Research Article

The Impact of Preconception TSH on the Reproductive Outcomes of Infertile Women Undergoing the First Fresh D3 Embryo Transfer Cycle

Table 1

The general characteristics of the included women based on TSH levels.

Low-TSH (0.27–2.5mIU/L)High-normal TSH (2.5–4.2mIU/L)

N1008778
Age (years)31.82 (4.75)31.62 (4.59)0.371
BMI (kg/m2)23.71 (3.27)23.98 (3.38)0.088
AMH (pmol/L)25.62 (21.03)27.17 (23.65)0.143
FT4 (pmol/L)16.77 (6.81)16.51 (5.56)0.385
FT3 (pmol/L)4.78 (0.72)4.83 (0.73)0.156
FSH (IU/L)7.52 (2.32)7.67 (2.3)0.169
Endometrial thickness (mm)11.29 (2.31)11.46 (2.37)0.138
Duration of infertility (year)3.52 (2.68)3.68 (2.78)0.212

Insemination methods of transferred embryos
 ICSI246 (24.4%)214 (27.5%)0.172
 IVF752 (74.6%)552 (71%)
 IVF/ICSI10 (1%)12 (1.5%)

Ovarian stimulation protocol
 GnRH agonist915 (90.8%)720 (92.5%)0.355
 GnRH antagonist88 (8.7%)56 (7.2%)
 Mild ovarian stimulationa5 (0.5%)2 (0.3%)

Causes of infertility
 Male factors (azoospermatism)b171 (17%)159 (20.4%)0.107
 Male factors (others)56 (5.6%)46 (5.9%)
 Female mixed factors38 (3.8%)42 (5.4%)
 Ovulation failure70 (6.9%)53 (6.8%)
 Pelvic and fallopian tube factors345 (34.2%)259 (33.3%)
 Factors on both sides257 (25.5%)160 (20.6%)
 Unexplained71 (7%)59 (7.6%)

Type of infertility
 Primary545 (54.1%)392 (50.4%)0.126
 Secondary463 (45.9%)386 (69.6%)

Number of transferred embryos
 1110 (10.9%)80 (10.3%)0.669
 2898 (89.1%)698 (89.7%)

Number of high-quality transferred embryos
 0150 (14.9%)137 (17.6%)0.298
 1258 (25.6%)193 (24.8%)
 2600 (59.5%)448 (57.6%)

athe couples with mild ovarian stimulation were of poor ovarian response. Generally, those couples would have the embryos vitrified for subsequent frozen-thawed transfer cycle; b the couples with infertile cause of male factor (azoospermatism) were provided with donor sperm for insemination.