Group | MLP group | GnRH-a long group | GnRH-anta group | Mild stimulation group | P |
---|---|---|---|---|---|
Basic characteristic of patients | |||||
Number | 123 | 123 | 123 | 123 | |
Cycle | 2.02 ± 0.13bc | 1.33 ± 0.06ad | 1.54 ± 0.07ad | 1.89 ± 0.07bc | < 0.01 |
Age (y) | 37.76 ± 0.44 | 38.74 ± 0.41 | 38.63 ± 0.34 | 38.15 ± 0.42 | 0.298 |
BMI (kg/m2) | 21.69 ± 0.28 | 22.36 ± 0.34 | 22.34 ± 0.26 | 22.26 ± 0.14 | 0.109 |
AMH (ng/ml) | 1.14 ± 0.09 | 1.24 ± 0.08 | 1.18 ± 0.10 | 1.03 ± 0.09 | 0.358 |
AFC | 5.02 ± 0.22c | 5.63 ± 0.24 | 6.04 ± 0.30ad | 5.02 ± 0.28c | 0.012 |
Infertile duration (y) | 5.33 ± 0.42 | 4.46 ± 0.35 | 4.99 ± 0.37 | 4.42 ± 0.38 | 0.262 |
Primary infertile (%) | 39.02(48/123) b | 18.70(23/123) a | 28.46(35/123) | 26.02(32/123) | 0.005 |
Basic hormone level | |||||
PRLB (µg/L) | 12.72(9.30–17.20) | 11.43(8.42–15.07) | 11.13(8.60-14.72) | 11.38(8.53–15.35) | 0.260 |
FSHB (IU/L) | 8.76(6.75–12.94) | 8.65(7.28–11.12) | 9.59(6.97–12.86) | 9.70(7.27–12.54) | 0.406 |
LHB (IU/L) | 3.95(2.84–5.25) | 3.63(2.72–4.92) | 3.76(2.93–4.98) | 4.22(2.91–5.82) | 0.155 |
E2B (ng/L) | 44.50(28.00-63.25) | 38.00(27.50–58.00) | 43.00(26.75–62.25) | 44.50(28.00-59.25) | 0.650 |
TB (nmol/L) | 1.10(0.63–1.72) | 1.00(0.69–1.46) | 1.23(0.68–1.55) | 1.12(0.70–1.72) | 0.410 |
Cycle parameters | |||||
Days of Gn stimulation (d) | 8.02 ± 0.23bc | 12.57 ± 0.17acd | 8.78 ± 0.19abd | 7.48 ± 0.26abc | < 0.01 |
Total Gn dose (IU) | 2338.21 ± 71.30bd | 3393.21 ± 73.21acd | 2243.09 ± 64.71bd | 1145.90 ± 48.09abc | < 0.01 |
Trigger day | |||||
FSH (IU/L) | 30.85(24.71–37.07)bcd | 23.25(19.58–29.01)ad | 21.58(18.67–27.42)ad | 16.41(13.70-22.39)abc | < 0.01 |
LH (IU/L) | 3.98(2.34–6.45)bd | 1.21(0.93–1.65)acd | 3.09(2.01–4.87)bd | 5.76(3.03–11.32)abc | < 0.01 |
E2 (ng/L) | 538.00(317.00-1039.75)bc | 1407.00(861.00-2471.00)ad | 1068.00(665.50–1797.00)ad | 743.00(429.00-1182.00)bc | < 0.01 |
P (µg/L) | 0.80(0.59–1.22) | 0.96(0.66–1.26)d | 0.93(0.63–1.28) | 0.75(0.52–1.09)b | 0.044 |
T (nmol/L) | 2.12(1.36–2.84)c | 1.90(1.67–2.92) | 1.59(1.15–1.82)a | - | 0.018 |
Number of follicles ≥ 18 mm | 1.92 ± 0.11 cd | 2.10 ± 0.13d | 1.43 ± 0.11ab | 1.08 ± 0.11ab | < 0.01 |
Follicle output rate (%) | 37.58(236/628)cd | 36.71(254/692)cd | 23.42(174/743)ab | 20.87(129/618)b | < 0.01 |
Endometrial thickness (mm) | 9.44 ± 0.21bcd | 11.39 ± 0.31ad | 10.67 ± 0.25ad | 8.35 ± 0.28abc | < 0.01 |
IVF laboratory parameters | |||||
Number of oocytes retrieved | 4.46 ± 0.26 bd | 6.71 ± 0.42acd | 4.64 ± 0.31 bd | 2. 54 ± 0.21 abc | < 0.01 |
MII oocytes retrieved | 3.66 ± 0.23 bd | 5.65 ± 0.35acd | 3.96 ± 0.28 bd | 2.12 ± 0.17abc | < 0.01 |
Available embryos | 1.97 ± 0.13bd | 2.52 ± 0.14acd | 2.10 ± 0.13bd | 1.34 ± 0.11 abc | < 0.01 |
Top-quality embryo rate (%) | 52.94(126/238) d | 58.77(181/308) d | 50.00(125/250) | 38.61(61/158) ab | < 0.01 |
Pregnancy outcomes | |||||
Embryo implantation rate (%) | 23.14(28/121) | 16.47(28/170) | 17.05(22/129) | 13.56(8/59) | 0.347 |
Clinical pregnancy rate (%) | 38.46(35/91) d | 26.13(29/111) | 29.17(30/103) | 17.11(13/76) a | 0.022 |
Miscarriage rate (%) | 11.54(3/26) | 11.54(3/26) | 25.00(5/20) | 25.00(2/8) | 0.528 |
Cumulative clinical pregnancy rate (%) | 33.33(40/120) d | 21.68(31/143) | 29.03(36/124) | 13.04(15/115) a | 0.024 |