The influence of endometrial thickness on clinical pregnancy outcomes in early-follicular long-acting and midluteal short-acting GnRH agonist long protocols: a large retrospective study

The study indicates that in the early-follicular long-acting GnRH agonist protocol, increasing EMT up to 10.6 mm is associated with improved clinical pregnancy and live birth rates, with no further benefits observed beyond this threshold. In contrast, the midluteal short-acting GnRH agonist long protocol exhibits a continuous positive relationship between EMT and pregnancy outcomes. Overall, the early-follicular long-acting protocol offers better clinical outcomes for patients with EMT less than 15 mm, while both protocols perform similarly when EMT is ≥15 mm.

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Publication Details

Journal
Frontiers in Endocrinology
Published
2025-11-26
DOI
https://doi.org/10.3389/fendo.2025.1637587
Primary Topic
Ovarian function and disorders
Type
article
Field-Weighted Citation Impact
0.00

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article

The influence of endometrial thickness on clinical pregnancy outcomes in early-follicular long-acting and midluteal short-acting GnRH agonist long protocols: a large retrospective study

Huijuan Kong, Zhiqin Bu, Guidong Yao, Chen Wang et al.
Frontiers in Endocrinology
Ovarian function and disorders
article

The influence of endometrial thickness on clinical pregnancy outcomes in early-follicular long-acting and midluteal short-acting GnRH agonist long protocols: a large retrospective study

Huijuan Kong, Zhiqin Bu, Guidong Yao, Chen Wang, Xiao Wang, Jun Zhai, Liping Han, Wei Dai, Yihong Peng, Congying Yang
article en

Abstract

The study indicates that in the early-follicular long-acting GnRH agonist protocol, increasing EMT up to 10.6 mm is associated with improved clinical pregnancy and live birth rates, with no further benefits observed beyond this threshold. In contrast, the midluteal short-acting GnRH agonist long protocol exhibits a continuous positive relationship between EMT and pregnancy outcomes. Overall, the early-follicular long-acting protocol offers better clinical outcomes for patients with EMT less than 15 mm, while both protocols perform similarly when EMT is ≥15 mm.

Frontiers in EndocrinologyVol. 16
First Affiliated Hospital of Zhengzhou University (CN)
National Natural Science Foundation of China
Openalex Percentile: Top 53%
Ovarian function and disorders
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