Aflatoonian et al. [15] 2008

Sohrabvand et al. [16] 2009

Abdelaal et al. [17] 2012

Esinler et al. [14] 2013

Bassiouny et al. [18] 2018

Country

Iran

Iran

Egypt

Turkey

Egypt

Number of patients

30 vs. 30

30 vs. 30

28 vs. 16

17 vs. 40

100 vs. 100

Conflict of Interests

No stated

None declared

None declared

None declared

None declared

Signed informed consent

Yes

Yes

Yes

No stated

Yes

Period of enrollment

7, 2006 and 7, 2007

4, 2006 to 3, 2007

3, 2010 and 8, 2011

2001-2011

10, 28, 2013, and 7, 31, 2015

Study groups

2

2

3

2

3

Study design

Parallel design

Parallel design

Parallel design

Parallel design

Parallel design

Ethical Approval

Yes

Yes

Yes

Yes

Yes

Method of allocation

No stated

No stated

No stated

Through computerized IVF database system

sealed opaque envelopes

Proportion of IVF/ICSI

IVF or ICSI cycles

No stated

Only ICSI

Only IVF

IVF or ICSI cycles

Age(y)

29.63±4.42 vs.

28.37±3.20

29.9 ± 3.6 vs.

29.2 ± 3.5

29.4 ± 3.7 vs.

27.4 ± 6.0

29.0 ± 5.1 vs.

30.2 ± 5.2

27.8 ± 3.7 vs.

27.7 ± 3.9

Pituitary suppression

GnRH- agonist long protocol Buserelin

GnRH-agonist long protocol 0.5 mg/d Buserelin

GnRH-agonist long protocol 0.1 mg

leuprolide acetate

GnRH-agonist long protocol 0.1 mg of subcutaneous triptorelin

Follicle Stimulation

HMG

rFSH

HMG

rFSH

HMG

comparison

Cabergoline vs. Coasting

Cabergoline vs. Coasting

Cabergoline vs. Coasting vs. step-down

Cabergoline vs. Coasting

Cabergoline vs. Coasting vs. coastng with cabergoline

Triggering

HCG (10,000 IU)

HCG (10,000 IU)

HCG (10,000 IU)

HCG

HCG (10,000 IU)

intervention

0.5 mg/d cabergoline for 8 days starting on day of hCG.

0.5 mg/d cabergoline for 7 days starting on day of hCG.

0.5 mg/d cabergoline for 8 days starting on day of hCG.

0.5 mg/d cabergoline for 8 days starting on day of hCG.

0.25 mg/d cabergoline for 8 days starting on day of hCG.

comparator

Coasting

Coasting

Coasting

Coasting

Coasting

RCT

Yes

Yes

Yes

Yes

Yes

Clinical pregnancy definition

The presence of gestational sac or cardiac activity 3 weeks after ET.

Sonographic detection of the gestational sac was confirmed.

A gestational sac or cardiac pulsation 3 weeks after ET.

Intrauterine gestational sac by transvaginal ultrasonography.

Visible intrauterine gestational sac on transvaginal ultrasonography.

Authors’ conclusions

Cabergoline was as effective as coasting in the prevention of early severe OHSS in high risk patients, but yielded more retrieved oocytes.

Cabergoline seems to be an effective, convenient, and safe drug for the prevention of OHSS.

Coasting may have a higher pregnancy rate and higher preventive method.

Cabergoline was effective to reduce moderate-severe OHSS without sacrificing pregnancy rates in patients at risk of developing OHSS

Combining coasting and cabergoline was associated with a lower OHSS rate compared with either therapy alone.