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Table 1 Demographics and clinicopathological characteristics of EEC/AEH patients after achieving CR and attempting to conceive

From: Analysis of pregnancy-associated factors after fertility-sparing therapy in young women with early stage endometrial cancer or atypical endometrial hyperplasia

 

Total

Non-pregnant

Pregnant

P value

Patients (n)

68

32

36

-

Age of initial treatment (years)

30.4 ± 3.9

31.0 ± 3.7

29.9 ± 4.1

0.272 a

Age of pregnancy permission (years)

31.9 ± 4.2

32.6 ± 3.8

31.2 ± 4.5

0.190 a

BMI c of initial treatment (kg/m2)

25.9 ± 4.2

26.9 ± 4.2

25.0 ± 3.9

0.051 a

BMI of pregnancy permission (kg/m2)

25.9 ± 3.8

27.2 ± 3.7

24.8 ± 3.6

0.007

Irregular menstrual cycle (%)

35 (51.5)

18 (56.2)

17 (47.2)

0.457 b

Infertility (%)

27 (39.7)

14 (43.8)

13 (36.1)

0.520b

Nulliparity (%)

62 (91.2)

30 (93.8)

32 (88.9)

0.481 b

Diabetes mellitus type 2 (%)

11 (16.2)

3 (9.4)

8 (22.2)

0.151 b

Insulin resistance (%)

21 (30.9)

10 (31.3)

11 (30.6)

0.950 b

High blood pressure (%)

6 (8.8)

2 (6.2)

4 (11.1)

0.481 b

Thyroid diseases (%)

9 (13.2)

4 (12.5)

5 (13.9)

0.866 b

Myometrium invasion in MRI (%)

16 (33.3)

8 (34.8)

8 (32.0)

0.581 b

PCO on ultrasonography (%)

37 (54.4)

20 (62.5)

17 (47.2)

0.207 b

PCOSd

27 (39.7)

13 (40.6)

14 (38.9)

0.884b

CA125 (U/mL)

22.4 ± 22.6

22.7 ± 16.2

22.2 ± 27.2

0.926 a

Histological type

   

0.214 b

 AEH

39

16

23

 

 EEC G1

21

10

11

 

 EEC G2

8

6

2

 

Treatment protocol (%)

   

0.831 b

 MPA 250 mg, once daily

45 (67.2)

21 (65.6)

24 (68.6)

 

 MPA 500 mg, once daily

8 (11.9)

5 (15.6)

3 (8.6)

 

 MA 160-320 mg, once daily

9 (13.4)

4 (12.5)

5 (14.3)

 

 GnRH-a

5 (7.5)

2 (6.2)

3 (8.6)

 

Adjuvant metformin (%)

25 (36.8)

15 (46.9)

10 (27.8)

0.103 b

Maintenance therapy (%)

   

0.223 b

 None

11 (16.2)

6 (18.8)

5 (13.9)

 

 Progestin

45 (66.2)

18 (56.2)

27 (75.0)

 

 LNG-IUD

12 (17.6)

8 (25.0)

4 (11.1)

 

Conception method (%)

   

0.246 b

 Natural

19 (27.9)

12 (37.5)

7 (19.4)

 

 Ovulation induction ± IUI

9 (13.2)

4 (12.5)

5 (13.9)

 

 IVF-ET

40 (58.8)

16 (50.0)

24 (66.7)

 
  1. AEH atypical endometrial hyperplasia, BMI body mass index, CA cancer antigen, EEC early stage endometrial cancer, GnRH-a gonadotropin-releasing hormone agonist, IUI intrauterine insemination, IVF-ET in vitro fertilization and embryo transfer, LNG-IUD levonorgestrel intrauterine system, MA megestrol acetate, MPA medroxyprogesterone acetate, PCO polycystic ovary
  2. aPregnancy versus Non-pregnancy (Student’s t test)
  3. bPregnancy versus Non-pregnancy (Chi-squared test)
  4. cBMI, kg/m2 (Chinese Society for the Study of Obesity: normal BMI 18.5–23.9; overweight 24–28; obesity > 28)
  5. dDiagnostic criteria: the Rotterdam criteria 2003