A systematic review (without meta-analysis) that assessed the effect of r-hLH supplementation in COS as part of ART in six different patient populations (prevention of OHSS; women with profoundly suppressed LH levels after administration of a gonadotropin-releasing hormone [GnRH] agonist; women co-treated with a GnRH antagonist; women with a hypo-response to r-hFSH; women of advanced reproductive age; and women with POR, including women meeting the ESHRE Bologna criteria) identified two populations that may benefit from this treatment approach (131). Here, PLOD1 is linked to ovarian hyperstimulation syndrome.