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. 2014 Oct 31;2014(10):CD008046. doi: 10.1002/14651858.CD008046.pub4

Babayof 2006.

Methods Randomised, controlled, single‐centre study
Participants 28 women with PCOS for IVF. Basic clinical characteristics: Both groups were similar in age: 30.1 vs 29.3, BMI 24.1 vs 27.1 and cause of infertility; 5.8 vs 5.3 and basal FSH (IU/L) 7.8 vs 4.3
Interventions Ovarian stimulation: adjustable dose of 225 IU SC rFSH + 0.25 mg SC cetrotide
Intervention: 0.2 mg decapeptyl vs 250 μg rHCG
Number of embryos transferred: GnRH agonist group vs HCG group (mean: 2.3 ± 0.2 vs 2.2 ± 0.4)
Luteal phase support: 50 mg/d of progesterone IM ± 4 mg/d E2 PO (if serum E2 concentration was below 200 pmol/L ± doubled dose of progesterone if serum progesterone concentration was below 40 nmol/L)
Outcomes Primary outcome: serum levels of inhibin A, VEGF, TNFa, E2 and progesterone and incidence of OHSS
Secondary outcomes: ovarian size and pelvic fluid accumulation, live birth, ongoing, chemical, miscarriage, number of oocytes retrieved, number of MII oocytes, fertilisation rate and number of embryos transferred
Notes OHSS classification:Golan 1989
HCG group: 2 cases of ET were cancelled, and all embryos were frozen as the result of severe OHSS with accumulation of large amount of free fluid in the pelvis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation list
Allocation concealment (selection bias) Low risk An independent nurse dispensed HCG or GnRH agonist according to a randomisation list
Blinding (performance bias and detection bias) 
 FOR OHSS OUTCOME High risk Participants, those administering interventions and those assessing outcomes were not blinded to group assignment. Risk applies to assessment of OHSS
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No outcome data were missing
Selective reporting (reporting bias) Low risk Study protocol is not available, but it is clear that published reports include most expected outcomes
Other bias Low risk No other potential bias was identified