Metformin versus clomiphene citrate for infertility in non-obese women with polycystic ovary syndrome: a systematic review and meta-analysis
Author(s) -
Marie Misso,
Michael Costello,
Maria Garrubba,
Jennifer L. Wong,
Roger Hart,
Luk Rombauts,
Angela Melder,
Robert J. Norman,
Helena Teede
Publication year - 2012
Publication title -
human reproduction update
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.977
H-Index - 180
eISSN - 1362-4946
pISSN - 1355-4786
DOI - 10.1093/humupd/dms036
Subject(s) - polycystic ovary , metformin , medicine , miscarriage , meta analysis , infertility , gynecology , randomized controlled trial , obstetrics , pregnancy , clomifene , live birth , ovarian reserve , obesity , insulin resistance , insulin , biology , genetics
BACKGROUND Recent studies suggest that metformin may be more effective in women with polycystic ovary syndrome (PCOS) who are non-obese. The objective here is to determine and compare the effectiveness of metformin and clomiphene citrate for improving fertility outcomes in women with PCOS and a BMI < 32 kg/m(2) (BMI 32 kg/m(2) was used to allow for international differences in BMI values which determine access to infertility therapy through the public health system). METHODS Databases were searched for English language articles until July 2011.
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