ArticleFrontiers in medicine2026
Pregnancy outcomes of patients with retained products of conception following miscarriage treated with relugolix, an oral gonadotropin-releasing hormone antagonist.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Relugolix, an oral gonadotropin-releasing hormone (GnRH) antagonist, represents a potentially effective and less invasive therapeutic approach for retained products of conception (RPOC). However, its impact on subsequent pregnancy outcomes remains unclear. This study aimed to evaluate these outcomes following GnRH antagonist treatment for RPOC. Methods: This single-center cohort study encompassed 20 patients diagnosed with RPOC following miscarriage or abortion before 22 gestational weeks who were treated with oral relugolix, a GnRH antagonist, from January 2022 to July 2024. Following treatment completion and hysteroscopic confirmation of complete resolution, 12 patients subsequently conceived and were prospectively followed for pregnancy and neonatal outcomes. To contextualize outcomes, results were compared with the non-GnRH antagonist group managed at the same institution from 2014 to 2021 without GnRH antagonist exposure. Results: The GnRH antagonist group had fewer patients requiring surgical intervention than the non-GnRH antagonist group [30.0% (6/20) vs. 70.1% (54/77), Conclusion: Relugolix therapy for RPOC was associated with preserved fertility and favorable pregnancy outcomes comparable to conventional management.
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