Endometrial thickness is not a risk factor for hypertensive disorders of pregnancy after IVF treatment in women with male-factor infertility - Report - MDSpire

Endometrial thickness is not a risk factor for hypertensive disorders of pregnancy after IVF treatment in women with male-factor infertility

  • By

  • Ningning Chen

  • Xiaopei Guo

  • Junjie Zhao

  • Wei Shi

  • Xiaohua Luo

  • July 17, 2026

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Endometrial Thickness Does Not Contribute to the Risk of Hypertensive Disorders in Pregnancies Following IVF in Women with Male-Factor Infertility

Overview

This study investigates the relationship between endometrial thickness and hypertensive disorders of pregnancy (HDP) in women with male-factor infertility undergoing IVF.

Background

Hypertensive disorders of pregnancy (HDP) pose significant risks to maternal and fetal health, including complications such as preterm birth and low birth weight. Understanding risk factors for HDP is crucial, especially in populations undergoing assisted reproductive technologies like IVF. Previous studies have shown mixed results regarding the impact of endometrial thickness on pregnancy outcomes, necessitating further investigation.

Data Highlights

Endometrial Thickness GroupHDP Rate (%)
≤ 8 mm3.97
8–14 mm3.74
≥ 14 mm3.03

Key Findings

  • The overall HDP rate was 3.67% among the studied population.
  • No significant difference in HDP rates was observed across different endometrial thickness groups (p=0.760).
  • Older maternal age (OR 1.10) and higher BMI (OR 2.40) were identified as significant risk factors for HDP.
  • Endometrial thickness was not associated with the risk of HDP in women with male-factor infertility undergoing their first frozen-thawed embryo transfer.
  • This study included 2,536 women aged 20–40 years with male-factor infertility.

Clinical Implications

Clinicians should consider maternal age and BMI as significant risk factors for HDP.

Conclusion

Endometrial thickness does not appear to contribute to the risk of hypertensive disorders in this specific patient population.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- Resolved hyperthyroidism before IVF is not associated with improved cumulative live birth rates: a retrospective cohort study
  2. Frontiers in Medicine, 2026 -- Tiao-Jing-Cu-Yun Acupuncture combined with estradiol in the treatment of patients with thin endometrium undergoing hormone replacement therapy for frozen embryo transfer: A randomized controlled trial
  3. Frontiers in Medicine, 2026 -- Relationship between endometrial VFI values detected by three-dimensional power Doppler ultrasound and pregnancy outcomes in FET patients and prediction of the optimal VFI range—a retrospective cohort study
  4. Archives of Gynecology and Obstetrics, 2026 -- Unfavorably altered fibrin clot properties in women with unexplained infertility: association with pregnancy outcomes
  5. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice
  6. Human Reproduction Update, 2023 -- Obstetric and neonatal outcomes after natural versus artificial cycle frozen embryo transfer and the role of luteal phase support: a systematic review and meta-analysis
  7. ScienceDirect, 2023 -- Thick endometrium is associated with hypertensive disorders of pregnancy in programmed frozen-thawed embryo transfers: a retrospective analysis of 2,275 singleton deliveries
  8. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice
  9. Obstetric and neonatal outcomes after natural versus artificial cycle frozen embryo transfer and the role of luteal phase support: a systematic review and meta-analysis | Human Reproduction Update | Oxford Academic
  10. Thick endometrium is associated with hypertensive disorders of pregnancy in programmed frozen-thawed embryo transfers: a retrospective analysis of 2,275 singleton deliveries - ScienceDirect

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