Evidence map›Paper›PMID 41808983›Full record

ArticleEuropean journal of obstetrics & gynecology and reproductive biology: X2026

The effect of laser-assisted hatching on clinical outcomes of frozen-thawed embryo transfer at different embryo ages.

Min-Min Ou, Bi-Yun Liao, Xing-Hong Chen, Lin-Lin Hu, Yu-Lan Lu, Hai-Mei Qin, Jun-Li Wang, Yu-Xia Wei

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Article in European journal of obstetrics & gynecology and reproductive biology: X, 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Min-Min OuYoujiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Bi-Yun LiaoReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Xing-Hong ChenReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Lin-Lin HuReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Yu-Lan LuReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Hai-Mei QinReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Jun-Li WangYoujiang Medical University for Nationalities, Baise, Guangxi 533000, China.
Yu-Xia WeiReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi 533000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the impact of laser-assisted hatching (LAH) on clinical outcomes in patients undergoing frozen-thawed embryo transfer (FET) cycles with embryos at different developmental stages. Methods: We conducted a retrospective analysis of 2208 patients who underwent vitrification-thawed FET at our reproductive center between October 2018 and June 2024, with some patients contributing multiple cycles. Patients were stratified by embryonic developmental stage into cleavage-stage FET (n = 793) and blastocyst-stage FET (n = 1415) groups. Each group was further subdivided based on post-thawing LAH implementation: Non-LAH and LAH subgroups (cleavage-stage: Non-LAH (n = 363) vs. LAH (n = 430); blastocyst-stage: Non-LAH (n = 532) vs. LAH (n = 883)). Embryological parameters and clinical outcomes were compared across subgroups. Binary logistic regression analysis was performed to assess the impact of LAH on live birth rates after adjusting for confounding factors. Results: In cleavage-stage FET, LAH group had higher clinical pregnancy rate (39.3% vs 27.5%), implantation rate (25.2% vs 17.7%) and live birth rate (25.8% vs 19.8%) than Non-LAH group (P < 0.05), but lower multiple pregnancy rate (5.9% vs 15.0%, P < 0.05). In blastocyst-stage FET, the LAH group had a higher clinical pregnancy rate (67.6% vs 58.5%) and implantation rate (65.0% vs 52.3%) than the Non-LAH group (P < 0.001). There were no statistically significant differences in the miscarriage rate, birth defect rate, and singleton birth weight between the LAH group and the Non-LAH group of different embryo ages (P > 0.05). Binary logistic regression analysis showed that after adjusting for confounding factors, LAH could increase the live birth rate of patients with cleavage FET (OR=1.529, 95% CI=1.081-2.162, P = 0.016). However, it had no effect on the live birth rate of FET patients at the blastocyst stage (OR=0.988, 95% CI=0.794-1.230, P = 0.914). Conclusion: In the FET cycles, LAH can improve the live birth rate of patients undergoing cleavage-stage FET, especially for women aged ≥ 35 years or those with ≤ 2 previous transfers, but has no significant effect on the live birth rate of patients undergoing blastocyst-stage FET. LAH did not increase the risk of perinatal outcomes in either the cleavage-stage or blastocyst-stage embryo transfer.

Indexed as

Blastocyst stageCleavage stageClinical outcomesFrozen-thawed embryo transferLaser-assisted hatching

Identifiers

PMID41808983
PMCPMC12969078

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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.