Table 2 Cycle’s characteristics and oocytes outcomes in the three ovarian stimulation groups according to female BMIs. One-way ANOVA analysis, the nonparametric test, student’s t-tests or Mann-Whitney U-test were applied. Data are presented as mean ± standard error of the mean. The differences were considered statistically significant when the p-value was less than 0.05. When compared with the p-value of subgroups in the same BMI group, the different superscript alphabets of a, b, c stand for a significant difference (p < 0.05). When compared with the p-value of the normal BMI group and high BMI group in the same ovary stimulation group, the symbols *, #, ※ separately stands for a significant difference (p < 0.05) in the conventional short, HMG + MPA (4 mg) and HMG + MPA (10 mg) ovary stimulation group.
Normal BMI (18.5–24.99) | High BMI (≥25) | |||||||
|---|---|---|---|---|---|---|---|---|
Conventional short (n = 1190) | HMG + MPA (4 mg) (n = 1331) | HMG + MPA (10 mg) (n = 1412) | P | Conventional short (n = 232) | HMG + MPA (4 mg) (n = 240) | HMG + MPA (10 mg) (n = 208) | P | |
Patients (n) | 1160 | 1272 | 1383 | 217 | 226 | 199 | ||
Age (y) | 31.29 ± 0.10a | 31.53 ± 0.10a | 31.43 ± 0.10a | 0.222 | 31.67 ± 0.23a | 32.19 ± 0.26a,# | 31.99 ± 0.26a,※ | 0.315 |
BMI (kg/m2) | 21.30 ± 0.05a | 21.35 ± 0.05a | 21.24 ± 0.04a | 0.230 | 27.20 ± 0.15a,* | 27.38 ± 0.23a,# | 27.29 ± 0.19a,※ | 0.787 |
Duration of infertility (y) | 3.28 ± 0.06a | 3.05 ± 0.07b | 3.18 ± 0.07a,b | 0.052 | 3.82 ± 0.16a,* | 3.39 ± 0.19a | 3.37 ± 0.21a | 0.167 |
Indication, n (%) | a | a | a | 0.447 | a | a | a | 0.466 |
Tubal factor | 772 (64.9) | 817 (61.4) | 873 (61.8) | 140 (60.3) | 147 (61.3) | 121 (58.7) | ||
Male factor | 91 (7.6) | 91 (6.8) | 117 (8.3) | 26 (11.2) | 20 (8.3) | 13 (6.3) | ||
Unexplained factor | 53 (4.5) | 80 (6.0) | 69 (4.9) | 10 (4.3) | 12 (5.0) | 15 (7.3) | ||
Combination of factors | 274 (23.0) | 343 (25.7) | 353 (25.0) | 56 (24.1) | 61 (25.4) | 57 (27.7) | ||
Day3 FSH (IU/L) | 5.70 ± 0.03a | 5.80 ± 0.04a | 5.80 ± 0.04a | 0.084 | 5.40 ± 0.09a,* | 5.62 ± 0.08a,# | 5.69 ± 0.10a | 0.063 |
Day3 E2 (pg/mL) | 34.12 ± 0.39a | 35.26 ± 0.36a | 34.89 ± 0.40a | 0.116 | 30.24 ± 0.89a,* | 32.18 ± 0.81a,# | 32.39 ± 1.04a,※ | 0.192 |
Day3 P (ng/mL) | 0.29 ± 0.01a | 0.31 ± 0.01a | 0.31 ± 0.01a | 0.131 | 0.26 ± 0.02a | 0.25 ± 0.01a,# | 0.27 ± 0.02a | 0.223 |
Day3 AFC | 11.02 ± 0.12a | 11.10 ± 0.12a | 11.07 ± 0.13a | 0.888 | 11.02 ± 0.31a | 11.23 ± 0.31a | 11.73 ± 0.38a | 0.311 |
hMG duration (d) | 8.14 ± 0.05a | 6.87 ± 0.16b | 8.94 ± 0.04c | <0.001 | 9.48 ± 0.19a,* | 7.05 ± 0.27b | 9.44 ± 0.17a,※ | <0.001 |
hMG dose (IU) | 1583 ± 14.09a | 2002 ± 8.60b | 1939 ± 11.30c | <0.001 | 1962 ± 59.02a,* | 2171 ± 30.58b,# | 2082 ± 49.26a,b,※ | 0.005 |
Oocytes retrieved (n) | 11.03 ± 0.19a | 10.71 ± 0.18a | 11.03 ± 0.16a | 0.360 | 8.55 ± 0.44a,* | 9.41 ± 0.39a,# | 9.96 ± 0.48a,※ | 0.075 |
MII oocytes (n) | 7.68 ± 0.14a | 8.82 ± 0.16b | 8.62 ± 0.15b | <0.001 | 5.78 ± 0.32a,* | 8.03 ± 0.36b | 7.68 ± 0.42b※ | <0.001 |
Fertilized oocytes (n) | 7.36 ± 0.14a,b | 7.08 ± 0.14a | 7.68 ± 0.14b | 0.008 | 5.59 ± 0.31a,* | 6.40 ± 0.31a | 6.59 ± 0.39a,※ | 0.083 |
Top-quality embryos (n) | 3.77 ± 0.09a | 2.95 ± 0.09b | 3.68 ± 0.09a | <0.001 | 2.81 ± 0.19a,* | 2.62 ± 0.18a | 3.17 ± 0.23a,※ | 0.153 |
Viable embryos (n) | 4.40 ± 0.09a | 3.97 ± 0.09b | 4.24 ± 0.09a,b | 0.002 | 3.38 ± 0.20a,* | 3.59 ± 0.21a | 3.68 ± 0.22a,※ | 0.592 |