Evidence map›Paper›PMID 41113716›Full record

ArticleFrontiers in endocrinology2025

Clinical outcomes of different 17β-estradiol drug regimens and their impact on endometrial receptivity.

Beining Luo, Xuehong Zhu, Ni Tang, Zhong Lin, Jun Yao, Zhengqin Chen, Zhuo Liang, JinXiang Wu, Bingsheng Huang, Pinxiu Huang

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

10 authors.

Beining Luo *Center of Reproductive Medicine, The First Affiliated Hospital of Guilin Medical University, Guiling, China.
Xuehong Zhu *Department of Reproductive Medicine, Guangxi Zhuang Autonomous Region Reproductive Hospital, Nanning, China.
Ni Tang *Center of Reproductive Medicine, Guangzhou Women and Children's Medical Center-Liuzhou Hospital, Liuzhou, Guangxi, China.
Zhong LinDepartment of Reproductive Medicine, Guangxi Zhuang Autonomous Region Reproductive Hospital, Nanning, China.
Jun YaoCenter of Reproductive Medicine, The First Affiliated Hospital of Guilin Medical University, Guiling, China.
Zhengqin ChenCenter of Reproductive Medicine, The First Affiliated Hospital of Guilin Medical University, Guiling, China.
Zhuo LiangCenter of Reproductive Medicine, The First Affiliated Hospital of Guilin Medical University, Guiling, China.
JinXiang WuDepartment of Reproductive Medicine, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Bingsheng HuangAffiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, China.
Pinxiu HuangCenter of Reproductive Medicine, The First Affiliated Hospital of Guilin Medical University, Guiling, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clinically, it has been observed that vaginal administration of the same dose of Micronized 17-beta estradiol hemihydrate (the Estradiol tablets of Femoston) significantly increases serum estradiol levels compared to oral administration. However, the clinical outcomes associated with this route of administration remain unclear. Additionally, the concentration of estradiol in endometrial tissue following vaginal administration of Micronized 17-beta estradiol hemihydrate (M17EH), as well as its potential impact on endometrial receptivity, has been poorly investigated. Objective: To explore the relationship between different drug regimens of M17EH hormone replacement (HRT) and serum estradiol level, endometrial thickness and embryo implantation outcome in patients with thin endometrium during the frozen-thawed embryo transfer (FET) cycle, and to analyze the estradiol concentration in endometrial tissue of oral and vaginal administration of M17EH and its influence on endometrial receptivity. Method: A retrospective analysis was conducted on patients with thin endometrium. Subjects were divided into three groups based on different estrogen formulations and administration routes: Group A [oral Estradiol Valerate Tablets (Progynova)], Group B (oral M17EH), and Group C (oral combined with vaginal M17EH). Endometrial thickness, and clinical outcomes were compared across the three groups. For Groups B and C, endometrial tissue samples were collected five days after progesterone conversion. Estradiol concentration in tissues was detected and the endometrial receptivity markers [leukemia inhibitory factor, (LIF) and Mucins, (Muc1)] were evaluated. Results: Serum estradiol levels and endometrial thickness in Group C were significantly higher than those in the other two groups (P < 0.05). While there were no statistically significant differences in abortion rate, and live birth rate among the three groups, the live birth rate was highest in Group C. Estradiol concentration in the endometrium was significantly higher following vaginal administration of M17EH compared to oral administration (P<0.05). No significant differences were observed in the expression of endometrial receptivity markers (LIF and MUC1) between oral and vaginal administration groups. Conclusion: In FET cycles, a HRT regimen combining oral and vaginal administration of Micronized 17-beta estradiol hemihydrate is more conducive to endometrial growth. Although vaginal administration results in higher estrogen levels, it does not appear to compromise endometrial receptivity.

Indexed as

Embryo ImplantationEndometriumEstradiolAdministration, IntravaginalAdministration, OralAdultEmbryo TransferFemaleFertilization in VitroHumansPregnancyPregnancy RateRetrospective StudiesEstradiolendometrial receptivity endometrial receptivityFemostonfrozen-thawed embryoHRTProgynova

Identifiers

PMID41113716
PMCPMC12529817

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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.