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Comparison of Outcomes Between the GnRH-Agonist Long Protocol and the Intensified Estrogen Protocol for Treating Thin Endometrium in Frozen Embryo Transfer Cycles

Comparison of Clinical Outcomes between the GnRH Agonist Protocol and the Intensified Oestrogen Administration Protocol in Frozen Embryo Transfer Cycles for Patients with Thin Endometrium: A Prospective Randomized Controlled Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500113652
Enrollment
Unknown
Registered
2025-12-01
Start date
2025-12-01
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

No clinical pregnancy is achieved after at least 12 months of regular unprotected sexual intercourse.

Interventions

Control group:Endometrial transformation and embryo transfer were performed in this cycle.
GnRH-a+HMG group:Oral dydrogesterone tablets 10 mg three times daily were initiated on the same day, administered once daily for a total of 7 days. Seven days later, a GnRH-a injection of 0.5–0.7 mg w
once they reached baseline levels (LH <= 10 IU/L, P <= 4.7 nmol/L, E2 <= 180 pmol/L), daily injections of HMG at a dose of 150–225 IU were started. After 4–5 days, serum LH, P, and E2 levels were reas

Sponsors

The First Affiliated Hospital of Wenzhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
20 Years to 40 Years

Inclusion criteria

Inclusion criteria: 1. Patients who have experienced thin endometrium (TE) during assisted reproductive treatment at this center. Thin endometrium is defined as endometrial thickness =21 days). 3. Age =7 cells. Blastocysts with a quality >=3BC are considered viable. 5. Participants voluntarily agree to join this clinical trial, understand the study, and can provide signed informed consent.

Exclusion criteria

Exclusion criteria: 1.Untreated unilateral or bilateral hydrosalpinx detected on ultrasound, with a transverse diameter >20 mm, or a transverse diameter 4 cm or submucosal fibroids. 6.Patients with unexplained recurrent implantation failure (RIF) or recurrent pregnancy loss. RIF is defined in this study as the failure to achieve clinical pregnancy after the transfer of at least four high-quality cleavage-stage embryos or two viable blastocysts within two fresh or frozen cycles. Recurrent pregnancy loss is defined as two or more consecutive pregnancy losses before 28 weeks of gestation with the same partner; 7.History of severe ovarian hyperstimulation syndrome (OHSS) after ovarian stimulation. OHSS grading follows the classification criteria by Golan(1989). 8.History of poor ovarian response during ovarian stimulation, with <3 oocytes retrieved. 9.Other conditions deemed by the investigator as unsuitable for participation.

Design outcomes

Primary

MeasureTime frame
Clinical pregnancy rate per transfer;

Secondary

MeasureTime frame
Endometrial thickness on the day of endometrial transformation and embryo transfer;Ongoing pregnancy rate per transfer;Cycle Cancellation Rate;Ectopic Pregnancy Rate;Early spontaneous miscarriage rate;Uterine spiral artery PI, RI, S/D and endometrial VI, FI, VFI;Uterine spiral artery PI, RI, S/D and endometrial VI, FI, VFI;OHSS Incidence Rate;Estradiol level on the day of endometrial transformation;Embryo implantation rate;

Countries

China

Contacts

Public ContactHuang Xuefeng

The First Affiliated Hospital of Wenzhou Medical University

xuefhuang@126.com+86 577 55578055

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026