The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis

Background: At present, Chinese herbal medicine (CHM) has already been widely used as an important adjuvant treatment for polycystic ovary syndrome (PCOS) patients undergoing in vitro fertilization-embryo transfer (IVF-ET). This systematic review and meta-analysis were designed to evaluate the effec...

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Main Authors: Chang Liu, Minchen Dai, Lei Zhao, Fangfang Wang
Format: Article
Language:English
Published: IMR Press 2021-10-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/48/5/10.31083/j.ceog4805166
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author Chang Liu
Minchen Dai
Lei Zhao
Fangfang Wang
author_facet Chang Liu
Minchen Dai
Lei Zhao
Fangfang Wang
author_sort Chang Liu
collection DOAJ
description Background: At present, Chinese herbal medicine (CHM) has already been widely used as an important adjuvant treatment for polycystic ovary syndrome (PCOS) patients undergoing in vitro fertilization-embryo transfer (IVF-ET). This systematic review and meta-analysis were designed to evaluate the effects of CHM on the pregnancy outcomes of infertile women with PCOS undergoing IVF-ET. Methods: We searched seven electronic databases systematically for published articles to January 2021. All randomized controlled trials (RCTs) comparing CHM with blank or placebo for infertile PCOS patients undergoing IVF-ET were included. The measures of treatment effect were the pooled odds ratios (OR) of the clinical pregnancy rate, the abortion rate and the ovarian hyperstimulation syndrome (OHSS) incidence. Results: This meta-analysis included 10 studies involving 663 patients comparing CHM with blank or placebo for infertile PCOS patients undergoing IVF-ET. The pooled data showed that CHM could improve the clinical pregnancy rate (OR = 2.41, 95% CI: 1.73–3.35, p < 0.01) and reduce the OHSS incidence (OR = 0.31, 95% CI: 0.18–0.55, p < 0.01) of infertile PCOS patients with IVF-ET treatment. No significant difference in the abortion rate was found between the CHM and control groups (OR = 0.64, 95% CI: 0.23–1.81, p = 0.40). Discussion: CHM can be used as an auxiliary treatment for infertile PCOS patients undergoing IVF-ET.
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spelling doaj.art-16ee72846b654f0db64047a6ac2312f92022-12-22T02:11:14ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-10-014851032104310.31083/j.ceog4805166S0390-6663(21)00006-3The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysisChang Liu0Minchen Dai1Lei Zhao2Fangfang Wang3The Second Department of Clinical Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, ChinaDepartment of Traditional Chinese Medicine, Women’s Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaThe Second Department of Clinical Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, ChinaDepartment of Obstetrics and Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaBackground: At present, Chinese herbal medicine (CHM) has already been widely used as an important adjuvant treatment for polycystic ovary syndrome (PCOS) patients undergoing in vitro fertilization-embryo transfer (IVF-ET). This systematic review and meta-analysis were designed to evaluate the effects of CHM on the pregnancy outcomes of infertile women with PCOS undergoing IVF-ET. Methods: We searched seven electronic databases systematically for published articles to January 2021. All randomized controlled trials (RCTs) comparing CHM with blank or placebo for infertile PCOS patients undergoing IVF-ET were included. The measures of treatment effect were the pooled odds ratios (OR) of the clinical pregnancy rate, the abortion rate and the ovarian hyperstimulation syndrome (OHSS) incidence. Results: This meta-analysis included 10 studies involving 663 patients comparing CHM with blank or placebo for infertile PCOS patients undergoing IVF-ET. The pooled data showed that CHM could improve the clinical pregnancy rate (OR = 2.41, 95% CI: 1.73–3.35, p < 0.01) and reduce the OHSS incidence (OR = 0.31, 95% CI: 0.18–0.55, p < 0.01) of infertile PCOS patients with IVF-ET treatment. No significant difference in the abortion rate was found between the CHM and control groups (OR = 0.64, 95% CI: 0.23–1.81, p = 0.40). Discussion: CHM can be used as an auxiliary treatment for infertile PCOS patients undergoing IVF-ET.https://www.imrpress.com/journal/CEOG/48/5/10.31083/j.ceog4805166in vitro fertilization-embryo transferchinese herbal medicinepolycystic ovary syndrome
spellingShingle Chang Liu
Minchen Dai
Lei Zhao
Fangfang Wang
The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
Clinical and Experimental Obstetrics & Gynecology
in vitro fertilization-embryo transfer
chinese herbal medicine
polycystic ovary syndrome
title The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
title_full The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
title_fullStr The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
title_full_unstemmed The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
title_short The effects of Chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis
title_sort effects of chinese herbal medicine on the pregnancy outcomes of infertile women with polycystic ovary syndrome undergoing in vitro fertilization embryo transfer a systematic review and meta analysis
topic in vitro fertilization-embryo transfer
chinese herbal medicine
polycystic ovary syndrome
url https://www.imrpress.com/journal/CEOG/48/5/10.31083/j.ceog4805166
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