| Table 1. Characteristics of the included studies | |||||||||
| Study | Country | Period of enrollment | Eligibility criteria | Controlled ovarian stimulation | Intervention | Control | Study size* | Age* | BMI* |
| Chakravarty et al., 2005a | India | Jan-2002 to Jun-2003 | Women aged 25–42 years undergoing IVF/ICSI treatment (fresh cycles) with normal endometrial thickness (7–2mm) on the day of embryo transfer and no demonstrable endometrial disease | Long GnRH agonist using rFSH 150-300 IU/Day, triggering with hCG 10,000 IU IM | Dydrogesterone 20mg/day | VP capsule 600mg/day | N=430 (79 vs. 351) | <35 years: 47% vs. 49%;35-40 years: 33% vs. 40%; >40 years: 20% vs. 11% | NR |
| Ganesh et al., 2011 | India | NR | Normoprolactinemic euthyroid women aged 23-42 years with a history of tubal factor infertility, male factor infertility, idiopathic infertility, endometriosis-related infertility, and ovulatory disorders | Short GnRH agonist cycle, using rFSH 150-300 IU/Day, triggering with hCG 10,000 IU IM | Dydrogesterone 20mg/day | VP capsule 600mg/day | N=881 (422 vs. 459) | NR | NR |
| Patki & Pawar, 2007 | India | Jan-2004 to Dec-2005 | NR | Long GnRH agonist cycle, no other details | Dydrogesterone 30mg/day | VP capsule 600mg/day | N=675 (366 vs. 309) | NR | NR |
| Rashidi et al., 2016 | Iran | Jan-2015 to May-2016 | Patients undergoing FET with embryos left from past fresh or frozen cycles, canceled previous cycles (poor endometrium or ovarian hyper stimulation syndrome) or candidates for embryo donation. | NR | Dydrogesterone 40mg/day | VP capsule 800mg/day | N=120 (60 vs. 60) | 31.7±6.5 vs. 33.3±5.7 | 65.3±7.0 64.8±9.7 |
| Saharkhiz et al., 2016 | Iran | Apr-2014 to Jan-2015 | Women aged 20-40 years, BMI between 18-30 kg/m2, no visible endometrial pathology | Long GnRH agonist cycle or GnRH antagonist cycle, no other details | Dydrogesterone 40mg/day | VP capsule 800mg/day | N=210 (96 vs. 114) | 30.6±5.4 vs. 31.0±5.2 | 26.0±3.5 vs. 26.2±3.8 |
| Salehpour et al., 2013 | Iran | May-2012 to Dec-2012 | Euthyroid normoprolactinemic women <40 years with male factor infertility | Short GnRH agonist cycle, using rFSH 150-300 IU/Day, triggering with hCG 10,000 IU IM | Dydrogesterone 40mg/day | VP capsule 800mg/day | N=80 (40 vs. 40) | 29.4±5.3 vs. 31.8±6.1 | 24.2±3.0 vs. 24.2±3.9 |
| Tournaye et al., 2017 | 38 sites in Austria, Belgium, Germany, Finland, Israel, Russia and Spain | Aug-2013 to Mar-2016 | Euthyroid normoprolactinemic women aged 18-42 years, BMI ≥18 to ≤30 kg/m2undergoing IVF (fresh cycles), FSH ≤15 IU/L and estradiol <80 pg/mL in early follicular phase (Day 2–4), normal transvaginal ultrasound, with <3 unsuccessful IVF attempts or history of ≤3miscarriages | NR | Dydrogesterone 30mg/day | VP capsules 600mg/day | N=1031 (520 vs. 511) | 32.5±4.5 vs. 32.5±4.4 | 23.3±3.1 vs. 23.2±3.2 |
| Zarei et al., 2016 | Iran | Dec-2014 to Mar-2015 | Patients aged 20-40 years undergoing FET, with unexplained infertility, tubal factor infertility, mild male factor infertility, premature ovarian failure, polycystic ovarian syndrome (PCOS), endometriosis stage I or II, and normal uterine cavity | Oral estradiol 6mg/day, until endometrial thickness reached 8-14mm; after that, IM progesterone injections 100 mg/day for 3 days. | Dydrogesterone 20mg/day | VP capsules 800mg/day | N=222 (110 vs. 112) | 32.9±5.1 vs. 33.5±5.2 | NR |
| Zargar et al., 2016 | Iran | Apr-2014 to Mar-2015 | Women aged <40 years, with infertility lasting for <5 years, with regular menstrual cycles, normal hormone levels, and normal transvaginal ultrasound | Triggering with hCG 10,000 IU IM; no more details | Dydrogesterone 30mg/day | VP capsules 800mg/day | N=412 (212 vs. 200) | 30.0±5.0 vs. 31.9±4.8 | NR |
| NR = not reported; ART = assisted reproductive technology; FET = frozen embryo transfer; VP = vaginal progesterone; * = study vs. control NOTES: One study reported a conflict of interest (Tournaye et al., 2017); Two studies reported funding sources (Tournaye et al., 2017; Zarei et al., 2017); All studies obtained approval from ethics committees, and one study did not provide informed consent (Chakravarty et al., 2005a); All were parallel studies; Two studies reported an mean of three embryos transferred (Ganesh et al., 2011; Salehpour et al., 2013), and one study reported an mean of two embryos transferred (Rashidi et al., 2016). |
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