Abstract:Objective To explore the impact of endometrial preparation protocols for single frozen-thawed euploid blastocyst transfer on pregnancy outcomes.Methods A total of 436 patients who underwent frozen-thawed transfer after preimplantation genetic screening (PGT-A) in the Reproductive Center of No. 924 Hospital of PLA from November 2015 to July 2019 were selected as the subjects. According to endometrial preparation methods, these patients were divided into two groups: the hormone replacement cycle group (HRT group) and the natural cycle group (NC group). The basic data and pregnancy outcomes were compared between the two groups.Results There was no significant difference in age, endometrial thickness or the distribution of PGT-A indications between the two groups (P>0.05). There was also no significant difference in the HCG positive rate, clinical pregnancy rate, abortion rate or live birth rate (P>0.05).Conclusions In the single frozen-thawed euploid blastocyst transfer cycle, pregnancy outcomes do not vary according to endometrial preparation protocols that should be selected flexibly according to the characteristics of menstruation and ovulation or according to the patient’s schedule.
Kort J D, McCoy R C, Demko Z, et al. Are blastocyst aneuploidy rates different between fertile and Infertile populations?[J].Assist Reprod Genet, 2018, 35(3):403-408.
[2]
Maxwell S M, Grifo J A. Should every embryo undergo preimplantation genetic testing for aneuploidy? A review of the modern approach to in vitro fertilization[J]. Best Pract Res Clin Obstet Gynaecol, 2018, 53(3):38-47.
Mackens S, Santos-Ribeiro S, van de Vijver A, et al. Frozen embryo transfer: a review on the optimal endometrial preparation and timing[J].Hum Reprod, 2017, 32(11):2234-2242.
[6]
Ghobara T, Gelbaya T A, Ayeleke R O. Cycle regimens for frozen-thawed embryo transfer[J].Cochrane Database Syst Rev, 2017, 7(7):CD003414.
[7]
Gardner D K, Reed J, Linck D, et al. Quality control in human in vitro fertilization[J].Semin Reprod Med, 2005, 23(4):319-324.
[8]
Montagut M, Santos-Ribeiro S, De Vos M, et al. Frozen-thawed embryo transfers in natural cycles with spontaneous or induced ovulation: the search for the best protocol continues[J].Hum Reprod, 2016, 31(12):2803-2810.
Cerrillo M, Herrero L, Guillén A, et al. Impact of endometrial preparation protocols for frozen embryo transfer on live birth rates[J].Rambam Maimonides Med J, 2017, 8(2):e0020.
Groenewoud E R, Cantineau A E, Kollen B J, et al. What is the optimal means of preparing the endometrium in frozen-thawed embryo transfer cycles? A systematic review and meta-analysis[J]. Hum Reprod Update, 2017, 23(2):255-261.
[13]
Greco E, Litwicka K, Arrivi C, et al. The endometrial preparation for frozen-thawed euploid blastocyst transfer: a prospective randomized trial comparing clinical results from natural modified cycle and exogenous hormone stimulation with GnRH agonist[J]. J Assist Reprod Genet, 2016, 33(7):873-884.
[14]
Melnick A P, Setton R, Stone L D, et al. Replacing single frozen-thawed euploid embryos in a natural cycle in ovulatory women may increase live birth rates compared to medicated cycles in anovulatory women[J]. J Assist Reprod Genet, 2017, 34(10):1325-1331.
[15]
Groenewoud E R, Cohlen B J, Al-Oraiby A, et al. A randomized controlled, non-inferiority trial of modified natural versus artificial cycle for cryothawed embryo transfer[J]. Hum Reprod, 2016, 31(7):1483-1492.
[16]
Yarali H, Polat M, Mumusoglu S, et al. Preparation of endometrium for frozen embryo replacement cycles: a systematic review and meta-analysis[J].J Assist Reprod Genet, 2016, 33(10):1287-1304.
[17]
Tomás C, Alsbjerg B, Martikainen H, et al. Pregnancy loss after frozen-embryo transfer-a comparison of three protocols[J].Fertil Steril, 2012, 98(5):1165-1169.