Review Article

Effectiveness of Acupuncture for Primary Ovarian Insufficiency: A Systematic Review and Meta-Analysis

Table 2

Level of evidence (GRADE).

OutcomesNumber of participants (number of studies)Illustrative comparative risks (95% CI)Level of evidence

FSH521
(6 studies)
The mean FSH in acupuncture groups was 9.26 lower (13.11 to 5.41 lower)Low
⊕⊕⊖⊖

Resumption of menstruation614
(8 studies)
Acupuncture group: 918 per 1000 (873 to 948)
Control group: 907 per 1000 (857 to 940)
Low
⊕⊕⊖⊖

Estradiol (E2)479
(6 studies)
The mean E2 in the acupuncture group was 31.51 higher (6.06 to 56.95 higher)Very low
⊕⊖⊖⊖

LH278
(4 studies)
The mean LH in the acupuncture groups was 5.34 lower (13.02 lower to 2.34 higher)Low
⊕⊕⊖⊖

Symptoms (Kupperman index)121
(2 studies)
The mean symptom score in the acupuncture group ranged from 11.22 to 12.1 higher.Very low
⊕⊖⊖⊖