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Table 1 Comparison of basic parameters, ovarian stimulation and embryo characteristics between EFPL and GnRH-Ant regimens before and after PS matching

From: Comparison of clinical effects between early follicular prolonged GnRH agonist protocol and GnRH antagonist protocol in 3310 cycles: a retrospective study

 

Before matching

  

After matching

  

Parameter

EFPL

GnRH-Ant

P

EFPL

GnRH-Ant

P

Number of ovum pick up cycles

1537

1773

 

400

400

 

Age (year)

31.00 (28.00–33.00)

32.00 (29.00–35.00)

< 0.001

30.00 (28.00–33.00)

30.00 (28.00–33.00)

0.67

Primary infertility (%)

59.60 (916/1537)

53.13 (942/1773)

< 0.001

59.75 (239/400)

59.50 (238/400)

0.94

Duration of infertility (year)

3.00 (2.00–5.00)

3.00 (2.00–5.00)

0.33

3.00 (2.00-4.19)

3.00 (2.00–5.00)

0.08

Cause of infertility (%)

  

< 0.001

  

0.25

    Pelvic and tubal factor

30.32 (466/1537)

22.39 (397/1773)

 

29.00 (116/400)

26.75 (107/400)

 

 DOR

1.04 (16/1537)

9.31 (165/1773)

 

1.50 (6/400)

2.75 (11/400)

 

 PCOS or ovulation dysfunction

8.85 (136/1537)

8.52 (151/1773)

 

12.25 (49/400)

11.50 (46/400)

 

 Endometriosis or adenomyosis

5.53 (85/1537)

1.69 (30/1773)

 

4.75 (19/400)

2.00 (8/400)

 

 Male factor

12.23 (188/1537)

9.42 (167/1773)

 

12.00 (48/400)

10.75 (43/400)

 

 Complex male and female factors

18.35 (282/1537)

18.89 (335/1773)

 

19.75 (79/400)

20.50 (82/400)

 

 Complex female factors

15.29 (235/1537)

23.63 (419/1773)

 

15.25 (61/400)

19.50 (78/400)

 

 Others

8.39 (129/1537)

6.15 (109/1773)

 

5.50 (22/400)

6.25 (25/400)

 

BMI (kg/m2)

21.70 (19.90–24.00)

22.00 (20.20–24.50)

< 0.01

22.30 (20.20–24.4)

22.00 (20.05–24.20)

0.53

AMH (ng/ml)

3.96 (2.70–5.64)

2.46 (1.20–5.24)

< 0.001

3.94 (2.57–6.38)

3.75 (2.29–6.20)

0.17

Basal E2 (pg/ml)

41.92 (32.14–56.26)

42.66 (34.14–55.69)

0.15

43.04 (33.25–55.40)

41.94 (34.34–52.56)

0.60

Basal LH (mIU/ml)

3.97 (2.84–5.54)

3.85 (2.71–5.31)

0.38

4.07 (2.99–5.54)

4.02 (2.88–5.50)

0.74

Basal FSH (mIU/ml)

7.16 (5.89–8.41)

7.74 (6.42–9.48)

< 0.001

7.34 (6.15–8.52)

7.45 (6.20–8.77)

0.19

Basal P (ng/ml)

0.55 (0.37–0.75)

0.55 (0.38–0.76)

0.53

0.53 (0.36–0.73)

0.55 (0.39–0.73)

0.40

E2 on trigger day (pg/ml)

2732.41 (1890.96-3774.40)

2750.94 (1641.90-4260.62)

0.99

2716.15 (1884.29-3685.65)

3188.85 (2172.30-4899.94)

< 0.001

LH on trigger day (mIU/ml)

0.56 (0.31–0.96)

1.73 (0.95–3.12)

< 0.001

0.49 (0.28–0.94)

1.52 (0.82–2.73)

< 0.001

P on trigger day (ng/ml)

0.90 (0.65–1.21)

0.93 (0.65–1.29)

0.05

0.88 (0.58–1.21)

1.02 (0.70–1.42)

< 0.001

Gn dose (IU)

2025.00 (1611.25-2536.25)

2025.00 (1650.00-2512.50)

0.05

2100.00 (1650.00-2625.00)

1950.00 (1579.38-2346.88)

< 0.01

Gn duration (day)

11.00 (10.00–13.00)

10.00 (9.00–11.00)

< 0.001

11.00 (10.00–13.00)

10.00 (9.00–11.00)

< 0.001

Endometrial thickness (mm)

12.20 (10.70–14.00)

11.00 (9.90-12.45)

< 0.001

12.00 (10.80–14.00)

11.00 (10.00-12.15)

< 0.001

Oocytes retrieved (n)

13.00 (9.00–18.00)

10.00 (5.00–17.00)

< 0.001

12.00 (9.00–18.00)

13.00 (8.00–20.00)

0.50

Type of fertilization (%)

  

< 0.001

  

0.31

 IVF

73.06 (1123/1537)

70.11 (1243/1773)

 

72.00 (288/400)

69.50 (278/400)

 

 ICSI

19.45 (299/1537)

26.06 (462/1773)

 

21.50 (86/400)

25.50 (102/400)

 

 Rescue ICSI

7.48 (115/1537)

3.84 (68/1773)

 

6.50 (26/400)

5.00 (20/400)

 

Number of 2PN fertilized embryos n

7.00 (4.00–10.00)

6.00 (3.00–10.00)

< 0.001

7.00 (4.00–10.00)

7.00 (4.00–12.00)

0.16

Number of transportable embryos n

4.00 (2.00–7.00)

3.00 (2.00–6.00)

< 0.001

4.00 (3.00–7.00)

4.00 (2.00–7.00)

0.86

Number of good quality embryos n

3.00 (2.00–6.00)

3.00 (1.00–6.00)

< 0.001

4.00 (2.00–7.00)

4.00 (2.00–7.00)

0.20

OHSS (%)

17.50 (269/1537)

14.33 (254/1773)

0.01

22.00 (88/400)

23.25 (93/400)

0.67

Cycle cancellation rate (%)

3.45 (53/1537)

7.16 (127/1773)

< 0.001

2.25 (9/400)

7.25 (29/400)

< 0.01

Fresh embryo transfer rate (%)

62.91 (967/1537)

40.04 (710/1773)

< 0.001

61.50 (246/400)

32.00 (128/400)

< 0.001

Reasons for canceling the fresh embryo transfer (%)

  

< 0.001

  

< 0.01

 Prevention of OHSS

54.56 (311/570)

39.51 (420/1063)

 

62.34 (96/154)

45.59 (124/272)

 

 Embryo factor

9.47 (54/570)

12.98 (138/1063)

 

7.79 (12/154)

12.13 (33/272)

 

 Endometrial factor

13.51 (77/570)

13.45 (143/1063)

 

9.09 (14/154)

11.03 (30/272)

 

 Elevated P value

10.18 (58/570)

18.72 (199/1063)

 

10.39 (16/154)

19.12 (52/272)

 

 Hydrosalpinx

1.93 (11/570)

1.03 (11/1063)

 

1.30 (2/154)

0

 

 Patient factors or others

10.35 (59/570)

14.30 (152/1063)

 

9.09 (14/154)

12.13 (33/272)

 
  1. Continuous data are presented as median (25%IQR-75%IQR) and discontinuous data are presented as percentage. IQR Interquartile range, EFPL Early follicular prolonged GnRH agonist, GnRH-Ant GnRH antagonist, DOR Decreased ovarian reservation, PCOS Polycystic ovarian syndrome, BMI Body mass index, AMH Anti-Mullerian hormone, E2 Estradiol, LH Luteinizing hormone, FSH Follicle-stimulating hormone, P Progesterone, Gn Gonadotropin, IVF In vitro fertilization, ICSI Intracytoplasmic single sperm injection, 2PN Two pronuclear, OHSS Ovarian hyperstimulation syndrome
  2. Chi-square test and Mann-Whitney U test were used for the comparison between the two groups. The variables in PSM model included female age, BMI, duration of infertility, type of infertility, basal sex hormone (E2, P, FSH, LH), AMH and insemination methods. A 1:1 nearest neighbor matching method with caliper 0.05 was used to match data between the two groups