Evidence map›Paper›PMID 42255421›Full record

ArticleFrontiers in endocrinology2026

LH supplementation in ovarian stimulation: propensity score and generalized estimating equations analysis over 2000 embryos.

Merve Dizdar, Fazilet Kübra Boynukalın, Betül Dündar, Meral Gültomruk, İbrahim Kale, Zalihe Yarkıner, Mustafa Bahçeci, Nikolaos P Polyzos, Gürkan Bozdağ

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Merve DizdarDepartment of Obstetrics and Gynecology, Umraniye Training and Research Hospital, İstanbul, Türkiye.
Fazilet Kübra BoynukalınDepartment of Infertility, Bahceci Fulya IVF Center, Istanbul, Türkiye.
Betül DündarDepartment of Infertility, Bahceci Bursa IVF Center, Bursa, Türkiye.
Meral GültomrukDepartment of Research and Development, Bahceci Fulya IVF Center, Istanbul, Türkiye.
İbrahim KaleDepartment of Obstetrics and Gynecology, Umraniye Training and Research Hospital, İstanbul, Türkiye.
Zalihe YarkınerDepartment of Basic Sciences and Humanities, Cyprus International University, Nicosia, Cyprus.
Mustafa BahçeciDepartment of Infertility, Bahceci Fulya IVF Center, Istanbul, Türkiye.
Nikolaos P PolyzosDepartment of Reproductive Medicine, Dexeus University Hospital, Barcelona, Spain.
Gürkan BozdağDepartment of Infertility, Bahceci Fulya IVF Center, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research question: Does luteinizing hormone (LH)-activity supplementation during ovarian stimulation (OS) influence embryo-ploidy rate compared with follicle-stimulating hormone (FSH)-only stimulation in Methods: Retrospective single-center cohort study (January 2018-January 2024) including 4,417 IVF/PGT-A cycles using gonadotropin-releasing hormone antagonist or progesterone-primed protocols. After exclusions, 952 cycles were selected via 1:1 propensity score-matching for female age and oocyte yield: 476 OS with recombinant FSH alone and 476 with added LH activity (recombinant LH or human menopausal gonadotropin). As the primary outcome, euploidy was assessed by trophectoderm biopsy and next-generation sequencing. Generalized estimating equations accounted for within-patient clustering. Secondary endpoints were clinical pregnancy, live birth, and miscarriage after frozen euploid embryo transfer (FEET). Results: There were no significant differences between FSH-only and FSH + LH activity groups with regard to oocyte yield, maturation, fertilization rates, or embryo euploidy rates (45.8% vs. 45.2%; p=0.749). Female age was identified as an independent negative predictor of euploidy (OR = 0.899; p< 0.001), while good-quality embryos had significantly higher odds of being euploid compared with poor-quality embryos (OR = 2.053; p< 0.001). Secondary outcomes showed no significant differences in clinical pregnancy rate, live birth rate, or miscarriage rate following FEET between groups. The addition of LH activity during ovarian stimulation was not independently associated with embryo ploidy status or live birth outcomes. Conclusions: In a large matched IVF/PGT-A cohort, LH activity supplementation during OS did not improve blastocyst euploidy or reproductive outcomes. Gonadotropin regimens should be individualized rather than routinely including LH in unselected patients.

Indexed as

Fertilization in VitroLuteinizing HormoneOvulation InductionAdultAneuploidyEmbryo TransferFemaleFollicle Stimulating HormoneHumansPregnancyPregnancy RatePreimplantation DiagnosisPropensity ScoreRetrospective StudiesFollicle Stimulating HormoneLuteinizing Hormoneembryo euploidyfrozen embryo transfer (FET)luteinizing hormoneovarian stimulationPGT-A

Identifiers

PMID42255421
PMCPMC13236556

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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.