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).