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Reproduction
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Table 1 Classification of rFSH-stimulated women in four groups according to their normal peak estradiol concentrations. Implantation rate was defined as the number of live births divided by the total number of transferred embryos. Pregnancy rate was defined as the percentage ratio of women with live births to total rFSH-treated women and is directly related to IVF outcome, which is defined by the prognostic IVF value of related parameters, like estradiol and leptin. The sum of embryo qualities differs from 100 due to the presence of equal-quality embryos. For rFSH, 75 IU ampoules were used.
Normal peak estradiol concentrations (pg/ml) on the hCG day
Variable (means±S.E.M.) 500–1000 1001–2000 2001–3000 3001–4000 P value

No. of women 61 53 41 45
Age (years) 36.95±3.73 35.3 ± 5.06 33.8 ± 3.93 33.4 ± 5.07 0.01
Body mass index (kg/m2) 22.7 ± 3.04 23.4 ± 3.65 24.8 ± 5.63 22.32 ± 2.8 NS
Leptin (on the HCG day; ng/ml) 57.14 ± 7.9d 46.5 ± 8.4a 66.7 ± 8.4h 60.3 ± 5.8c 0.03
No. of rFSH ampoules 35.44 ± 2.82 28.3 ± 2.41 29.1 ± 4.19 18.77 ± 1.89 NS
Stimulation days 6.61 ± 0.36 6.26 ± 0.35 6.00 ± 0.47 5 ± 0.31 NS
No. of retrieved oocytes 3.74 ± 1.94 6.43 ± 2.61 8.54 ± 4.13 9.03 ± 4.4 <0.001
Phase II oocytes 2.81 ± 0.38 5.75 ± 0.36 8.36 ± 1.39 8.77 ± 1.67 <0.001
No. of transferred embryos 1.96 ± 1.07 (n = 120) 3.94 ± 1.53 (n = 209) 4.07 ± 1.72 (n = 167) 3.94 ± 1.41 (n = 178) <0.001
Embryo quality
    Grade A with ≥5 blastomeres 1 ± 0.26 1.93 ± 0.34 2.18 ± 0.63 2.65 ± 0.45 <0.001
    Grade B with ≥5 blastomeres 0.14 ± 0.007n 0.97 ± 0.21k 0.55 ± 0.21l 0.11 ± 0.11m <0.05
    Grade A with <5 blastomeres 0.41 ± 0.13 0.14 ± 0.006 0.73 ± 0.38 0.71 ± 0.52 NS
    Grade B with <5 blastomeres 0.41 ± 0.13n 0.93 ± 0.27k 0.64 ± 0.28l 0.53 ± 0.31m <0.05
    Good embryo quality 58.4%h 73.6%e 64.6% 70% NS
    Poor embryo quality 31.2%s 12.4%p 25.7%q 28.4%r NS


P values among the four groups was estimated with the Kruskal–Wallis test. Superscript letters: a was significantly lower (P < 0.05) than b, c and d, and k was significantly higher (P < 0.05) than l, m and n with the Mann–Whitney test.
For embryo quality, e was significantly higher (P < 0.05) than h, and p was significantly lower (P < 0.05) than q, r and s with the {chi}2 test. NS, not significant.





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