We retrieved data for 7535 FET cycles in the Reproductive and Genetic Center in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2016 to December 2020. We included patients with D3 embryo transfer, transplantable embryos after thawing, and who had signed an informed consent prior to receiving LAH. Patients with blastocyst transfer (n = 577), chromosomal abnormalities (n = 89), thin endometrium (n = 67), uterine malformation (n = 156), endometriosis (n = 236), endocrine disease (such as diabetes, hypertension, and thyroid disease) (n = 357), and those with incomplete information on primary outcomes (n = 274) were excluded. The included cycles were categorized into LAH and non-LAH (NLAH) groups. The inclusion and exclusion procedures are shown in Fig. 1. The reproductive medicine ethics committee of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine approved this study (no. SZ202109001).

Flowchart showing the selection of study population and matching by propensity score

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