Clomiphene


Study Exclusion reasons Rmk Reference
Akcelik,, 2015 EXCLUDED: Study on the efficacy of clomiphene, including miscarriage that is studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Akcelik, Y. Turk. Klinikleri Jinekoloji Obstet. 2015; 25:19-. 10.5336/gynobstet.2014-41444

Akbari Sene, 2018 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene were compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Akbari Sene J Obstet Gynaecol Res 2018; 44:1036-1041 10.1111/jog.13644

Tulandi, 2006 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene were compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Tulandi Fertil Steril 2006; 85:1761-5 10.1016/j.fertnstert.2006.03.014

Wasim, 2024 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene were compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Wasim Pak J Med Sci 2024; 40:78-83 10.12669/pjms.40.1.7971

Moll, 2006 inadequate or absent control group EXCLUDED: All women received clomiphene citrate => No adequate control group.

Moll BMJ 2006; 332:1485

Legro, 2014 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene were compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Legro N Engl J Med 2014; 371:119-29 10.1056/NEJMoa1313517

Legro Contemp Clin Trials 2012; 33:470-81 10.1016/j.cct.2011.12.005

Yun, 2018 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene were compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Yun Reprod Toxicol 2018; 82:88-93 10.1016/j.reprotox.2018.10.006

Yland, 2022 inadequate or absent control group EXCLUDED: Pregnancies outcomes of women treated with clomiphene compared with those in women treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Yland Hum Reprod 2022; 37:793-805 10.1093/humrep/deac005

Shalom-Paz, 2014 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriages as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Shalom-Paz Gynecol Endocrinol 2014; 30:107-10 10.3109/09513590.2013.860126

Balen, 1993 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Balen Hum Reprod 1993; 8:959-64 10.1093/oxfordjournals.humrep.a138174

Manganiello, 1997 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Manganiello Fertil Steril 1997; 68:405-12 10.1016/s0015-0282(97)00260-4

Kang, 2013 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage that is studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Kang, Y. J. Reprod. Contracept. 2013; 24:10-. 10.1016/S1001-7844(13)60016-4

Akcelik, 2015 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with Gonadotropin, whose safety in pregnancy is not well established => inadequate control group.

Akcelik, Y. Turk. Klinikleri Jinekoloji Obstet. 2015; 25:19-. 10.5336/gynobstet.2014-41444

Huong, 2002 inadequate or absent control group EXCLUDED: Study comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Huong Semin Arthritis Rheum 2002; 32:174-88 10.1053/sarh.2002.37212

Diamond, 2015 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with Letrozole or with Gonadotropin, whose safety in pregnancy is not well established => inadequate control group.

Diamond N Engl J Med 2015; 373:1230-40 10.1056/NEJMoa1414827

El Hachem, 2017 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

El Hachem Gynecol Obstet Invest 2017; 82:481-486 10.1159/000452665

Waanbah, 2021 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage that is studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Waanbah J Obstet Gynaecol Res 2021; 47:3583-3589 10.1111/jog.14926

Wu, 1997 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with tamoxifen, whose safety in pregnancy is not well established => inadequate control group.

Wu Early Pregnancy 1997; 3:301-5

Eftekhar, 2014 inadequate or absent control group EXCLUDED: RCT on the efficacy of clomiphene, including miscarriage that is studied as an efficacy criteria rather than a safety one; and comparing with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Eftekhar, M. Iran. J. Reprod. Med. 2014; 12:725-.

Davar, 2006 inadequate or absent control group EXCLUDED: RCT on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Davar, R. J. Res. Med. Sci. 2006; 11:382-.

Foroozanfard, 2011 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Foroozanfard, F. Pak. J. Med. Sci. 2011; 27:967-.

Ionescu, 2011 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage that is studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Ionescu, C. Obstet. Ginecol. 2011; 59:201-.

Khanna, 2013 inadequate or absent control group EXCLUDED: Expression of Concern of the Editor. Study on the efficacy of clomiphene, including miscarriage (efficacy aims rather than safety); and comparing with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Khanna Arch Gynecol Obstet 2013; 287:571-5 10.1007/s00404-012-2579-9

Davar, 2006 inadequate or absent control group EXCLUDED: RCT on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Davar, R. Middle East Fertil. Soc. J. 2006; 11:113-.

Abu Hashim, 2011 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage (efficacy aims rather than safety); and comparing with highly purified urinary FSH (HP-uFSH), whose safety in pregnancy is not well established => inadequate control group.

Abu Hashim Gynecol Endocrinol 2011; 27:190-6 10.3109/09513590.2010.488771

Kingsland, 1992 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Kingsland Fertil Steril 1992; 57:804-9 10.1016/s0015-0282(16)54962-0

Xiao, 2021 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Xiao, Y.-H. Indian J. Pharm. Sci. 2021; 83:139-. 10.36468/pharmaceutical-sciences.spl.266

Wang, 2008 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with tamoxifen, whose safety in pregnancy is not well established => inadequate control group.

Wang Reprod Biomed Online 2008; 17:20-6 10.1016/s1472-6483(10)60288-x

Yu, 2019 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Yu J Chin Med Assoc 2019; 82:845-848 10.1097/JCMA.0000000000000177

Seyedoshohadaei, 2012 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome studied as an efficacy criteria rather than a safety one; and comparing with 2 active comparators, whose safety in pregnancy is not well established => inadequate control group.

Seyedoshohadaei, F. Iran. J. Reprod. Med. 2012; 10:531-.

Chen, 2016 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Chen Sichuan Da Xue Xue Bao Yi Xue Ban 2016; 47:874-877

Check, 2017 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with letrozole whose safety in pregnancy is not well established => inadequate control group.

Check, J.H. Clin. Exp. Obstet. Gynecol. 2017; 44:180-. 10.12891/ceog3466.2017

Ayaz, 2018 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Ayaz, R. Turk. J. Obstet. Gynecol. 2018; 15:243-. 10.4274/TJOD.99835

Ganesh, 2009 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Ganesh J Assist Reprod Genet 2009; 26:19-24 10.1007/s10815-008-9284-4

Moslemizadeh, 2008 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with tamoxifen, whose safety in pregnancy is not well established => inadequate control group.

Moslemizadeh, N. J. Med. Sci. (Pakistan) 2008; 8:734-. 10.3923/jms.2008.734.738

Kar, 2012 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Kar J Hum Reprod Sci 2012; 5:262-5 10.4103/0974-1208.106338

Kumari, 2022 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Kumari, S. J. Cardiovasc. Dis. Res. 2022; 13:1115-. 10.31838/jc9r.2022.13.08.125

Saunders, 1992 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Saunders Hum Reprod 1992; 7:1154-8 10.1093/oxfordjournals.humrep.a137812

Singh, 2016 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Singh J Hum Reprod Sci 2016; 9:159-163 10.4103/0974-1208.192054

Zakherah, 2010 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Zakherah Int J Gynaecol Obstet 2010; 108:240-3 10.1016/j.ijgo.2009.10.004

Chen, 2016 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with letrozole, whose safety in pregnancy is not well established => inadequate control group.

Chen Pak J Med Sci 2016; 32:1434-1438 10.12669/pjms.326.11391

Topçu, 2017 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with tamoxifen whose safety in pregnancy is not well established => inadequate control group.

Topçu, H.O. J. Reprod. Med. 2017; 62:507-.

Siristatidis a, 2017 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Siristatidis In Vivo 2017; 31:231-237 10.21873/invivo.11050

Jouan, 2016 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Jouan Gynecol Endocrinol 2016; 32:807-810 10.1080/09513590.2016.1177012

Lee, 2012 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Lee, M.W. Int. J. Pharmcy Pharm. Sci. 2012; 4:264-.

Lin, 2022 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including live birth outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Lin Front Endocrinol (Lausanne) 2022; 12:780392 10.3389/fendo.2021.780392

Palomba, 2010 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Palomba Am J Obstet Gynecol 2010; 202:577.e1-8 10.1016/j.ajog.2009.11.042

Najim, 2020 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Najim, H.D. Ann. Trop. Med. Public Health 2020; 23:1836-. 10.36295/ASRO.2020.231377

Bordewijk, 2023 inadequate or absent control group EXCLUDED: Pregnancy outcomes of women treated with clomiphene compared with those treated with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Bordewijk Hum Reprod 2023; 38:421-429 10.1093/humrep/deac268

Ege, 2020 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one; and comparing with an active comparator, whose safety in pregnancy is not well established => inadequate control group.

Ege Ginekol Pol 2020; 91:185-188 10.5603/GP.a2020.0037

Harira, 2018 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Harira, M. Middle East Fertil. Soc. J. 2018; 23:384-. 10.1016/j.mefs.2018.05.008

Davar, 2011 inadequate or absent control group EXCLUDED: Study on the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one; and comparing with Letrozole, whose safety in pregnancy is not well established => inadequate control group.

Davar Iran J Reprod Med 2011; 9:31-6

Schieve, 2003 inadequate or absent control group EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one (and Gonadotropins only as comparator).

Schieve Obstet Gynecol 2003; 101:959-67 10.1016/s0029-7844(03)00121-2

Cornel, 1989 inadequate or absent control group EXCLUDED: Study did not have a concurrent control group (use of an external control group) => Inadequate control group.

Cornel Lancet 1989; 1:1386 10.1016/s0140-6736(89)92827-4

Abu Hashim, 2011 other reason EXCLUDED: Retracted article in Pubmed.

Abu Hashim Arch Gynecol Obstet 2011; 284:1303-9 10.1007/s00404-011-1983-x

Badawy c, 2009 other reason EXCLUDED: Retracted article in Pubmed.

Badawy Fertil Steril 2009; 92:860-863 10.1016/j.fertnstert.2007.08.034

Badawy, 2011 other reason EXCLUDED: Article retracted in Pubmed.

Badawy Eur J Obstet Gynecol Reprod Biol 2011; 159:151-154 10.1016/j.ejogrb.2011.07.015

Badawy a, 2009 other reason EXCLUDED: Article retracted in Pubmed.

Badawy Fertil Steril 2009; 92:849-852 10.1016/j.fertnstert.2007.02.062

Badawy b, 2009 other reason EXCLUDED: Editor's note of concern due to concerns raised regarding the authenticity of the data presented within the article.

Badawy Acta Obstet Gynecol Scand 2009; 88:187-91 10.1080/00016340802638199

Badawy, 2010 other reason EXCLUDED: Article retracted in Pubmed.

Badawy J Obstet Gynaecol 2010; 30:617-21 10.3109/01443615.2010.497873

Abu Hashim, 2011 other reason EXCLUDED: Editor's note of concern due to concerns raised regarding the authenticity of the data presented within the article

Abu Hashim J Obstet Gynaecol Res 2011; 37:169-77 10.1111/j.1447-0756.2010.01383.x

Abu Hashim, 2012 other reason EXCLUDED: Editor's note of concern due to concerns raised regarding the authenticity of the data presented within the article

Abu Hashim Acta Obstet Gynecol Scand 2012; 91:338-45 10.1111/j.1600-0412.2011.01346.x

Johnson, 1990 other reason EXCLUDED: Article retracted in Pubmed.

Johnson BMJ 1990; 300:154-6 10.1136/bmj.300.6718.154

Lipitz, 1993 other reason EXCLUDED: Study in triplet pregnancies, which is difficult to extrapolate to the population of pregnant women.

Lipitz Fertil Steril 1993; 60:1031-4 10.1016/s0015-0282(16)56405-x

Ardalan, 2012 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life)

Ardalan Pediatr Neurosurg 2012; 48:152-6 10.1159/000346261

Werler, 1994 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined (or > 3 months) to ensure exposure during pregnancy (given the half-life).

Werler Lancet 1994; 344:445-6 10.1016/s0140-6736(94)91772-8

Whiteman, 2000 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Whiteman Am J Epidemiol 2000; 152:823-8 10.1093/aje/152.9.823

Sharma, 2014 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Sharma PLoS One 2014; 9:e108219 10.1371/journal.pone.0108219

Mills, 1990 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life). Among controls: 16.8% had reported subfertility. Material and Methods completed with Mills 1989. Results completed with Mills 1991.

Mills Lancet 1990; 336:103-4 10.1016/0140-6736(90)91608-d

Mills Lancet 1991; 337:853 10.1016/0140-6736(91)92562-g

Kurachi, 1983 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Kurachi Fertil Steril 1983; 40:187-9 10.1016/s0015-0282(16)47235-3

Ross, 2003 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Ross Cancer Causes Control 2003; 14:447-51 10.1023/a:1024953532355

Ott, 2010 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Ott Reprod Biol Endocrinol 2010; 8:45 10.1186/1477-7827-8-45

Bhattacharya, 2008 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life)

Bhattacharya BMJ 2008; 337:a716 10.1136/bmj.a716

Zhou, 2022 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Zhou J Obstet Gynaecol 2022; 42:316-321 10.1080/01443615.2021.1904224

Cuckle, 1989 not about fetal exposure EXCLUDED: Exposure period not sufficiently defined to ensure exposure during pregnancy (given the half-life).

Cuckle Lancet 1989;2:1281.

Brinton, 2004 not relevant study design EXCLUDED: Comparison to expected rates: not adequate study design ('Expected rates available for the time period 1943–1996 from the Danish Cancer Registry').

Brinton Fertil Steril 2004; 81:1083-91 10.1016/j.fertnstert.2003.08.042

Auyeung, 2001 data not abstractable EXCLUDED: No births in the non-exposed control group (i.e natural cycle–IUI). The other group was treated with injectable gonadotropins–IUI, whose safety in pregnancy is not well established => inadequate control group.

Auyeung J Assist Reprod Genet 2001; 18:638-43 10.1023/a:1013159116180

Turner, 2006 data not abstractable EXCLUDED: The number of live-births not provided by group of treatment and there is on-going pregnancies => Denominators cannot be determined based on provided data.

Turner J Obstet Gynaecol 2006; 26:233-5 10.1080/01443610600555295

Forman, 2007 same data already obtained by other studies Overlapping: Foreman 2007 includes data from 2 of the 5 centers included in the Tulandi 2006 study. => Use of Tulandi 2006 which includes more women exposed.

Forman J Obstet Gynaecol Can 2007; 29:668-71 10.1016/s1701-2163(16)32551-8

Check, 1987 article unavailable EXCLUDED: Publication not found despite deep search and probably no distinction between patients treated with hMG or clomiphene citrate according to the abstract.

Check Int J Fertil 1987; 32:135-8

Sanam, 2008 article unavailable EXCLUDED: Publication not found despite deep search and probably no distinction between patients treated with clomiphene citrate alone or with human menopausal gonadotropin according to the abstract.

Sanam, M. J. Bahrain Med. Soc. 2008; 20:31-.

Balen, 1994 article unavailable EXCLUDED: Publication not found despite deep search and probably a study on the efficacy of clomiphene, including the miscarriage outcome, studied as an efficacy criteria rather than a safety one.

Balen, A.H. CONTEMP. REV. OBSTET. GYNAECOL. 1994; 6:201-.

Huaqing, 2023 article unavailable EXCLUDED: Publication not found despite deep search.

Huaqing, S. Chinese J. Reprod. Contracep. 2023; 43:989-. 10.3760/cma.j.cn101441-20220826-00355

Sarkar, 2022 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of pregnancy outcomes in women with minimal and mild endometriosis versus unexplained infertility, without distinction between treatments.

Sarkar J Hum Reprod Sci 2022; 15:272-277 10.4103/jhrs.jhrs_102_22

Zadehmodarres, 2009 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of clomiphene citrate and/or gonadotropins as a whole, without distinction of women treated with clomifene.

Zadehmodarres J Assist Reprod Genet 2009; 26:7-11 10.1007/s10815-008-9273-7

Van Steensel-Moll, 1985 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of female hormones, but no specific analysis of clomiphene (raw data of exposure provided for the cases but not for the controls).

van Steensel-Moll Int J Epidemiol 1985; 14:555-9 10.1093/ije/14.4.555

Frederick, 1994 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Pregnancy outcomes provided without distinction of the ovarian stimulation protocol used (with or without clomiphene).

Frederick Hum Reprod 1994; 9:2284-6 10.1093/oxfordjournals.humrep.a138438

Matsuzaki, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Study on the efficacy of metformin, with or without clomiphene. Miscarriage outcome, studied as an efficacy criteria rather than a safety one. Malformations and complications during pregnancy reported but co-exposure with clomiphene unknown.

Matsuzaki Reprod Med Biol 2017; 16:179-187 10.1002/rmb2.12026

Siristatidis b, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of women exposed to Clomiphene citrate or Letrozole as a whole, without distinction between treatments. Study on the efficacy of clomiphene, including miscarriage outcome, studied as an efficacy criteria rather than a safety one.

Siristatidis Gynecol Endocrinol 2017; 33:553-556 10.1080/09513590.2017.1296128

Carson, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: No details on the exposure in the group that conceived after ovulation-inducing drugs => there is clomiphene ('such as clomiphene citrate') but other drugs are also possible.

Carson Fertil Steril 2013; 99:456-63 10.1016/j.fertnstert.2012.10.029

Sheikhi, 2018 efficacy rather than safety aims EXCLUDED: Randomized control trial studying the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Sheikhi JBRA Assist Reprod 2018; 22:221-227 10.5935/1518-0557.20180040

Xu, 2014 efficacy rather than safety aims EXCLUDED: Randomized control trial studying the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Xu, B.-F. J. Reprod. Contracept. 2014; 25:41-. 10.7669/j.issn.1001-7844.2014.01.0041

Bateman, 1992 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Bateman Fertil Steril 1992; 57:25-7

Homburg, 2006 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Homburg Gynecol Endocrinol 2006; 22:506-10 10.1080/09513590600921366

Costello, 1998 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Costello Int J Fertil Womens Med 1998; 43:28-33

Ghazeeri, 2003 efficacy rather than safety aims EXCLUDED: Randomized control trial studying the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Ghazeeri Fertil Steril 2003; 79:562-6 10.1016/s0015-0282(02)04843-4

Dickey, 1996 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Dickey Hum Reprod 1996; 11:2623-8 10.1093/oxfordjournals.humrep.a019182

Hernandez-Nieto, 2023 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Hernandez-Nieto Hum Reprod 2023; 38:1151-1161 10.1093/humrep/dead072

Hakim, 1995 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Hakim Am J Obstet Gynecol 1995; 172:1510-7 10.1016/0002-9378(95)90489-1

Mitwally, 2005 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Mitwally Am J Obstet Gynecol 2005; 192:381-6 10.1016/j.ajog.2004.08.013

Gradel, 2023 efficacy rather than safety aims EXCLUDED: Study assessing the efficacy of clomiphene, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

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