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. 2020 Mar 3;2020(3):CD001838. doi: 10.1002/14651858.CD001838.pub6

Deaton 1990.

Methods Trial design: cross‐over (after 4 cycles)
 Single centre, USA
Participants Couples with unexplained subfertility and couples with surgically treated endometriosis
N randomised: 67; N analysed: 51 total, unexplained: 24
 Age: 33 years (± 4.0)
 Duration of subfertility: 3.5 years (±1.7)
 Basic fertility work‐up normal, semen normal according to WHO criteria 1987
 Previous treatment: not stated
Interventions Comparison: IUI + OH versus TI + NC
 Stimulation method: 50 mg CC/day, day 5 to day 9
Timing:
 Natural cycle: urinary LH and BBT timed intercourse
 Stimulated cycle: 10,000 IU hCG when lead follicle was estimated to be at least 18 mm. IUI 36 hr after hCG injection
 No cancellation criteria were given
 Duration of treatment: 8 cycles max
Outcomes Ongoing pregnancy rate
 Multiple pregnancies
 Ectopic pregnancies
 Miscarriage rate
 OHSS
Pregnancy: not further defined
Notes ITT analysis: not possible
 Participants with unexplained subfertility and endometriosis were included in this study; 3 participants with moderate and no participants with severe endometriosis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Sequence generation not stated
Allocation concealment (selection bias) Unclear risk Unclear
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Blinding was not possible because of the nature of the interventions
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinding was not possible because of the nature of the interventions and non‐blinding was not likely to affect the outcomes of interest
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 16/67 participants excluded from analysis due to anovulation, poor semen quality or inability to follow the treatment protocol. Of the remaining 51 participants, 6 couples did not complete treatment because of illness or relocation. 4/51 dropped out before cross‐over
Selective reporting (reporting bias) Unclear risk Live birth rate was not reported
Other bias Unclear risk Insufficient information available to evaluate this risk domain