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Table 1 Key clinical articles included in the review

From: The role of recombinant LH in ovarian stimulation: what’s new?

 

Study design

Patients involved

Intervention

Comparator

Results

Hypo-responders

 Conforti et al. 2019

Meta-analysis (4 RCTs + 1 prospective study)

Hypo-responders

r-hFSH and r-hLH co-treatment

r-hFSH monotherapy

Significantly higher clinical pregnancy rates, implantation rates, number of oocytes retrieved

Advanced maternal age

 Conforti et al. 2021

Meta-analysis

(12 RCTs)

Advanced maternal age (≥35 years)

r-hFSH and r-hLH co-treatment

r-hFSH monotherapy

Significantly higher clinical pregnancy rates, and implantation rates, in women between 35–40 years old

Hypogonadotropic hypogonadal

 Carone et al. 2012 [94]

RCT

Hypogonadotropic hypogonadal women

r-hFSH and r-hLH co-treatment

hMG

Significantly higher clinical pregnancy rate

 Huseyin et al. 2019 [99]

Retrospective study

Hypogonadotropic hypogonadal women

r-hFSH and r-hLH co-treatment

hMG

Significantly lower cancellation rate

Progesterone rise

 Werner et al. 2014 [87]

Retrospective study

10,280 patients first IVF cycle

FSH plus LH formulations

FSH monotherapy

Stimulations using no administered LH had the highest risk of progesterone elevation ≥ 1.5 ng/mL

 Hugues et al. 2012 [91]

Systematic review (34 studies)

Women undergoing MAR techniques

hMG, r-hLH, or hCG

FSH monotherapy

Comparable risk of progesterone rise

Implantation failure

 Rahman et al. 2017 [92]

RCT

Women with 2 previous failed implantations

r-hFSH and r-hLH co-treatment

r-hFSH monotherapy

Significantly higher implantation rate and pregnancy rate; significantly lower abortion rate

Poor response according to Bologna criteria

 Humaidan et al. 2017 [42]

RCT

Women fulfilling Bologna criteria

r-hFSH and r-hLH co-treatment

r-hFSH monotherapy

Significantly higher cumulative live birth rate in women with moderate or severe BSC

 Lehert et al. 2021 [44]

Retrospective study

Women fulfilling Bologna criteria

r-hFSH and r-hLH co-treatment

r-hFSH monotherapy

Significantly higher cumulative live birth rate in women with moderate or severe BSC

  1. BSC baseline severity score, FSH follicle-stimulating hormone, hCG human chorionic gonadotropin, hMG human menopausal gonadotropin, LH luteinizing hormone, MAR medically assisted reproduction, RCT randomized controlled trial, r-hFSH recombinant human FSH, r-hLH recombinant human LH