Evidence map›Paper›PMID 41025217›Full record

ArticleAnnals of medicine2025

GnRH antagonist protocol versus long-acting GnRH agonist protocol on pregnancy outcomes in IVF/ICSI: a retrospective cohort study.

Panpan Zhao, Xiliang Wang, Qian Zhang, Yinling Xiu, Kaixuan Sun, Kaiyue Wang, Li Yan, Yuexin Yu

Abstract readComparative Study
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Panpan ZhaoDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Xiliang WangDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Qian ZhangDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Yinling XiuDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Kaixuan SunDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Kaiyue WangDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Li YanDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Yuexin YuDepartment of Reproductive Medicine, General Hospital of Northern Theater Command, Shenyang, China.ORCID 0000-0002-2818-6092

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGonadotropin-releasing hormone (GnRH) antagonist and long-acting GnRH agonist regimens are commonly employed for ovarian stimulation in women undergoing

methodsThis retrospective study included 575 women with primary infertility who underwent IVF/ICSI at our hospital between January 2021 and December 2022. The study included 501 women who underwent the GnRH antagonist protocol and 74 who underwent the long-acting GnRH agonist protocol. The investigated outcomes included biochemical pregnancy, clinical pregnancy, abnormal pregnancy, miscarriage, and live birth rates.

resultsUnivariate analysis found no significant differences between the GnRH antagonist and long-acting GnRH agonist protocols for biochemical pregnancy rate, clinical pregnancy rate, abnormal pregnancy rate, and miscarriage rate, whereas the GnRH antagonist protocol was associated with a lower live birth rate than the long-acting GnRH agonist protocol. After adjusting for potential confounding factors, no significant differences were found between the two protocols for biochemical pregnancy, clinical pregnancy, abnormal pregnancy, miscarriage, and live birth rates.

conclusionOur study results show that the GnRH antagonist and long-acting GnRH agonist protocols yielded comparable outcomes in terms of pregnancy outcomes. Further large-scale prospective studies are required to confirm these findings.

Indexed as

Fertilization in VitroGonadotropin-Releasing HormoneHormone AntagonistsOvulation InductionSperm Injections, IntracytoplasmicAbortion, SpontaneousAdultFemaleHumansInfertility, FemalePregnancyPregnancy OutcomePregnancy RateRetrospective StudiesGonadotropin-Releasing HormoneHormone Antagonistsassisted reproductive technologyGnRH antagonistinfertilityin-vitro fertilizationlong-acting GnRH agonist

Identifiers

PMID41025217
PMCPMC12486448

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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.