 0.03). However, no significant differences in live birth rate, ongoing pregnancy rate, clinical pregnancy rate, multiple pregnancy rate, miscarriage rate and cycle cancellation rate were seen between the GnRH antagonist protocols and the long GnRH agonist one. Although more cycles were cancelled due to poor ovarian response in the GnRH antagonist protocol (RR = 4.63; 95% CI: [1.49 to 14.41], P = 0.008), similar rates of cancellation due to risk of OHSS were noticed in both groups. The differences in IVF/ICSI outcomes may arise from the different patterns of gonadotropins suppression that the GnRH analogues exhibit during the early follicular phase of IVF/ICSI cycles and the divergent direct impacts of these analogues on ovaries and endometrial receptivity. The main evidence limitation was Imprecision. Conventional GnRH antagonist protocols represent a safer and more cost-effective treatment choice for PCOS women undergoing IVF/ICSI cycles than the standard long GnRH agonist protocol without compromising the IVF/ICSI clinical outcomes. The study had no sources of financial support and was prospectively registered at PROSPERO (International Prospective Register of Systematic Reviews) under registration number (CRD42021242476).
ArticleNumber 4456
Author Alhalabi, Marwan
Kadoura, Sally
Nattouf, Abdul Hakim
Author_xml – sequence: 1
  givenname: Sally
  surname: Kadoura
  fullname: Kadoura, Sally
  email: sally.clinical@gmail.com
  organization: Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Damascus University
– sequence: 2
  givenname: Marwan
  surname: Alhalabi
  fullname: Alhalabi, Marwan
  organization: Department of Embryology and Reproductive Medicine, Faculty of Medicine, Damascus University, Assisted Reproduction Unit, Orient Hospital
– sequence: 3
  givenname: Abdul Hakim
  surname: Nattouf
  fullname: Nattouf, Abdul Hakim
  organization: Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Damascus University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35292717$$D View this record in MEDLINE/PubMed
BookMark eNp9ks1u1DAUhSNUREvpC7BAltiwCfVvnLBAQiPajlQJib-tdeM4g0eOPdiZqdL34T3xdKbQzqJZONb1d46O7POyOPLBm6J4TfB7gll9njgRTV1iSktcc4zL22fFCcVclJRRevRgf1ycpbTE-RO04aR5URyzvKOSyJPizyz4jfGjDR4cuvRfrxD4ERbB2zSiVQxj0MEltDExrRNywS_21AGCrEfznxfn89m3OdKTdiah0KNVcJOe0mg1ChuIE0qT72IYDLrJi_-AIE_SaAbYItFsrLnJCTo0mBFKyKGmZNOr4nkPLpmz_f-0-HHx-fvsqrz-cjmffbouteB4LHssWl31DXApdaVxi4kAVkktRUtZyzTppQFJGfA8EoJhEJprQaCtZdu17LSY73y7AEu1inbIkVUAq-4GIS4UxBzUGaXrHmRDsDbM8Bp0DTUxfSd7wJXhsspeH3deq3U7mE7nS47gHpk-PvH2l1qEjaobyqmU2eDd3iCG32uTRjXYpI1z4E1YJ0Wr_Oy8Jg3P6NsDdBnWMV_elmINYTjDmXrzMNG_KPdtyEC9A3QMKUXTK21H2HYjB7ROEay23VO77qncPXXXPXWbpfRAeu_-pIjtRCnDfmHi_9hPqP4CAizwRQ
CitedBy_id crossref_primary_10_1186_s13048_024_01437_w
crossref_primary_10_7759_cureus_52597
crossref_primary_10_1210_clinem_dgae847
crossref_primary_10_1016_j_clinthera_2024_11_015
crossref_primary_10_1080_14656566_2024_2418985
crossref_primary_10_3389_fendo_2024_1309993
crossref_primary_10_1210_clinem_dgad397
crossref_primary_10_1186_s12958_023_01113_6
crossref_primary_10_12677_ACM_2024_143709
crossref_primary_10_1080_14647273_2024_2441827
crossref_primary_10_2147_JMDH_S432936
crossref_primary_10_3390_genes15121590
crossref_primary_10_1016_j_gine_2024_100970
crossref_primary_10_1016_j_heliyon_2023_e14518
crossref_primary_10_17116_rosakush20242406179
crossref_primary_10_62347_QKPV5157
crossref_primary_10_12998_wjcc_v11_i9_2067
crossref_primary_10_3389_fendo_2025_1507857
crossref_primary_10_1177_20420188231173325
crossref_primary_10_3389_fendo_2023_1224858
crossref_primary_10_1016_j_ejogrb_2024_11_028
crossref_primary_10_1007_s43032_024_01783_6
crossref_primary_10_1016_j_heliyon_2023_e23933
crossref_primary_10_1080_01443615_2023_2195937
crossref_primary_10_7759_cureus_61554
crossref_primary_10_3390_jpm14090915
crossref_primary_10_2196_53396
crossref_primary_10_1002_dta_3876
crossref_primary_10_1186_s12884_023_06112_4
crossref_primary_10_3389_fendo_2024_1457435
crossref_primary_10_1007_s00404_023_07047_z
crossref_primary_10_1097_MED_0000000000000780
crossref_primary_10_4274_jtgga_galenos_2024_2023_12_9
crossref_primary_10_1016_j_eprac_2023_09_004
crossref_primary_10_3389_fphar_2024_1434625
crossref_primary_10_1186_s12958_023_01120_7
crossref_primary_10_1002_eng2_70008
crossref_primary_10_2147_IJWH_S500692
crossref_primary_10_7759_cureus_54912
crossref_primary_10_1186_s13048_024_01372_w
crossref_primary_10_2174_0118715303281640240722070348
crossref_primary_10_1590_1984_3143_ar2023_0040
Cites_doi 10.1177/0962280219889080
10.1002/14651858.CD008046.pub4
10.1093/humrep/17.1.201
10.1093/hropen/hoy021
10.1186/s13293-018-0195-5
10.1093/humrep/del340
10.1093/humrep/dey119
10.1016/j.fertnstert.2012.07.760
10.1093/humrep/16.12.2533
10.1095/biolreprod67.4.1305
10.5653/cerm.2012.39.1.22
10.1016/j.fertnstert.2014.07.1265
10.1093/humupd/dmv029
10.1016/S0015-0282(02)04920-8
10.3109/09513590.2012.736561
10.1016/j.mjafi.2012.03.005
10.1016/S1472-6483(10)61115-7
10.1016/j.rbmo.2010.03.017
10.1186/1741-7015-8-41
10.1093/humrep/del215
10.1093/humrep/deh375
10.5653/cerm.2012.39.4.166
10.1080/14647270802621358
10.7863/jum.1999.18.4.303
10.1016/j.fertnstert.2009.09.032
10.1016/S1472-6483(10)60621-9
10.1186/1477-7827-11-20
10.1371/journal.pone.0091796
10.1016/j.ejogrb.2012.07.014
10.1093/humrep/dem033
10.1093/humupd/dmv059
10.1038/nrdp.2016.57
10.1530/REP-19-0578
10.4103/0974-1208.101019
10.1016/j.fertnstert.2008.07.1711
10.1016/j.fertnstert.2007.04.060
10.1007/s10815-008-9249-7
10.17772/gp/62205
10.1016/j.contraception.2004.12.017
10.1095/biolreprod.109.081299
10.4103/0974-1208.86080
10.1093/humrep/dei348
10.1016/j.rbmo.2011.09.017
10.1111/micc.12093
10.1002/uog.11187
10.1093/molehr/6.10.935
10.3389/fendo.2020.615957
10.1093/humupd/dmx017
10.1016/j.rbmo.2019.03.203
10.5653/cerm.2018.45.3.135
10.1016/j.jrhm.2014.10.001
10.1093/abbs/gmaa173
10.1093/humrep/dep291
10.1055/s-0042-100206
10.1016/j.fertnstert.2005.08.020
10.4103/GMIT.GMIT_112_18
10.1016/S1472-6483(10)60652-9
10.3109/09513590.2011.633661
10.1093/humrep/dei243
10.1016/j.fertnstert.2008.07.565
10.1186/s43043-019-0002-1
10.1177/1933719114561552
10.1093/humrep/den468
10.1016/j.ejogrb.2005.08.017
10.1016/S1472-6483(10)60420-8
10.1136/bmj.l4898
10.1111/j.1447-0756.2010.01247.x
10.1093/humrep/dep436
10.1038/374460a0
10.1007/s00404-012-2348-9
10.12659/MSM.913757
10.5152/balkanmedj.2011.019
10.1093/humrep/dey281
10.1016/0002-9378(95)90490-5
10.4103/0974-1208.130802
10.1093/humrep/deg516
10.1016/S0015-0282(16)55430-2
10.1177/1933719107310707
10.1016/j.mefs.2015.11.001
10.1186/gb-2005-6-2-209
ContentType Journal Article
Copyright The Author(s) 2022
2022. The Author(s).
The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright_xml – notice: The Author(s) 2022
– notice: 2022. The Author(s).
– notice: The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
DBID C6C
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7X7
7XB
88A
88E
88I
8FE
8FH
8FI
8FJ
8FK
ABUWG
AEUYN
AFKRA
AZQEC
BBNVY
BENPR
BHPHI
CCPQU
DWQXO
FYUFA
GHDGH
GNUQQ
HCIFZ
K9.
LK8
M0S
M1P
M2P
M7P
PHGZM
PHGZT
PIMPY
PJZUB
PKEHL
PPXIY
PQEST
PQGLB
PQQKQ
PQUKI
PRINS
Q9U
7X8
5PM
DOA
DOI 10.1038/s41598-022-08400-z
DatabaseName Springer Nature OA Free Journals
CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
ProQuest Central (Corporate)
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Biology Database (Alumni Edition)
Medical Database (Alumni Edition)
Science Database (Alumni Edition)
ProQuest SciTech Collection
ProQuest Natural Science Collection
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest One Sustainability (subscription)
ProQuest Central UK/Ireland
ProQuest Central Essentials
Biological Science Collection
ProQuest Central - New (Subscription)
Natural Science Collection
ProQuest One Community College
ProQuest Central Korea
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
SciTech Premium Collection
ProQuest Health & Medical Complete (Alumni)
Biological Sciences
ProQuest Health & Medical Collection
Medical Database
Science Database
Biological Science Database
ProQuest Central Premium
ProQuest One Academic (New)
Publicly Available Content Database (subscription)
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Applied & Life Sciences
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
ProQuest Central Basic
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
Publicly Available Content Database
ProQuest Central Student
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
SciTech Premium Collection
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Natural Science Collection
ProQuest Central China
ProQuest Biology Journals (Alumni Edition)
ProQuest Central
ProQuest One Applied & Life Sciences
ProQuest One Sustainability
ProQuest Health & Medical Research Collection
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
Natural Science Collection
ProQuest Central Korea
Health & Medical Research Collection
Biological Science Collection
ProQuest Central (New)
ProQuest Medical Library (Alumni)
ProQuest Science Journals (Alumni Edition)
ProQuest Biological Science Collection
ProQuest Central Basic
ProQuest Science Journals
ProQuest One Academic Eastern Edition
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
Biological Science Database
ProQuest SciTech Collection
ProQuest Hospital Collection (Alumni)
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList MEDLINE


Publicly Available Content Database
MEDLINE - Academic

CrossRef
Database_xml – sequence: 1
  dbid: C6C
  name: Springer Nature OA Free Journals
  url: http://www.springeropen.com/
  sourceTypes: Publisher
– sequence: 2
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 3
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 4
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 5
  dbid: BENPR
  name: ProQuest Central
  url: http://www.proquest.com/pqcentral?accountid=15518
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Biology
EISSN 2045-2322
EndPage 22
ExternalDocumentID oai_doaj_org_article_c8fa7910ce3e48ac8a81efd7fa06e476
PMC8924277
35292717
10_1038_s41598_022_08400_z
Genre Meta-Analysis
Systematic Review
Journal Article
GroupedDBID 0R~
3V.
4.4
53G
5VS
7X7
88A
88E
88I
8FE
8FH
8FI
8FJ
AAFWJ
AAJSJ
AAKDD
ABDBF
ABUWG
ACGFS
ACSMW
ACUHS
ADBBV
ADRAZ
AENEX
AEUYN
AFKRA
AJTQC
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
AZQEC
BAWUL
BBNVY
BCNDV
BENPR
BHPHI
BPHCQ
BVXVI
C6C
CCPQU
DIK
DWQXO
EBD
EBLON
EBS
ESX
FYUFA
GNUQQ
GROUPED_DOAJ
GX1
HCIFZ
HH5
HMCUK
HYE
KQ8
LK8
M0L
M1P
M2P
M48
M7P
M~E
NAO
OK1
PIMPY
PQQKQ
PROAC
PSQYO
RNT
RNTTT
RPM
SNYQT
UKHRP
AASML
AAYXX
AFPKN
CITATION
PHGZM
PHGZT
CGR
CUY
CVF
ECM
EIF
NPM
7XB
8FK
K9.
PJZUB
PKEHL
PPXIY
PQEST
PQGLB
PQUKI
PRINS
Q9U
7X8
PUEGO
5PM
ID FETCH-LOGICAL-c540t-f05bc6f9a477c6c0b015a367c75b23b3c1f7ea723a4c755530a5c4c51ab87bdb3
IEDL.DBID 7X7
ISSN 2045-2322
IngestDate Wed Aug 27 01:20:32 EDT 2025
Tue Sep 23 05:48:01 EDT 2025
Thu Sep 04 22:28:58 EDT 2025
Sat Aug 16 22:24:08 EDT 2025
Thu Jan 02 22:54:26 EST 2025
Thu Apr 24 23:00:36 EDT 2025
Tue Jul 01 01:34:48 EDT 2025
Fri Feb 21 02:39:11 EST 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
License 2022. The Author(s).
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c540t-f05bc6f9a477c6c0b015a367c75b23b3c1f7ea723a4c755530a5c4c51ab87bdb3
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
content type line 14
ObjectType-Feature-3
ObjectType-Evidence Based Healthcare-1
ObjectType-Article-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
OpenAccessLink https://www.proquest.com/docview/2639130264?pq-origsite=%requestingapplication%
PMID 35292717
PQID 2639130264
PQPubID 2041939
PageCount 22
ParticipantIDs doaj_primary_oai_doaj_org_article_c8fa7910ce3e48ac8a81efd7fa06e476
pubmedcentral_primary_oai_pubmedcentral_nih_gov_8924277
proquest_miscellaneous_2640048194
proquest_journals_2639130264
pubmed_primary_35292717
crossref_citationtrail_10_1038_s41598_022_08400_z
crossref_primary_10_1038_s41598_022_08400_z
springer_journals_10_1038_s41598_022_08400_z
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2022-03-15
PublicationDateYYYYMMDD 2022-03-15
PublicationDate_xml – month: 03
  year: 2022
  text: 2022-03-15
  day: 15
PublicationDecade 2020
PublicationPlace London
PublicationPlace_xml – name: London
– name: England
PublicationTitle Scientific reports
PublicationTitleAbbrev Sci Rep
PublicationTitleAlternate Sci Rep
PublicationYear 2022
Publisher Nature Publishing Group UK
Nature Publishing Group
Nature Portfolio
Publisher_xml – name: Nature Publishing Group UK
– name: Nature Publishing Group
– name: Nature Portfolio
References Behery, Hasan, Ali, Eltabakh (CR16) 2020; 24
Chen, Zheng (CR82) 2014; 21
Xu (CR92) 2018; 33
Onofriescu (CR57) 2013; 39
Khalaf (CR69) 2010; 21
Maggi (CR67) 2016; 22
CR39
Fanchin (CR20) 2003; 18
CR36
Sha, Wang, Cheng, Yan (CR7) 2019; 39
CR35
Fischer (CR15) 2016; 76
Hughes (CR8) 1992; 58
Wang, Hu, Yao, Sun (CR94) 2021; 53
Segal (CR58) 2008; 90
Cédrin-Durnerin (CR65) 2007; 22
Hwang (CR26) 2004; 19
Ashrafi (CR41) 2005; 3
CR48
Eryılmaz (CR10) 2012; 29
CR47
CR46
Kdous, Chaker, Bouyahia, Zhioua, Zhioua (CR56) 2009; 87
Copperman, Benadiva (CR9) 2013; 11
CR40
Xu (CR80) 2005; 71
Liu, Hartman, Hartman, Luo, Mahutte (CR100) 2018; 33
Pundir, Sunkara, El-Toukhy, Khalaf (CR31) 2012; 24
Hosseini (CR60) 2010; 36
Minaretzis (CR72) 1995; 172
Simon (CR96) 2005; 20
Teede, Deeks, Moran (CR2) 2010; 8
Vrtačnik-Bokal (CR49) 2009; 18
Kudsy, Alhalabi, Al-quobaili (CR88) 2016; 21
Youssef (CR33) 2014
Orvieto (CR53) 2012; 28
McDonnell, Hart (CR5) 2017; 13
Pan, Wu, Cheng, Li, Chang (CR85) 2002; 17
Kara, Ozcan, Aran, Kara, Yilmaz (CR98) 2019; 8
CR51
Sterne (CR37) 2019; 366
Naredi, Talwar, Sandeep (CR84) 2014; 70
Mokhtar (CR23) 2015; 16
Lin (CR28) 2014; 9
Malhotra (CR76) 2015; 1
Palomba (CR6) 2015; 21
Schulte, Tsai, Moley (CR99) 2015; 22
Fanchin, Méndez Lozano, Schonäuer, Cunha-Filho, Frydman (CR21) 2005; 10
Chen, Zhao, Zhang (CR42) 2018; 24
Artini (CR89) 2009; 12
Ghaebi (CR17) 2018; 21
Zeinalzadeh (CR50) 2014; 12
Ghosh (CR83) 2000; 6
Winkler, Bukulmez, Hardy, Carr (CR70) 2010; 94
Haydardedeoglu, Kilicdag, Parlakgumus, Zeyneloglu (CR18) 2012; 286
Shin (CR27) 2018; 45
Ferrari, Pezzuto, Barusi, Coppola (CR75) 2006; 124
Rackow, Kliman, Taylor (CR90) 2008; 89
Holmes, Zachary (CR77) 2005; 6
Ruan (CR93) 2006; 21
Choi (CR45) 2012; 98
Namavar Jahromi (CR13) 2018; 43
Devroey (CR19) 2009; 24
Costello (CR3) 2019; 2019
Choi (CR43) 2005; 48
Kdous, M’solly, Zhioua, Meriah (CR55) 2008; 86
Lainas (CR25) 2007; 22
Kumar, Sait, Sharma, Kumar (CR12) 2011; 4
Metallinou, Asimakopoulos, Schröer, Nikolettos (CR68) 2007; 14
Alcázar, Kudla (CR87) 2012; 40
Azziz (CR1) 2016; 2
Lambalk (CR29) 2017; 23
Devroey (CR11) 2009; 24
Kolibianakis (CR66) 2006; 21
Kaur (CR54) 2012; 5
McGrath, Zhao, Steele, Thombs, Benedetti (CR38) 2020
Eddy, Bidwell, George (CR78) 2018; 9
Trenkić (CR63) 2016; 87
Hazzard, Xu, Stouffer (CR81) 2002; 67
Chen (CR91) 2020; 159
Lainas (CR62) 2010; 25
Sun (CR14) 2020; 11
Xiao, Chen, Zhang, Chang (CR30) 2013; 29
Bahçeci (CR59) 2005; 50
Hou, Taylor, Shu, Johnston-MacAnanny, Yalcinkaya (CR79) 2014; 102
Page (CR34) 2021; 372
Ultrasonography (CR86) 1999; 18
Huirne (CR64) 2006; 13
Orvieto (CR52) 2009; 91
Kolibianakis (CR22) 2003; 79
Griesinger, Diedrich, Tarlatzis, Kolibianakis (CR32) 2006; 13
Haouzi (CR97) 2010; 82
Kurzawa, Ciepiela, Baczkowski, Safranow, Brelik (CR61) 2008; 25
Giampietro, Sancilio, Tiboni, Rana, Di Pietro (CR73) 2006; 85
Garcia-Velasco (CR71) 2001; 16
Choi (CR44) 2012; 39
Lavorato (CR74) 2012; 165
Kim (CR24) 2012; 39
Satokata, Benson, Maas (CR95) 1995; 374
Tandulwadkar, Lodha, Mangeshikar (CR4) 2014; 7
MH Choi (8400_CR44) 2012; 39
EG Hughes (8400_CR8) 1992; 58
C Simon (8400_CR96) 2005; 20
MS Trenkić (8400_CR63) 2016; 87
EM Kolibianakis (8400_CR22) 2003; 79
JA Garcia-Velasco (8400_CR71) 2001; 16
B Namavar Jahromi (8400_CR13) 2018; 43
MAFM Youssef (8400_CR33) 2014
D Fischer (8400_CR15) 2016; 76
J Xiao (8400_CR30) 2013; 29
T Ultrasonography (8400_CR86) 1999; 18
B Xu (8400_CR92) 2018; 33
R McDonnell (8400_CR5) 2017; 13
M Kudsy (8400_CR88) 2016; 21
D Chen (8400_CR82) 2014; 21
H Lin (8400_CR28) 2014; 9
B Sun (8400_CR14) 2020; 11
M Kara (8400_CR98) 2019; 8
C Metallinou (8400_CR68) 2007; 14
R Orvieto (8400_CR52) 2009; 91
R Fanchin (8400_CR20) 2003; 18
EM Kolibianakis (8400_CR66) 2006; 21
H Teede (8400_CR2) 2010; 8
F Giampietro (8400_CR73) 2006; 85
D Haouzi (8400_CR97) 2010; 82
F Xu (8400_CR80) 2005; 71
L Hou (8400_CR79) 2014; 102
H Kaur (8400_CR54) 2012; 5
P Devroey (8400_CR11) 2009; 24
8400_CR36
8400_CR35
Q Chen (8400_CR91) 2020; 159
8400_CR39
OG Eryılmaz (8400_CR10) 2012; 29
MF Costello (8400_CR3) 2019; 2019
C-H Kim (8400_CR24) 2012; 39
B Haydardedeoglu (8400_CR18) 2012; 286
H Ruan (8400_CR93) 2006; 21
DI Holmes (8400_CR77) 2005; 6
MA Hosseini (8400_CR60) 2010; 36
R Azziz (8400_CR1) 2016; 2
M Ashrafi (8400_CR41) 2005; 3
R Fanchin (8400_CR21) 2005; 10
Y Chen (8400_CR42) 2018; 24
MMB Schulte (8400_CR99) 2015; 22
A Onofriescu (8400_CR57) 2013; 39
R Kurzawa (8400_CR61) 2008; 25
8400_CR51
H Pan (8400_CR85) 2002; 17
N Malhotra (8400_CR76) 2015; 1
M Kdous (8400_CR55) 2008; 86
S McGrath (8400_CR38) 2020
JW Choi (8400_CR43) 2005; 48
M Bahçeci (8400_CR59) 2005; 50
B Ferrari (8400_CR75) 2006; 124
P Kumar (8400_CR12) 2011; 4
G Griesinger (8400_CR32) 2006; 13
S Segal (8400_CR58) 2008; 90
PG Artini (8400_CR89) 2009; 12
NK Ghaebi (8400_CR17) 2018; 21
KE Liu (8400_CR100) 2018; 33
MH Choi (8400_CR45) 2012; 98
8400_CR40
D Ghosh (8400_CR83) 2000; 6
E Vrtačnik-Bokal (8400_CR49) 2009; 18
JAC Sterne (8400_CR37) 2019; 366
N Naredi (8400_CR84) 2014; 70
8400_CR48
8400_CR47
8400_CR46
TG Lainas (8400_CR62) 2010; 25
BW Rackow (8400_CR90) 2008; 89
MJ Page (8400_CR34) 2021; 372
S Mokhtar (8400_CR23) 2015; 16
JL Alcázar (8400_CR87) 2012; 40
JJ Shin (8400_CR27) 2018; 45
I Cédrin-Durnerin (8400_CR65) 2007; 22
R Maggi (8400_CR67) 2016; 22
J-L Hwang (8400_CR26) 2004; 19
M Kdous (8400_CR56) 2009; 87
HL Lavorato (8400_CR74) 2012; 165
T Sha (8400_CR7) 2019; 39
JAF Huirne (8400_CR64) 2006; 13
AC Eddy (8400_CR78) 2018; 9
AB Copperman (8400_CR9) 2013; 11
P Devroey (8400_CR19) 2009; 24
CB Lambalk (8400_CR29) 2017; 23
S Palomba (8400_CR6) 2015; 21
Y Wang (8400_CR94) 2021; 53
TG Lainas (8400_CR25) 2007; 22
R Orvieto (8400_CR53) 2012; 28
M Khalaf (8400_CR69) 2010; 21
SR Tandulwadkar (8400_CR4) 2014; 7
I Satokata (8400_CR95) 1995; 374
TM Hazzard (8400_CR81) 2002; 67
N Winkler (8400_CR70) 2010; 94
MA Behery (8400_CR16) 2020; 24
M Zeinalzadeh (8400_CR50) 2014; 12
J Pundir (8400_CR31) 2012; 24
D Minaretzis (8400_CR72) 1995; 172
References_xml – year: 2020
  ident: CR38
  article-title: Estimating the sample mean and standard deviation from commonly reported quantiles in meta-analysis
  publication-title: Stat. Methods Med. Res.
  doi: 10.1177/0962280219889080
– volume: 5
  start-page: 181
  year: 2012
  end-page: 186
  ident: CR54
  article-title: A prospective study of GnRH long agonist versus flexible GnRH antagonist protocol in PCOS: Indian experience
  publication-title: J. Hum. Reprod. Sci.
– volume: 12
  start-page: 40
  year: 2009
  end-page: 44
  ident: CR89
  article-title: Vascular endothelial growth factor and its soluble receptor in patients with polycystic ovary syndrome undergoing IVF
  publication-title: Hum. Fertil.
– ident: CR39
– volume: 6
  start-page: 935
  year: 2000
  end-page: 941
  ident: CR83
  article-title: Expression of vascular endothelial growth factor (VEGF) and placental growth factor (PlGF) in conceptus and endometrium during implantation in the rhesus monkey
  publication-title: Mol. Hum. Reprod.
– ident: CR51
– volume: 172
  start-page: 1518
  year: 1995
  end-page: 1525
  ident: CR72
  article-title: Gonadotropin-releasing hormone antagonist versus agonist administration in women undergoing controlled ovarian hyperstimulation: cycle performance and in vitro steroidogenesis of granulosa-lutein cells
  publication-title: Am. J. Obstet. Gynecol.
– volume: 6
  start-page: 209
  year: 2005
  ident: CR77
  article-title: The vascular endothelial growth factor (VEGF) family: angiogenic factors in health and disease
  publication-title: Genome Biol.
– volume: 22
  start-page: 109
  year: 2007
  end-page: 116
  ident: CR65
  article-title: Effects of oral contraceptive, synthetic progestogen or natural estrogen pre-treatments on the hormonal profile and the antral follicle cohort before GnRH antagonist protocol
  publication-title: Hum. Reprod.
– volume: 14
  start-page: 737
  year: 2007
  end-page: 749
  ident: CR68
  article-title: Gonadotropin-releasing hormone in the ovary
  publication-title: Reprod. Sci.
– volume: 94
  start-page: 1832
  year: 2010
  end-page: 1839
  ident: CR70
  article-title: Gonadotropin releasing hormone antagonists suppress aromatase and anti-Müllerian hormone expression in human granulosa cells
  publication-title: Fertil. Steril.
– volume: 29
  start-page: 187
  year: 2013
  end-page: 191
  ident: CR30
  article-title: Effectiveness of GnRH antagonist in the treatment of patients with polycystic ovary syndrome undergoing IVF: a systematic review and meta analysis
  publication-title: Gynecol. Endocrinol.
– volume: 21
  start-page: 52
  year: 2016
  end-page: 56
  ident: CR88
  article-title: Follicular fluid Vascular Endothelial Growth Factor (VEGF) could be a predictor for pregnancy outcome in normo-responders and polycystic ovary syndrome women undergoing IVF/ICSI treatment cycles
  publication-title: Middle East Fertil. Soc. J.
– volume: 13
  start-page: 628
  year: 2006
  end-page: 638
  ident: CR32
  article-title: GnRH-antagonists in ovarian stimulation for IVF in patients with poor response to gonadotrophins, polycystic ovary syndrome, and risk of ovarian hyperstimulation: a meta-analysis
  publication-title: Reprod. Biomed. Online
– volume: 29
  start-page: 197
  year: 2012
  end-page: 200
  ident: CR10
  article-title: Ovarian cyst formation following Gonadotropin-Releasing Hormone-Agonist administration decreases the oocyte quality in IVF cycles
  publication-title: Balkan Med. J.
– volume: 76
  start-page: 718
  year: 2016
  end-page: 726
  ident: CR15
  article-title: Avoiding OHSS: controlled ovarian low-dose stimulation in women with PCOS
  publication-title: Geburtshilfe Frauenheilkd.
– volume: 85
  start-page: 412
  year: 2006
  end-page: 419
  ident: CR73
  article-title: Levels of apoptosis in human granulosa cells seem to be comparable after therapy with a gonadotropin-releasing hormone agonist or antagonist
  publication-title: Fertil. Steril.
– volume: 87
  start-page: 834
  year: 2009
  end-page: 842
  ident: CR56
  article-title: Increased risk of earlypregnancy loss and lower live birth rate with GnRH antagonist vs long GnRH agonist protocol in PCOS women undergoing controlled ovarian hyperstimulation [Augmentation du taux de fausses couches spontanees precoces et diminution du t
  publication-title: Tunisie Med.
– volume: 9
  start-page: 36
  year: 2018
  ident: CR78
  article-title: Pro-angiogenic therapeutics for preeclampsia
  publication-title: Biol. Sex Differ.
– volume: 8
  start-page: 41
  year: 2010
  ident: CR2
  article-title: Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan
  publication-title: BMC Med.
– volume: 165
  start-page: 61
  year: 2012
  end-page: 65
  ident: CR74
  article-title: GnRH agonist versus GnRH antagonist in IVF/ICSI cycles with recombinant LH supplementation: DNA fragmentation and apoptosis in granulosa cells
  publication-title: Eur. J. Obstet. Gynecol. Reprod. Biol.
– ident: CR36
– volume: 11
  start-page: 615957
  year: 2020
  ident: CR14
  article-title: Factors associated with ovarian hyperstimulation syndrome (OHSS) severity in women with polycystic ovary syndrome undergoing IVF/ICSI
  publication-title: Front. Endocrinol. (Lausanne).
– volume: 90
  start-page: S232
  year: 2008
  ident: CR58
  article-title: Comparison of outcomes between controlled ovarian stimulation with GnRH-agonist vs GnRH-antagonist for in vitro fertilization cycles in women with polycystic ovarian syndrome
  publication-title: Fertil. Steril.
– volume: 79
  start-page: 873
  year: 2003
  end-page: 880
  ident: CR22
  article-title: Exposure to high levels of luteinizing hormone and estradiol in the early follicular phase of gonadotropin-releasing hormone antagonist cycles is associated with a reduced chance of pregnancy
  publication-title: Fertil. Steril.
– volume: 21
  start-page: 1
  year: 2018
  end-page: 9
  ident: CR17
  article-title: Pregnancy outcomes in PCOS patients undergoing IVF with long GnRH agonist protocol versus flexible GnRH antagonist
  publication-title: Iran. J. Obstet. Gynecol. Infertil.
– volume: 39
  start-page: 22
  year: 2012
  end-page: 27
  ident: CR24
  article-title: Effectiveness of GNRH antagonist multiple dose protocol applied during early and late follicular phase compared with GNRH agonist long protocol in non-obese and obese patients with polycystic ovary syndrome undergoing IVF/ICSI
  publication-title: Clin. Exp. Reprod. Med.
– volume: 24
  start-page: 9424
  year: 2018
  end-page: 9428
  ident: CR42
  article-title: Comparative effectiveness of three ovarian hyperstimulation protocol in In Vitro Fertilization (IVF) cycles for women with Polycystic Ovary Syndrome
  publication-title: Med. Sci. Monit.
– ident: CR47
– volume: 13
  start-page: 235
  year: 2006
  end-page: 245
  ident: CR64
  article-title: Effect of an oral contraceptive pill on follicular development in IVF/ICSI patients receiving a GnRH antagonist: a randomized study
  publication-title: Reprod. Biomed. Online
– volume: 23
  start-page: 560
  year: 2017
  end-page: 579
  ident: CR29
  article-title: GnRH antagonist versus long agonist protocols in IVF: a systematic review and meta-analysis accounting for patient type
  publication-title: Hum. Reprod. Update
– volume: 2
  start-page: 16057
  year: 2016
  ident: CR1
  article-title: Polycystic ovary syndrome
  publication-title: Nat. Rev. Dis. Primers
– volume: 10
  start-page: 721
  year: 2005
  end-page: 728
  ident: CR21
  article-title: Hormonal manipulations in the luteal phase to coordinate subsequent antral follicle growth during ovarian stimulation
  publication-title: Reprod. Biomed. Online
– volume: 67
  start-page: 1305
  year: 2002
  end-page: 1312
  ident: CR81
  article-title: Injection of soluble vascular endothelial growth factor receptor 1 into the preovulatory follicle disrupts ovulation and subsequent luteal function in rhesus monkeys
  publication-title: Biol. Reprod.
– volume: 89
  start-page: 1234
  year: 2008
  end-page: 1239
  ident: CR90
  article-title: GnRH antagonists may affect endometrial receptivity
  publication-title: Fertil. Steril.
– volume: 53
  start-page: 365
  year: 2021
  end-page: 371
  ident: CR94
  article-title: Identification of HOXA10 target genes in human endometrial stromal cells by RNA-seq analysis
  publication-title: Acta Biochim. Biophys. Sin. (Shanghai)
– volume: 374
  start-page: 460
  year: 1995
  end-page: 463
  ident: CR95
  article-title: Sexually dimorphic sterility phenotypes in Hoxa10-deficient mice
  publication-title: Nature
– volume: 18
  start-page: 2698
  year: 2003
  end-page: 2703
  ident: CR20
  article-title: Luteal estradiol pre-treatment coordinates follicular growth during controlled ovarian hyperstimulation with GnRH antagonists
  publication-title: Hum. Reprod.
– volume: 372
  year: 2021
  ident: CR34
  article-title: The PRISMA 2020 statement: an updated guideline for reporting systematic reviews
  publication-title: BMJ
– volume: 16
  start-page: 148
  year: 2015
  end-page: 154
  ident: CR23
  article-title: ART outcomes in GnRH antagonist protocol (flexible) and long GnRH agonist protocol during early follicular phase in patients with polycystic ovary syndrome: a randomized clinical trial
  publication-title: J. Reprod. Infertil.
– volume: 39
  start-page: 166
  year: 2012
  end-page: 171
  ident: CR44
  article-title: Comparison of assisted reproductive technology outcomes in infertile women with polycystic ovary syndrome: In vitro maturation, gnrh agonist, and gnrh antagonist cycles
  publication-title: Clin. Exp. Reprod. Med.
– year: 2014
  ident: CR33
  article-title: Gonadotropin-releasing hormone agonist versus HCG for oocyte triggering in antagonist-assisted reproductive technology
  publication-title: Cochrane Database Syst. Rev.
  doi: 10.1002/14651858.CD008046.pub4
– volume: 21
  start-page: 2521
  year: 2006
  end-page: 2529
  ident: CR93
  article-title: Ovarian stimulation with GnRH agonist, but not GnRH antagonist, partially restores the expression of endometrial integrin β3 and leukaemia-inhibitory factor and improves uterine receptivity in mice
  publication-title: Hum. Reprod.
– volume: 1
  start-page: 41
  year: 2015
  end-page: 43
  ident: CR76
  article-title: Physiological balance between fVEGF and sVEGFR1 is maintained within ovarian follicles in normoresponder women irrespective of GnRH-agonist and GnRH-antagonist protocols
  publication-title: J. Reprod. Heal. Med.
– volume: 86
  start-page: 1060
  year: 2008
  end-page: 1065
  ident: CR55
  article-title: Use of GnRH antagonist (cetrorelix®) in controlled ovarian hyperstimulation in women with polycystic ovary disease [Utilisation des antagonistes de la GnRH (cetrorelix®) dans la stimulation plurifolliculaire chez les patientes porteuses d’une dystrophie o
  publication-title: Tunisie Med.
– volume: 82
  start-page: 679
  year: 2010
  end-page: 686
  ident: CR97
  article-title: Controlled ovarian hyperstimulation for In Vitro Fertilization alters endometrial receptivity in humans: protocol effects
  publication-title: Biol. Reprod.
– volume: 18
  start-page: 21
  year: 2009
  end-page: 28
  ident: CR49
  article-title: Follicular oestradiol and VEGF after GnRH antagonists or GnRH agonists in women with PCOS
  publication-title: Reprod. Biomed. Online
– volume: 24
  start-page: 6
  year: 2012
  end-page: 22
  ident: CR31
  article-title: Meta-analysis of GnRH antagonist protocols: do they reduce the risk of OHSS in PCOS?
  publication-title: Reprod. Biomed. Online
– ident: CR35
– volume: 58
  start-page: 888
  year: 1992
  end-page: 896
  ident: CR8
  article-title: The routine use of gonadotropin-releasing hormone agonists prior to in vitro fertilization and gamete intrafallopian transfer: a meta-analysis of randomized controlled trials
  publication-title: Fertil. Steril.
– volume: 21
  start-page: 15
  year: 2014
  end-page: 25
  ident: CR82
  article-title: Regulation of placental angiogenesis
  publication-title: Microcirculation
– volume: 40
  start-page: 470
  year: 2012
  end-page: 475
  ident: CR87
  article-title: Ovarian stromal vessels assessed by spatiotemporal image correlation–high definition flow in women with polycystic ovary syndrome: a case–control study
  publication-title: Ultrasound Obstet. Gynecol.
– volume: 4
  start-page: 70
  year: 2011
  end-page: 75
  ident: CR12
  article-title: Ovarian hyperstimulation syndrome
  publication-title: J. Hum. Reprod. Sci.
– ident: CR46
– volume: 12
  start-page: 58
  year: 2014
  ident: CR50
  article-title: Comparison of GnRH agonists and antagonists in the outcome of IVF/ICSI in women with polycystic ovary syndrome
  publication-title: Iran. J. Reprod. Med.
– volume: 48
  start-page: 716
  year: 2005
  end-page: 725
  ident: CR43
  article-title: Efficacy of controlled ovarian hyperstimulation using GnRH antagonist in women with polycystic ovary syndrome undergoing IVF-ET
  publication-title: Korean J Obs. Gynecol
– volume: 19
  start-page: 1993
  year: 2004
  end-page: 2000
  ident: CR26
  article-title: Ovarian stimulation by concomitant administration of cetrorelix acetate and HMG following Diane-35 pre-treatment for patients with polycystic ovary syndrome: a prospective randomized study
  publication-title: Hum. Reprod.
– volume: 25
  start-page: 683
  year: 2010
  end-page: 689
  ident: CR62
  article-title: Flexible GnRH antagonist protocol versus GnRH agonist long protocol in patients with polycystic ovary syndrome treated for IVF: A prospective randomised controlled trial (RCT)
  publication-title: Hum. Reprod.
– volume: 45
  start-page: 135
  year: 2018
  end-page: 142
  ident: CR27
  article-title: Early gonadotropin-releasing hormone antagonist protocol in women with polycystic ovary syndrome: a preliminary randomized trial
  publication-title: Clin. Exp. Reprod. Med.
– volume: 28
  start-page: 422
  year: 2012
  end-page: 424
  ident: CR53
  article-title: Does day-3 LH/FSH ratio influence in vitro fertilization outcome in PCOS patients undergoing controlled ovarian hyperstimulation with different GnRH-analogue
  publication-title: Gynecol. Endocrinol.
– volume: 13
  start-page: 89
  year: 2017
  end-page: 97
  ident: CR5
  article-title: Pregnancy-related outcomes for women with polycystic ovary syndrome
  publication-title: Women’s Heal.
– volume: 33
  start-page: 1270
  year: 2018
  end-page: 1280
  ident: CR92
  article-title: Increased AIF-1-mediated TNF-α expression during implantation phase in IVF cycles with GnRH antagonist protocol
  publication-title: Hum. Reprod.
– volume: 36
  start-page: 605
  year: 2010
  end-page: 610
  ident: CR60
  article-title: Comparison of gonadotropin-releasing hormone agonists and antagonists in assisted reproduction cycles of polycystic ovarian syndrome patients
  publication-title: J. Obstet. Gynaecol. Res.
– volume: 24
  start-page: 3063
  year: 2009
  end-page: 3072
  ident: CR19
  article-title: A double-blind, non-inferiority RCT comparing corifollitropin alfa and recombinant FSH during the first seven days of ovarian stimulation using a GnRH antagonist protocol
  publication-title: Hum. Reprod.
– volume: 22
  start-page: 6
  year: 2015
  end-page: 14
  ident: CR99
  article-title: Obesity and PCOS: the effect of metabolic derangements on endometrial receptivity at the time of implantation
  publication-title: Reprod. Sci.
– volume: 22
  start-page: 1540
  year: 2007
  end-page: 1546
  ident: CR25
  article-title: Initiation of GnRH antagonist on Day 1 of stimulation as compared to the long agonist protocol in PCOS patients. A randomized controlled trial: Effect on hormonal levels and follicular development
  publication-title: Hum. Reprod.
– volume: 71
  start-page: 239
  year: 2005
  end-page: 248
  ident: CR80
  article-title: Intraovarian actions of anti-angiogenic agents disrupt periovulatory events during the menstrual cycle in monkeys
  publication-title: Contraception
– volume: 124
  start-page: 70
  year: 2006
  end-page: 76
  ident: CR75
  article-title: Follicular fluid vascular endothelial growth factor concentrations are increased during GnRH antagonist/FSH ovarian stimulation cycles
  publication-title: Eur. J. Obstet. Gynecol. Reprod. Biol.
– volume: 16
  start-page: 2533
  year: 2001
  end-page: 2539
  ident: CR71
  article-title: Human ovarian steroid secretion in vivo: Effects of GnRH agonist versus antagonist (cetrorelix)
  publication-title: Hum. Reprod.
– volume: 22
  start-page: 358
  year: 2016
  end-page: 381
  ident: CR67
  article-title: GnRH and GnRH receptors in the pathophysiology of the human female reproductive system
  publication-title: Hum. Reprod. Update
– volume: 98
  start-page: S210
  year: 2012
  ident: CR45
  article-title: IVF comparison of ART outcomes in infertile PCOS women; In Vitro Maturation (IVM) vs. GnRH agonist vs. GnRH antagonist cycles
  publication-title: Fertil. Steril.
– volume: 21
  start-page: 352
  year: 2006
  end-page: 357
  ident: CR66
  article-title: Effect of oral contraceptive pill pretreatment on ongoing pregnancy rates in patients stimulated with GnRH antagonists and recombinant FSH for IVF. A randomized controlled trial
  publication-title: Hum. Reprod.
– volume: 70
  start-page: 58
  year: 2014
  end-page: 63
  ident: CR84
  article-title: VEGF antagonist for the prevention of ovarian hyperstimulation syndrome: current status
  publication-title: Med. J. Armed Forces India
– volume: 366
  start-page: l4898
  year: 2019
  ident: CR37
  article-title: RoB 2: a revised tool for assessing risk of bias in randomised trials
  publication-title: BMJ
– volume: 91
  start-page: 1466
  year: 2009
  end-page: 1468
  ident: CR52
  article-title: What is the preferred GnRH analogue for polycystic ovary syndrome patients undergoing controlled ovarian hyperstimulation for in vitro fertilization?
  publication-title: Fertil. Steril.
– volume: 102
  start-page: e256
  year: 2014
  ident: CR79
  article-title: Vascular endothelial growth factor (VEGF) and placental growth factor (PLGF) directly correlate with ovarian follicle size in women undergoing in vitro fertilization (IVF)
  publication-title: Fertil. Steril.
– volume: 24
  start-page: 764
  year: 2009
  end-page: 774
  ident: CR11
  article-title: Improving the patient’s experience of IVF/ICSI: a proposal for an ovarian stimulation protocol with GnRH antagonist co-treatment
  publication-title: Hum. Reprod.
– ident: CR40
– volume: 17
  start-page: 201
  year: 2002
  end-page: 206
  ident: CR85
  article-title: Quantification of Doppler signal in polycystic ovary syndrome using three-dimensional power Doppler ultrasonography: a possible new marker for diagnosis
  publication-title: Hum. Reprod.
– volume: 21
  start-page: 56
  year: 2010
  end-page: 65
  ident: CR69
  article-title: GnRH agonist and GnRH antagonist protocols in ovarian stimulation: Differential regulation pathway of aromatase expression in human granulosa cells
  publication-title: Reprod. Biomed. Online
– volume: 11
  start-page: 20
  year: 2013
  ident: CR9
  article-title: Optimal usage of the GnRH antagonists: a review of the literature
  publication-title: Reprod. Biol. Endocrinol.
– volume: 3
  start-page: 14
  year: 2005
  end-page: 18
  ident: CR41
  article-title: A comparative study of GnRH antagonist and GnRH agonist in PCO patients undergoing IVF/ICSI cycles
  publication-title: Int. J. Reprod. Biomed. IRANIAN J. Reprod. Med.
– volume: 2019
  start-page: hoy021
  year: 2019
  ident: CR3
  article-title: Evidence summaries and recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome: assessment and treatment of infertility
  publication-title: Hum. Reprod. Open
– volume: 7
  start-page: 13
  year: 2014
  end-page: 18
  ident: CR4
  article-title: Obstetric complications in women with IVF conceived pregnancies and polycystic ovarian syndrome
  publication-title: J. Hum. Reprod. Sci.
– volume: 9
  start-page: e91796
  year: 2014
  ident: CR28
  article-title: Is a GnRH antagonist protocol better in PCOS patients? A Meta-Analysis of RCTs
  publication-title: PLoS ONE
– volume: 39
  start-page: 20
  year: 2013
  end-page: 25
  ident: CR57
  article-title: GnRH Antagonist IVF Protocol in PCOS
  publication-title: Curr. Heal. Sci. J.
– volume: 18
  start-page: 303
  year: 1999
  end-page: 313
  ident: CR86
  article-title: Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography.
  publication-title: J. Ultrasound Med.
– volume: 39
  start-page: 281
  year: 2019
  end-page: 293
  ident: CR7
  article-title: A meta-analysis of pregnancy-related outcomes and complications in women with polycystic ovary syndrome undergoing IVF
  publication-title: Reprod. Biomed. Online
– volume: 87
  start-page: 265
  year: 2016
  end-page: 270
  ident: CR63
  article-title: Flexible GnRH antagonist protocol vs. long GnRH agonist protocol in patients with polycystic ovary syndrome treated for IVF: Comparison of clinical outcome and embryo quality
  publication-title: Ginekol. Pol.
– ident: CR48
– volume: 25
  start-page: 365
  year: 2008
  end-page: 374
  ident: CR61
  article-title: Comparison of embryological and clinical outcome in GnRH antagonist vs. GnRH agonist protocols for in vitro fertilization in PCOS non-obese patients. A prospective randomized study
  publication-title: J. Assist. Reprod. Genet.
– volume: 50
  start-page: 84
  year: 2005
  end-page: 90
  ident: CR59
  article-title: Use of a GnRH antagonist in controlled ovarian hyperstimulation for assisted conception in women with polycystic ovary disease: A randomized, prospective, pilot study
  publication-title: J. Reprod. Med. Obstet. Gynecol.
– volume: 43
  start-page: 248
  year: 2018
  end-page: 260
  ident: CR13
  article-title: Ovarian hyperstimulation syndrome: a narrative review of its pathophysiology, risk factors, prevention, classification, and management
  publication-title: Iran. J. Med. Sci.
– volume: 286
  start-page: 763
  year: 2012
  end-page: 769
  ident: CR18
  article-title: IVF/ICSI outcomes of the OCP plus GnRH agonist protocol versus the OCP plus GnRH antagonist fixed protocol in women with PCOS: a randomized trial
  publication-title: Arch. Gynecol. Obstet.
– volume: 33
  start-page: 1883
  year: 2018
  end-page: 1888
  ident: CR100
  article-title: The impact of a thin endometrial lining on fresh and frozen-thaw IVF outcomes: an analysis of over 40 000 embryo transfers
  publication-title: Hum. Reprod.
– volume: 24
  year: 2020
  ident: CR16
  article-title: Comparative study between agonist and antagonist protocols in PCOS patients undergoing ICSI: a cross-sectional study
  publication-title: Middle East Fertil. Soc. J.
– volume: 21
  start-page: 575
  year: 2015
  end-page: 592
  ident: CR6
  article-title: Pregnancy complications in women with polycystic ovary syndrome
  publication-title: Hum. Reprod. Update
– volume: 159
  start-page: 733
  year: 2020
  end-page: 743
  ident: CR91
  article-title: GnRH antagonist alters the migration of endometrial epithelial cells by reducing CKB
  publication-title: Reproduction
– volume: 8
  start-page: 118
  year: 2019
  end-page: 122
  ident: CR98
  article-title: Evaluation of endometrial receptivity by measuring HOXA-10, HOXA-11, and leukemia inhibitory factor expression in patients with polycystic ovary syndrome
  publication-title: Gynecol. Minim. Invasive Ther.
– volume: 20
  start-page: 3318
  year: 2005
  end-page: 3327
  ident: CR96
  article-title: Similar endometrial development in oocyte donors treated with either high- or standard-dose GnRH antagonist compared to treatment with a GnRH agonist or in natural cycles
  publication-title: Hum. Reprod.
– volume: 17
  start-page: 201
  year: 2002
  ident: 8400_CR85
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/17.1.201
– volume: 2019
  start-page: hoy021
  year: 2019
  ident: 8400_CR3
  publication-title: Hum. Reprod. Open
  doi: 10.1093/hropen/hoy021
– volume: 9
  start-page: 36
  year: 2018
  ident: 8400_CR78
  publication-title: Biol. Sex Differ.
  doi: 10.1186/s13293-018-0195-5
– ident: 8400_CR40
– volume: 16
  start-page: 148
  year: 2015
  ident: 8400_CR23
  publication-title: J. Reprod. Infertil.
– volume: 22
  start-page: 109
  year: 2007
  ident: 8400_CR65
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/del340
– volume: 33
  start-page: 1270
  year: 2018
  ident: 8400_CR92
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dey119
– volume: 98
  start-page: S210
  year: 2012
  ident: 8400_CR45
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2012.07.760
– volume: 16
  start-page: 2533
  year: 2001
  ident: 8400_CR71
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/16.12.2533
– volume: 67
  start-page: 1305
  year: 2002
  ident: 8400_CR81
  publication-title: Biol. Reprod.
  doi: 10.1095/biolreprod67.4.1305
– volume: 39
  start-page: 22
  year: 2012
  ident: 8400_CR24
  publication-title: Clin. Exp. Reprod. Med.
  doi: 10.5653/cerm.2012.39.1.22
– volume: 102
  start-page: e256
  year: 2014
  ident: 8400_CR79
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2014.07.1265
– volume: 21
  start-page: 575
  year: 2015
  ident: 8400_CR6
  publication-title: Hum. Reprod. Update
  doi: 10.1093/humupd/dmv029
– volume: 79
  start-page: 873
  year: 2003
  ident: 8400_CR22
  publication-title: Fertil. Steril.
  doi: 10.1016/S0015-0282(02)04920-8
– volume: 29
  start-page: 187
  year: 2013
  ident: 8400_CR30
  publication-title: Gynecol. Endocrinol.
  doi: 10.3109/09513590.2012.736561
– ident: 8400_CR51
– volume: 70
  start-page: 58
  year: 2014
  ident: 8400_CR84
  publication-title: Med. J. Armed Forces India
  doi: 10.1016/j.mjafi.2012.03.005
– volume: 10
  start-page: 721
  year: 2005
  ident: 8400_CR21
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/S1472-6483(10)61115-7
– volume: 21
  start-page: 56
  year: 2010
  ident: 8400_CR69
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/j.rbmo.2010.03.017
– volume: 8
  start-page: 41
  year: 2010
  ident: 8400_CR2
  publication-title: BMC Med.
  doi: 10.1186/1741-7015-8-41
– volume: 21
  start-page: 2521
  year: 2006
  ident: 8400_CR93
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/del215
– volume: 19
  start-page: 1993
  year: 2004
  ident: 8400_CR26
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/deh375
– ident: 8400_CR48
– volume: 39
  start-page: 166
  year: 2012
  ident: 8400_CR44
  publication-title: Clin. Exp. Reprod. Med.
  doi: 10.5653/cerm.2012.39.4.166
– volume: 39
  start-page: 20
  year: 2013
  ident: 8400_CR57
  publication-title: Curr. Heal. Sci. J.
– volume: 50
  start-page: 84
  year: 2005
  ident: 8400_CR59
  publication-title: J. Reprod. Med. Obstet. Gynecol.
– ident: 8400_CR46
– volume: 48
  start-page: 716
  year: 2005
  ident: 8400_CR43
  publication-title: Korean J Obs. Gynecol
– volume: 12
  start-page: 40
  year: 2009
  ident: 8400_CR89
  publication-title: Hum. Fertil.
  doi: 10.1080/14647270802621358
– volume: 18
  start-page: 303
  year: 1999
  ident: 8400_CR86
  publication-title: J. Ultrasound Med.
  doi: 10.7863/jum.1999.18.4.303
– volume: 94
  start-page: 1832
  year: 2010
  ident: 8400_CR70
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2009.09.032
– volume: 13
  start-page: 235
  year: 2006
  ident: 8400_CR64
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/S1472-6483(10)60621-9
– volume: 11
  start-page: 20
  year: 2013
  ident: 8400_CR9
  publication-title: Reprod. Biol. Endocrinol.
  doi: 10.1186/1477-7827-11-20
– volume: 9
  start-page: e91796
  year: 2014
  ident: 8400_CR28
  publication-title: PLoS ONE
  doi: 10.1371/journal.pone.0091796
– volume: 165
  start-page: 61
  year: 2012
  ident: 8400_CR74
  publication-title: Eur. J. Obstet. Gynecol. Reprod. Biol.
  doi: 10.1016/j.ejogrb.2012.07.014
– volume: 22
  start-page: 1540
  year: 2007
  ident: 8400_CR25
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dem033
– year: 2020
  ident: 8400_CR38
  publication-title: Stat. Methods Med. Res.
  doi: 10.1177/0962280219889080
– volume: 22
  start-page: 358
  year: 2016
  ident: 8400_CR67
  publication-title: Hum. Reprod. Update
  doi: 10.1093/humupd/dmv059
– volume: 2
  start-page: 16057
  year: 2016
  ident: 8400_CR1
  publication-title: Nat. Rev. Dis. Primers
  doi: 10.1038/nrdp.2016.57
– volume: 159
  start-page: 733
  year: 2020
  ident: 8400_CR91
  publication-title: Reproduction
  doi: 10.1530/REP-19-0578
– volume: 5
  start-page: 181
  year: 2012
  ident: 8400_CR54
  publication-title: J. Hum. Reprod. Sci.
  doi: 10.4103/0974-1208.101019
– volume: 91
  start-page: 1466
  year: 2009
  ident: 8400_CR52
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2008.07.1711
– year: 2014
  ident: 8400_CR33
  publication-title: Cochrane Database Syst. Rev.
  doi: 10.1002/14651858.CD008046.pub4
– volume: 89
  start-page: 1234
  year: 2008
  ident: 8400_CR90
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2007.04.060
– volume: 25
  start-page: 365
  year: 2008
  ident: 8400_CR61
  publication-title: J. Assist. Reprod. Genet.
  doi: 10.1007/s10815-008-9249-7
– volume: 87
  start-page: 265
  year: 2016
  ident: 8400_CR63
  publication-title: Ginekol. Pol.
  doi: 10.17772/gp/62205
– volume: 71
  start-page: 239
  year: 2005
  ident: 8400_CR80
  publication-title: Contraception
  doi: 10.1016/j.contraception.2004.12.017
– volume: 82
  start-page: 679
  year: 2010
  ident: 8400_CR97
  publication-title: Biol. Reprod.
  doi: 10.1095/biolreprod.109.081299
– volume: 4
  start-page: 70
  year: 2011
  ident: 8400_CR12
  publication-title: J. Hum. Reprod. Sci.
  doi: 10.4103/0974-1208.86080
– volume: 21
  start-page: 352
  year: 2006
  ident: 8400_CR66
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dei348
– volume: 24
  start-page: 6
  year: 2012
  ident: 8400_CR31
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/j.rbmo.2011.09.017
– ident: 8400_CR35
– volume: 21
  start-page: 15
  year: 2014
  ident: 8400_CR82
  publication-title: Microcirculation
  doi: 10.1111/micc.12093
– volume: 40
  start-page: 470
  year: 2012
  ident: 8400_CR87
  publication-title: Ultrasound Obstet. Gynecol.
  doi: 10.1002/uog.11187
– volume: 6
  start-page: 935
  year: 2000
  ident: 8400_CR83
  publication-title: Mol. Hum. Reprod.
  doi: 10.1093/molehr/6.10.935
– volume: 13
  start-page: 89
  year: 2017
  ident: 8400_CR5
  publication-title: Women’s Heal.
– volume: 11
  start-page: 615957
  year: 2020
  ident: 8400_CR14
  publication-title: Front. Endocrinol. (Lausanne).
  doi: 10.3389/fendo.2020.615957
– volume: 87
  start-page: 834
  year: 2009
  ident: 8400_CR56
  publication-title: Tunisie Med.
– volume: 23
  start-page: 560
  year: 2017
  ident: 8400_CR29
  publication-title: Hum. Reprod. Update
  doi: 10.1093/humupd/dmx017
– volume: 39
  start-page: 281
  year: 2019
  ident: 8400_CR7
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/j.rbmo.2019.03.203
– volume: 45
  start-page: 135
  year: 2018
  ident: 8400_CR27
  publication-title: Clin. Exp. Reprod. Med.
  doi: 10.5653/cerm.2018.45.3.135
– volume: 1
  start-page: 41
  year: 2015
  ident: 8400_CR76
  publication-title: J. Reprod. Heal. Med.
  doi: 10.1016/j.jrhm.2014.10.001
– volume: 53
  start-page: 365
  year: 2021
  ident: 8400_CR94
  publication-title: Acta Biochim. Biophys. Sin. (Shanghai)
  doi: 10.1093/abbs/gmaa173
– volume: 3
  start-page: 14
  year: 2005
  ident: 8400_CR41
  publication-title: Int. J. Reprod. Biomed. IRANIAN J. Reprod. Med.
– volume: 24
  start-page: 3063
  year: 2009
  ident: 8400_CR19
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dep291
– volume: 76
  start-page: 718
  year: 2016
  ident: 8400_CR15
  publication-title: Geburtshilfe Frauenheilkd.
  doi: 10.1055/s-0042-100206
– volume: 85
  start-page: 412
  year: 2006
  ident: 8400_CR73
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2005.08.020
– volume: 8
  start-page: 118
  year: 2019
  ident: 8400_CR98
  publication-title: Gynecol. Minim. Invasive Ther.
  doi: 10.4103/GMIT.GMIT_112_18
– volume: 13
  start-page: 628
  year: 2006
  ident: 8400_CR32
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/S1472-6483(10)60652-9
– volume: 372
  year: 2021
  ident: 8400_CR34
  publication-title: BMJ
– volume: 28
  start-page: 422
  year: 2012
  ident: 8400_CR53
  publication-title: Gynecol. Endocrinol.
  doi: 10.3109/09513590.2011.633661
– volume: 20
  start-page: 3318
  year: 2005
  ident: 8400_CR96
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dei243
– volume: 90
  start-page: S232
  year: 2008
  ident: 8400_CR58
  publication-title: Fertil. Steril.
  doi: 10.1016/j.fertnstert.2008.07.565
– volume: 86
  start-page: 1060
  year: 2008
  ident: 8400_CR55
  publication-title: Tunisie Med.
– volume: 24
  year: 2020
  ident: 8400_CR16
  publication-title: Middle East Fertil. Soc. J.
  doi: 10.1186/s43043-019-0002-1
– volume: 22
  start-page: 6
  year: 2015
  ident: 8400_CR99
  publication-title: Reprod. Sci.
  doi: 10.1177/1933719114561552
– volume: 24
  start-page: 764
  year: 2009
  ident: 8400_CR11
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/den468
– volume: 21
  start-page: 1
  year: 2018
  ident: 8400_CR17
  publication-title: Iran. J. Obstet. Gynecol. Infertil.
– volume: 124
  start-page: 70
  year: 2006
  ident: 8400_CR75
  publication-title: Eur. J. Obstet. Gynecol. Reprod. Biol.
  doi: 10.1016/j.ejogrb.2005.08.017
– volume: 18
  start-page: 21
  year: 2009
  ident: 8400_CR49
  publication-title: Reprod. Biomed. Online
  doi: 10.1016/S1472-6483(10)60420-8
– volume: 12
  start-page: 58
  year: 2014
  ident: 8400_CR50
  publication-title: Iran. J. Reprod. Med.
– volume: 366
  start-page: l4898
  year: 2019
  ident: 8400_CR37
  publication-title: BMJ
  doi: 10.1136/bmj.l4898
– volume: 36
  start-page: 605
  year: 2010
  ident: 8400_CR60
  publication-title: J. Obstet. Gynaecol. Res.
  doi: 10.1111/j.1447-0756.2010.01247.x
– volume: 25
  start-page: 683
  year: 2010
  ident: 8400_CR62
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dep436
– ident: 8400_CR47
– volume: 374
  start-page: 460
  year: 1995
  ident: 8400_CR95
  publication-title: Nature
  doi: 10.1038/374460a0
– ident: 8400_CR39
– volume: 286
  start-page: 763
  year: 2012
  ident: 8400_CR18
  publication-title: Arch. Gynecol. Obstet.
  doi: 10.1007/s00404-012-2348-9
– volume: 24
  start-page: 9424
  year: 2018
  ident: 8400_CR42
  publication-title: Med. Sci. Monit.
  doi: 10.12659/MSM.913757
– volume: 29
  start-page: 197
  year: 2012
  ident: 8400_CR10
  publication-title: Balkan Med. J.
  doi: 10.5152/balkanmedj.2011.019
– volume: 33
  start-page: 1883
  year: 2018
  ident: 8400_CR100
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/dey281
– volume: 172
  start-page: 1518
  year: 1995
  ident: 8400_CR72
  publication-title: Am. J. Obstet. Gynecol.
  doi: 10.1016/0002-9378(95)90490-5
– volume: 7
  start-page: 13
  year: 2014
  ident: 8400_CR4
  publication-title: J. Hum. Reprod. Sci.
  doi: 10.4103/0974-1208.130802
– volume: 18
  start-page: 2698
  year: 2003
  ident: 8400_CR20
  publication-title: Hum. Reprod.
  doi: 10.1093/humrep/deg516
– volume: 58
  start-page: 888
  year: 1992
  ident: 8400_CR8
  publication-title: Fertil. Steril.
  doi: 10.1016/S0015-0282(16)55430-2
– volume: 14
  start-page: 737
  year: 2007
  ident: 8400_CR68
  publication-title: Reprod. Sci.
  doi: 10.1177/1933719107310707
– ident: 8400_CR36
– volume: 43
  start-page: 248
  year: 2018
  ident: 8400_CR13
  publication-title: Iran. J. Med. Sci.
– volume: 21
  start-page: 52
  year: 2016
  ident: 8400_CR88
  publication-title: Middle East Fertil. Soc. J.
  doi: 10.1016/j.mefs.2015.11.001
– volume: 6
  start-page: 209
  year: 2005
  ident: 8400_CR77
  publication-title: Genome Biol.
  doi: 10.1186/gb-2005-6-2-209
SSID ssj0000529419
Score 2.550786
SecondaryResourceType review_article
Snippet Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during In-Vitro...
Abstract Gonadotropin-releasing hormone (GnRH) analogues are commonly used in clinical practice to prevent premature luteinizing hormone (LH) surge during...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
springer
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 4456
SubjectTerms 692/699/2732/1577
692/700
Agonists
Birth rate
Clinical Protocols
Clinical trials
Endometrium
Female
Fertilization in Vitro - methods
Gonadotropin-Releasing Hormone
Gonadotropins
Hormone Antagonists
Humanities and Social Sciences
Humans
In vitro fertilization
Luteinizing hormone
Meta-analysis
multidisciplinary
Oocytes
Ovarian Hyperstimulation Syndrome
Ovaries
Ovulation Induction - methods
Pituitary (anterior)
Polycystic ovary syndrome
Polycystic Ovary Syndrome - complications
Polycystic Ovary Syndrome - drug therapy
Pregnancy
Pregnancy Rate
PROSPERO (International Prospective Register of Systematic Reviews)
Risk assessment
Science
Science (multidisciplinary)
Sperm Injections, Intracytoplasmic
SummonAdditionalLinks – databaseName: DOAJ Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3db9MwELfQJCReEN8EBjok3iBqHDuxszeoKC0SPABDe7Nsx94mlWRa20nZ_8P_ydlJu3Z8vfBqn6XT3Tl3lzv_jpCXBaszg445tZh6hRFmWWqYCB0ATBfMuNLHR2EfP5XTQ_7hqDjaGvUVesJ6eOBecCMrvRbo06xjjkttpZbU-Vp4nZWOiwi2nVXZVjLVo3rnFafV8EomY3K0QE8VXpNh7pVhUpOllzueKAL2_y7K_LVZ8lrFNDqiyR1ye4gg4U3P-V1ywzX3yM1-pmR3n_wYb_WRw_vm8xRQePq4DRC5EGAZWtT9AkI7xmoB87Y5HqiukcBpA7Nvk9Fs_GUGtgvdc9B6OGvnne0CujO0F_q8gzXmAUQwhwPQcIUODf3LGOSghu9uqVM9YKA8IIeTd1_H03SYxZBajOmWqc8KY1FxmgthSxt-nxaalcKKwuTMMEu9cFrkTHNcCrOIdGG5Lag2UpjasIdkr2kb95iAtNxRZ7yt6orzWsqKGs9Kp0ubS09tQuhaL8oOQOVhXsZcxYI5k6rXpUJdqqhLdZmQV5szZz1Mx1-p3wZ1bygDxHZcQMNTg-GpfxleQvbXxqKGe79QOQZ8oRRc8oS82GzjjQ1lGN24dhVo4neTVkjzqLetDScYDlc5ZtgJETtWt8Pq7k5zehJRwSVm0rnAk6_X9nnF1p9F8eR_iOIpuZXHi8VSWuyTveX5yj3DWG1pnsdr-RP7yz9E
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9QwDI_GEBIvE98UNhQk3qCsadImRUITnDjukOABOLS3KEmTY9KtHfeB6P4f_k-ctL1x49hr40hubDd2bf-M0LOMlomGizk2EHr5EWZJrCn3FQBUZVTb3IWmsI-f8tGEfTjOjndQP-6oO8DF1tDOz5OazGcvf_1ojsDgX7ct4-JwAZeQbxSDsCqBeCWJz6-h6yFf5Ev5One_xfpOC0aKrndm-9aN-ynA-G_zPf8tobyURw3X0_AW2uv8SvymVYTbaMdWd9CNdtJkcxf9HvxVXY7fV59HGI5UTWsPnIs9WEMNGrHAvkhjtcCzupp2VJdI8EmFx9-Gh-PBlzE2ja-pw7XDZ_WsMY3HfMb1TzVvcI-EgAPEwyus8AVmNG77ZYCDEp_apYpVh4xyD02G774ORnE3oSE24OktY5dk2oA4FePc5Mb_VM0UzbnhmU6ppoY4bhVPqWLwyE8oUplhJiNKC65LTe-j3aqu7EOEhWGWWO1MURaMlUIURDuaW5WbVDhiIkR6uUjTwZf7KRozGdLoVMhWlhJkKYMs5XmEnq_3nLXgHVdSv_XiXlN64O3woJ5PZWfH0ginOLhYxlLLhDJCCWJdyZ1Kcst4HqH9Xllkr8wyBTfQJ4hzFqGn62WwY5-cUZWtV54mfE1JATQPWt1acwJOcpFC3B0hvqF1G6xurlQn3wNWuID4OuWw80Wvnxds_f8oHl39Fo_RzTSYDI1Jto92l_OVPQDfbKmfBIP7A60WONg
  priority: 102
  providerName: Scholars Portal
– databaseName: Springer Nature HAS Fully OA
  dbid: AAJSJ
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1LbxMxELZKKiQuiDdLCzISN1h1vfauvdxCREgiwYFS1Jtle-20Utit8qiU_h_-J2Pvo6QUJK72WBp5xvaMZ-YbhN5ktEw0PMyxAdfLtzBLYk25zwCgKqPa5i4UhX3-kk9O2Ow0O91DaVcLE5L2A6RluKa77LCjFTw0vhgMXKcEfJIkvrqD9gWH63eA9ofD2fGs_1nxsStGirZCJqHilsU7r1AA67_NwvwzUfJGtDQ8QuMH6H5rPeJhw-9DtGerR-hu009y-xj9HP2WQ44_VV8nGDZOzWsPj4s9JEMNcl9hn4qxWeFFXc1bqhsk-LzC0-_jo-noeIrN1u8Nrh2-qBdbs_XIzri-VMst7vAOcAByeI8VvkaGxk1VDHBQ4h92rWLV4p88QSfjj99Gk7jtwxAbsOfWsUsybUBoinFucuO_TjNFc254plOqqSGOW8VTqhgM-T5EKjPMZERpwXWp6VM0qOrKPkdYGGaJ1c4UZcFYKURBtKO5VblJhSMmQqSTizQtSLnvlbGQIVhOhWxkKUGWMshSXkXobb_mooHo-Cf1By_untLDa4eBejmXrbpJI5ziYEgZSy0TyggliHUldyrJLeN5hA47ZZHtmV_JFIw9HwbOWYRe99NwWn0IRlW23niacGeSAmieNbrVcwKmcJGCdx0hvqN1O6zuzlTnZwERXIAXnXJY-a7Tz2u2_r4VL_6P_ADdS8MRojHJDtFgvdzYl2CRrfWr9gj-AmXYNR0
  priority: 102
  providerName: Springer Nature
Title Conventional GnRH antagonist protocols versus long GnRH agonist protocol in IVF/ICSI cycles of polycystic ovary syndrome women: a systematic review and meta-analysis
URI https://link.springer.com/article/10.1038/s41598-022-08400-z
https://www.ncbi.nlm.nih.gov/pubmed/35292717
https://www.proquest.com/docview/2639130264
https://www.proquest.com/docview/2640048194
https://pubmed.ncbi.nlm.nih.gov/PMC8924277
https://doaj.org/article/c8fa7910ce3e48ac8a81efd7fa06e476
Volume 12
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9MwELdgExIviG8KozISbxA1jp3Y4QV10UpbaRPaGOpbZDtOmVSS0rRI3f_D_8nZcVs6YC-J5FwkJ3dn35d_h9DbmBahgo050OB62RZmYaAotxUAVMZUmaR0h8JOz5LhJRtP4okPuDW-rHKzJrqFuqi1jZH3IthKbZItYR_nPwLbNcpmV30LjbvokIAlYls38AnfxlhsFouR1J-VCanoNbBf2TNl4IGF4NqEwfXefuRg-_9la_5dMnkjb-q2o8FD9MDbkbjfMv4RumOqx-he21ly_QT9yv6oJsefqvMhhl8op7UFysUWnKEGCWiwLcpYNXhWV1NPdYMEX1V49HXQG2UXI6zXtoYO1yWe17O1XluMZ1z_lIs13iAfYAfp8AFLvMOIxu35GJhBgb-bpQykR0J5ii4HJ1-yYeA7MgQaLLtlUIax0sA-yTjXibZB1FjShGseq4gqqknJjeQRlQyGbEciGWumYyKV4KpQ9Bk6qOrKvEBYaGaIUaVOi5SxQoiUqJImRiY6EiXRHUQ2fMm1hyu3XTNmuUubU5G3vMyBl7njZX7dQe-278xbsI5bqY8tu7eUFmjbDdSLae71NteilBxMKm2oYUJqIQUxZcFLGSaG8aSDjjbCknvtb_KdrHbQm-1j0FubjJGVqVeWxq2eJAWa561sbWcCRnEagZ_dQXxP6vamuv-kuvrmsMEF-NMRhzffb-RzN63__4qXt3_FK3Q_cipDAxIfoYPlYmVegy22VF2ncF102O-PL8ZwPz45-3wOo1mSdV18A66nTPwGc9A7NA
linkProvider ProQuest
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELdGJwQviG8KA4wETxA1iZ3YQZoQKyst-xAa27Q3YztOmVSS0g9Q9v_wb_C3cXaSlg7Y216TS-Tkzvfhu_sdQs8jkvoKDLOnIfSyI8x8TxFmKwCIjIgyceaawvb24_4R_XASnayhX00vjC2rbHSiU9Rpoe0ZeScEU2qTbDF9M_7m2alRNrvajNCQ9WiFdNNBjNWNHTum_AEh3HRz8A74_SIMe9uH3b5XTxnwNHgrMy_zI6VhSZIypmNtDwYjSWKmWaRCoogOMmYkC4mkcMlO2ZGRpjoKpOJMpYrAe6-gdWoPUFpofWt7_-PB4pTH5tFokNTdOj7hnSlYTNvVBjGgD8GV752tWEQ3OOBf3u7fRZvnMrfOIPZuohu1J4vfVqJ3C62Z_Da6Ws22LO-gn90_6tnx-_ygj4GJclhYqF5s4SEKkMEptmUh8ykeFfmwpjpHgk9zPDjudQbdTwOsS1vFh4sMj4tRqUuLMo2L73JS4gZ7ATtQiddY4iVKNa46dGAFKf5qZtKTNRbLXXR0Kdy6h1p5kZsHCHNNTWBUppM0oTTlPAlURmIjYx3yLNBtFDR8EboGTLdzO0bCJe4JFxUvBfBSOF6KszZ6uXhmXMGFXEi9Zdm9oLRQ3-5CMRmKWnMIzTPJwKnThhjKpeaSByZLWSb92FAWt9FGIyyi1j9TsdwtbfRscRs0h00HydwUc0vj9HeQAM39SrYWKwG3PAkh0m8jtiJ1K0tdvZOffnHo5Bwi-pDBk68a-Vwu6_-_4uHFX_EUXesf7u2K3cH-ziN0PXTbh3hBtIFas8ncPAbPcKae1NsPo8-XveN_A9fPeSw
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELfGJhAviG8KA4wETxA1iZPYQZrQ1q20DKppMLS3YDt2mVSS0g9Q9v_wz-yv4uw4LR2wt70ml8jJne_Dd_c7hJ7HJPcFGGZPQuhlRpj5niDUVAAQHhOhEm2bwj4Mkt5R9O44Pl5DZ00vjCmrbHSiVdR5Kc0ZeTsEU2qSbEnU1q4s4mC3-2b83TMTpEymtRmnwd2YhXzLwo25Jo99Vf2EcG661d8F3r8Iw-7ep07PcxMHPAmey8zTfiwkLI9HlMpEmkPCmJOEShqLkAgiA00VpyHhEVwyE3d4LCMZB1wwKnJB4L1X0AYFqw-B4MbO3uDgcHHiY3JqUZC6zh2fsPYUrKfpcIN40IdAy_dOV6yjHSLwL8_37wLOc1lcaxy7N9EN59Xi7VoMb6E1VdxGV-s5l9Ud9KvzR207flsc9jAwlA9LA9uLDVRECfI4xaZEZD7Fo7IYOqpzJPikwP3P3Xa_87GPZWUq-nCp8bgcVbIyiNO4_MEnFW5wGLAFmHiNOV4iVuO6WwdWkONvasY97nBZ7qKjS-HWPbRelIV6gDCTkQqU0DLN0yjKGUsDoUmieCJDpgPZQkHDl0w68HQzw2OU2SQ-YVnNywx4mVleZqct9HLxzLiGDrmQesewe0FpYL_thXIyzJwWySTTnIKDJxVREeOScRYonVPN_URFNGmhzUZYMqeLptly57TQs8Vt0CImNcQLVc4NjdXlQQo092vZWqwEXPQ0hKi_heiK1K0sdfVOcfLVIpUziO5DCk--auRzuaz__4qHF3_FU3QNdn72vj_Yf4Suh3b3EC-IN9H6bDJXj8FJnIknbvdh9OWyN_xvjTB9cA
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Conventional+GnRH+antagonist+protocols+versus+long+GnRH+agonist+protocol+in+IVF%2FICSI+cycles+of+polycystic+ovary+syndrome+women%3A+a+systematic+review+and+meta-analysis&rft.jtitle=Scientific+reports&rft.au=Kadoura+Sally&rft.au=Alhalabi+Marwan&rft.au=Nattouf+Abdul+Hakim&rft.date=2022-03-15&rft.pub=Nature+Publishing+Group&rft.eissn=2045-2322&rft.volume=12&rft.issue=1&rft_id=info:doi/10.1038%2Fs41598-022-08400-z&rft.externalDBID=HAS_PDF_LINK
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2045-2322&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2045-2322&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2045-2322&client=summon