Table 3.
Results of embryo outcomes between treatment protocol groups obtained using multivariable generalized equation model analyses with adjusted repeated stimulation cycles for a given patient.
Comparison | Achievement of pre-ovulatory follicle | Achievement of MII oocyte | Achievement of top-quality MII oocyte | Achievement of embryo with 2PN | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n1 | OR (95% CI) | p-value | n2 | OR (95% CI) | p-value | n3 | OR (95% CI) | p-value | n3 | OR (95% CI) | p-value | |
Group comparison | ||||||||||||
Study group versus control group (ref.) | 726 | 1.27 (0.89, 1.82) | 0.1803 | 692 | 0.90 (0.61, 1.33) | 0.6074 | 345 | 1.27 (0.79, 2.03) | 0.3262 | 345 | 1.64 (0.73, 3.69) | 0.2316 |
Protocol A versus protocol B (ref.) | 726 | 1.01 (0.77, 1.32) | 0.9624 | 692 | 1.00 (0.74, 1.34) | 0.9761 | 345 | 0.67 (0.44, 1.01) | 0.0567 | 345 | 0.51 (0.23, 1.10) | 0.0855 |
Subgroup comparison (ref.: study group with protocol B) | ||||||||||||
Control group with protocol A vs. ref. | 509 | 0.83 (0.57, 1.21) | 0.3247 | 488 | 1.10 (0.71, 1.70) | 0.6804 | 238 | 0.65 (0.38, 1.10) | 0.1097 | 238 | 0.39 (0.13, 1.20) | 0.1012 |
Control group with protocol B vs. ref. | 344 | 0.72 (0.45, 1.18) | 0.1912 | 320 | 1.28 (0.78, 2.08) | 0.3258 | 154 | 1.09 (0.62, 1.93) | 0.7631 | 154 | 0.57 (0.16, 2.04) | 0.3890 |
Study group with protocol A vs. ref. | 347 | 1.09 (0.7, 1.69) | 0.7067 | 316 | 1.08 (0.69, 1.70) | 0.7407 | 141 | 0.83 (0.37, 1.85) | 0.6433 | 141 | 0.43 (0.11, 1.76) | 0.2396 |
MII, metaphase II mature oocyte retrieved; 2PN, two-pronuclear zygote; OR, odds ratio; CI, confidence interval; study group, patients received cotreatment of clomiphene citrate and letrozole in mild ovarian stimulation; control group, patients received conventional ovarian stimulation; protocol A, patients received ovarian stimulation with gonadotropin-releasing hormone GnRH antagonist protocol; protocol B, patients received ovarian stimulation with progestin-primed ovarian stimulation (PPOS) protocol.
•n1 refers to total number of follicles. n2 refers to total number of oocytes. n3 refers to total number of mature embryos.