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244603

The Role of Platelets Rich Plasma (PRP) in Recurrent Implantation Failure (RIF)

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Last updated: 05 Jan 2025

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Medical and Health Science.

Abstract

Infertility therapy has been advocated using a variety of ways. The implantation of many embryos is still a problem, despite the presence of a variety of assisted reproductive technologies (ART). C-reactive protein, growth factor, prostaglandin and other binding molecules are released by the endometrium when it's receptive to fertilisation. It is critical for embryo implantation if the endometrium be in the proper condition. Repeated implantation failure (RIF) is defined by the European Society of Human Reproduction and Embryology as the absence of a gestational sac in the 5-week old ultrasonography after three different embryo transfers. Autologous blood samples are used to obtain platelet-rich plasma (PRP), which has a concentration of 4–5 times that of circulating blood. ART research aimed at increasing the success rate and reducing the cost of treatment may be beneficial. The purpose of this research was to determine if intrauterine perfusion of autologous platelet-rich plasma (PRP) improves pregnancy rates in patients with RIF. Methods: Study participants were divided into two groups: Group A (PRP group), which comprised 37 women who underwent intrauterine infusion of PRP 48 hours prior to embryo transfer (ET), and Group B (Control group), which included 37 women who did not receive PRP. This study found no significant differences in demographic data or time spent unsuccessfully trying to conceive between the two groups. In terms of AMH levels, the two groups did not vary significantly. When comparing the PRP group to the control group, the AFC was considerably greater in the PRP group. The PRP group had a statistically greater endometrial thickness than the control group after treatment. In comparison to the control group, the PRP group had statistically substantially more recovered oocytes. In comparison to the control group, the PRP group had considerably more MII oocytes. Between the two groups, the number of embryos transplanted was statistically indistinguishable. There was a statistically significant difference in the number of blastocysts formed by PRP compared to the control group. The PRP group had an 81.1 percent rate of normal fertilisation compared to the control group, which was statistically significant (45.9 percent ). Compared to the control group, the PRP group had a clinical pregnancy rate of 48.6 percent, which was statistically significant (18.9 percent ). No statistically significant difference was seen when it came to spontaneous miscarriage rates between the PRP and control groups. To summarise, PRP infusion seems to be a safe and successful treatment for enhancing endometrial receptivity, implantation, and pregnancy, all without causing harm to the patient. Furthermore, PRP is inexpensive and made from your own blood, so there's no need to worry about immune responses or infection transmission.

DOI

10.21608/bjas.2022.244603

Keywords

platelets rich plasma, PRP, recurrent implantation failure, RIF

Authors

First Name

M.A.

Last Name

Elnafarawi

MiddleName

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Affiliation

Obstetrics and Gynecology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.F.

Last Name

Elsherbiny

MiddleName

-

Affiliation

Obstetrics and Gynecology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

W.M.

Last Name

Tawfik

MiddleName

-

Affiliation

Obstetrics and Gynecology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

-

Orcid

-

First Name

D.M.

Last Name

EIbrahim

MiddleName

-

Affiliation

Obstetrics and Gynecology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

Volume

7

Article Issue

5

Related Issue

34936

Issue Date

2022-05-01

Receive Date

2022-05-18

Publish Date

2022-05-01

Page Start

127

Page End

134

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_244603.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=244603

Order

19

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

The Role of Platelets Rich Plasma (PRP) in Recurrent Implantation Failure (RIF)

Details

Type

Article

Created At

23 Jan 2023