Evidence map›Paper›PMID 40131678›Full record

ArticleJournal of assisted reproduction and genetics2025

Association of endometrial preparation protocols and embryonic development stages with ectopic pregnancy in freeze-thaw cycles.

Jinliang Zhu, Wan Yang, Ming Li, Xinjie Zhuang, Yapeng Wang, Ying Lian, Rong Li, Ping Liu

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jinliang ZhuCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Wan YangCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Ming LiCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Xinjie ZhuangCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Yapeng WangCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Ying LianCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Rong LiCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China.
Ping LiuCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Haidian District, North Huayuan Road, Beijing, 49#100191, China. bysylp@sina.com.ORCID http://orcid.org/0000-0002-4444-1612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the correlation between endometrial preparation protocols, embryonic development stages, and ectopic pregnancy.

methodsA total of 29,700 clinical pregnancies, all of which resulted from freeze-thaw cycles performed between January 2018 and December 2023, were analyzed in this retrospective study.

resultsThe ectopic pregnancy rate was significantly higher in artificial cycles than natural cycles (1.5% vs. 0.8%; P < 0.001); the ectopic pregnancy rate was significantly higher in stage 5-6 than stage 3-4 blastocyst transfer (1.3% vs. 0.7%; P = 0.019). After incorporating all independent confounders into a multivariate general estimating equation model, artificial versus natural cycle (adjusted RR = 1.68, 95% CI = 1.32-2.13; P < 0.001) was shown to be an increased risk factor for ectopic pregnancy, especially in the single embryo transfer subgroup (aRR = 1.75, 95% CI = 1.23-2.48; P = 0.002); additionally, day 3 embryo transfer versus blastocyst transfer (aRR = 1.97, 95% CI = 1.15-3.38; P = 0.014) and stage 5-6 blastocyst versus stage 3-4 blastocyst transfer (aRR = 1.70, 95% CI = 1.05-2.74; P = 0.031) were shown to be increased risk factors for ectopic pregnancy.

conclusionsThis study found that endometrial preparation protocols and embryonic development stages are significantly associated with ectopic pregnancy.

Indexed as

Embryonic DevelopmentEndometriumPregnancy, EctopicAdultBlastocystCryopreservationEmbryo TransferFemaleFertilization in VitroHumansPregnancyPregnancy RateRetrospective StudiesEctopic pregnancyEmbryo developmental stageEndometrial preparation protocolIn vitro fertilizationSingle embryo transfer

Identifiers

PMID40131678
PMCPMC12167196

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.