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. 2021 Jun 4;2021(6):CD007535. doi: 10.1002/14651858.CD007535.pub4

Ye 2007.

Study characteristics
Methods RCT, single centre, 40 participants, 20 months' duration
Participants 40 enrolled: CHM = 20, control 1 = 10, control 2 = 10, baseline were comparable, 27.4 ± 2.7 years
40 analysed/evaluated: CHM = 20, control 1 = 10, control 2 = 10
PCOS DC: 2003 Rotterdam criteria
In: PCOS and infertility and resistance to ovulation induction drugs
Ex: tubal infertility, male infertility, malformation of genital organ, immunological infertility
Interventions CHM: CHM periodic therapy combined with laparoscopic ovary drilling
Control 1: clomiphene combined with laparoscopic ovary drilling
Control 2: laparoscopic ovary drilling
Duration: treatment: 6 months, follow‐up: 1 year
Clomiphene: 50 mg, once a day, 5 d/m (if without efficacy, add 50 mg, maximum 150 mg/d)
Outcomes LH, FSH, testosterone
Ovulation rate (per woman)
Pregnancy rate (per woman)
Notes Laparoscopic ovary drilling: 8 to 10 holes per ovary, injected 300 mL of low molecular dextran or 4 mL of sodium hyaluronate in abdomen after surgery.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table
Allocation concealment (selection bias) Unclear risk We contacted the study author who declined to provide related information
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk We contacted the study author who declined to provide related information
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk We contacted the study author who declined to provide related information
Incomplete outcome data (attrition bias)
All outcomes Unclear risk No withdrawal or dropout was reported
Selective reporting (reporting bias) Unclear risk The study protocol was unavailable
Other bias Low risk No other potential risk of bias identified

Abbreviations: CHM: Chinese herbal medicine, BMI: body mass index, PCOS: polycystic ovarian syndrome, DC: diagnosis criteria, In: inclusion criteria, Ex: exclusion criteria, HCG: human chorionic gonadotrophin, HMG: human menopausal gonadotropin, LH: luteinising hormone, FSH: follicle stimulating hormone, LUFS: luteinised unruptured follicle syndrome, OHSS: ovarian hyperstimulation syndrome, ITT: intention‐to‐treat, MPA: medroxyprogesterone acetate, EE/CPA: ethinyloestradiol cyproterone acetate, tid:three times a day, bid: twice a day, IU:International Units.