Published on in Vol 28 (2026)
Preprints (earlier versions) of this paper are
available at
https://preprints.jmir.org/preprint/94504, first published
.

1 Department of Reproductive Medicine, Xiangya Hospital Central South University, Changsha, Hunan, China
2 Clinical Research Center for Women's Reproductive Health in Hunan Province, Changsha, Hunan, China
*these authors contributed equally
