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The association of physiological cortisol and IVF treatment outcomes : a systematic review

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Massey, Adam J., Campbell, Bruce, Raine-Fenning, Nick, Aujla, Navneet and Vedhara, Kavita (2014) The association of physiological cortisol and IVF treatment outcomes : a systematic review. Reproductive Medicine and Biology, 13 (4). pp. 161-176.

Research output not available from this repository, contact author.
Official URL: https://doi.org/10.1007/s12522-014-0179-z

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Abstract

Purpose: A systematic review was conducted to (1) collate and synthesise the available evidence for the role of cortisol in relation to IVF treatment outcomes; (2) to establish the strength of an association between cortisol and IVF; and (3) to assess the overall quality of the studies and guide future research in this area.

Methods: Seven electronic databases, including the reference lists of published papers, were searched. Inclusion criteria qualified any prospective/observational cohort study that reported original data. Quality assessment of eligible studies was conducted using the STROBE statement, which was used to assess the risk of bias and the quality of observational studies included in this review.

Result(s): A total of eight studies reported a significant association between cortisol and IVF outcomes. Three studies found that higher cortisol may be associated with more favourable IVF outcomes, whereas five studies found that lower cortisol levels may be conducive to IVF success. Eleven of all studies included in this review were regarded as low quality publications.

Conclusion(s): Study findings were that the evidence for the role of cortisol in relation to IVF outcomes is currently mixed. Future researchers are encouraged to consider the methodological limitations highlighted in this review and to utilise more robust assessment methods when examining the influence that chronic, rather than acute, stress may have on IVF outcomes.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School > Behavioural Science
Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: Reproductive Medicine and Biology
Publisher: Springer Japan KK
ISSN: 1445-5781
Official Date: October 2014
Dates:
DateEvent
October 2014Published
April 2014Available
Volume: 13
Number: 4
Page Range: pp. 161-176
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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