print ISSN: 2411-3956
Platelet-rich plasma as a potential new strategy for the treatment of thin endometrium
##common.pageHeaderLogo.altText## Actual Questions of Modern Gynecology and Perinatology

Abstract

Though advances in assisted reproduction techniques (ART) have led to remarkable improvements in pregnancy rates, implantation failure has long been an unsolved problem. One-third of implantation failures can be attributed to embryo reasons, while unsatisfactory endometrial receptivity and poor embryo-endometrium communication account for the remaining two-thirds of such failures. Despite the great progress in embryo election and quality improvement, many patients are still undergoing repeated implantation failure (RIF). Poor endometrial receptivity has become a bottleneck issue in the ART field, and the lack of evidence-based treatments signifies the issue. Clinicians and scientists have struggled to find an effective therapeutic solution. Recently, increasing evidence has shown the positive role played by autologous platelet-rich plasma (PRP) in treating endometrium.

References

Mahajan N, Sharma S. The endometrium in assisted reproductive technology: How thin is thin? J Hum Reprod Sci. 2016 Jan-Mar;9(1):3-8. doi: 10.4103/0974-1208.178632. PMID: 27110071; PMCID: PMC4817285.

El-Toukhy T, Coomarasamy A, Khairy M, Sunkara K, Seed P, Khalaf Y, et al. The relationship between endometrial thickness and outcome of medicated frozen embryo replacement cycles. Fertil Steril. 2008;89:832–9.

Kumbak B, Erden HF, Tosun S, Akbas H, Ulug U, Bahçeci M. Outcome of assisted reproduction treatment in patients with endometrial thickness less than 7 mm. Reprod Biomed Online. 2009;18:79-84.

Shapiro H, Cowell C, Casper RF. The use of vaginal ultrasound for monitoring endometrial preparation in a donor oocyte program. Fertil Steril. 1993;59:1055-8.

Coulam CB, Bustillo M, Soenksen DM, Britten S. Ultrasonographic predictors of implantation after assisted reproduction. Fertil Steril. 1994;62:1004-10.

Gonen Y, Casper RF. Prediction of implantation by the sonographic appearance of the endometrium during controlled ovarian stimulation for in vitro fertilization (IVF) J In Vitro Fert Embryo Transf. 1990;7:146-52.

Gingold JA, Lee JA, Rodriguez-Purata J, Whitehouse MC, Sandler B, Grunfeld L, et al. Endometrial pattern, but not endometrial thickness, affects implantation rates in euploid embryo transfers. Fertil Steril. 2015;104:620–8.e5.

Barad DH, Yu Y, Kushnir VA, Shohat-Tal A, Lazzaroni E, Lee HJ, Gleicher N. A randomized clinical trial of endometrial perfusion with granulocyte colony-stimulating factor in in vitro fertilization cycles: impact on endometrial thickness and clinical pregnancy rates. Fertil Steril. 2014;101:710-715. http://dx.doi.org/10.1016/j.fertnstert.2013.12.016

Chang Y, Li J, Chen Y, Wei L, Yang X, Shi Y, Liang X. Autologous platelet-rich plasma promotes endometrial growth and improves pregnancy outcome during in vitro fertilization. Int J Clin Exp Med. 2015;8:1286–1290.

Eftekhar M, Sayadi M, Arabjahvani F. Transvaginal perfusion of G-CSF for infertile women with thin endometrium in frozen ET program: A non-randomized clinical trial. Iran J Reprod Med. 2014;12:661-666.

Xu B, Zhang Q, Hao J, Xu D, Li Y. Two protocols to treat thin endometrium with granulocyte colonystimulating factor frozen embryo transfer cycles. Reprod Biomed Online. 2015;30:349-358.

Chang Y, Li J, Chen Y, Wei L, Yang X, Shi Y, Liang X. Autologous platelet-rich plasma promotes endometrial growth and improves pregnancy outcome during in vitro fertilization. Int J Clin Exp Med. 2015 Jan 15;8(1):1286-90. PMID: 25785127; PMCID: PMC4358582.

Amable PR, Carias RB, Teixeira MV, da Cruz Pacheco I, Correa do Amaral RJ, Granjeiro JM, Borojevic R. Подготовка обогащенной тромбоцитами плазмы для регенеративной медицины: оптимизация и количественная оценка цитокинов и факторов роста. Стволовые клетки Res Ther. 2013; 4:67.

Lee JW, Kwon OH, Kim TK, Cho YK, Choi KY, Chung HY, Cho BC, Yang JD, Shin JH. Обогащенная тромбоцитами плазма: количественная оценка уровней факторов роста и сравнительный анализ активированных и инактивированных групп. Арх Пласт Хирург. 2013; 40: 530–535

Диллон Р.С., Шварц Э.М., Мэлони М.Д. Терапия обогащенной тромбоцитами плазмой –будущее или тренд? Артрит Res Ther. 2012 г.; 14 :219.

Marques LF, Stessuk T, Camargo IC, Sabeh Junior N, dos Santos L, Ribeiro-Paes JT. Platelet-Rich Plasma (PRP): Methodological Aspects and Clinical Applications. Platelets (2015) 26(2):101–13. doi: 10.3109/09537104.2014.881991.

Kim JH, Park M, Paek JY, Lee WS, Song H, Lyu SW. Intrauterine Infusion of Human Platelet-Rich Plasma Improves Endometrial Regeneration and Pregnancy Outcomes in a Murine Model of Asherman's Syndrome. Front Physiol (2020) 11:105. doi: 10.3389/fphys.2020.00105.

Kim H, Shin JE, Koo HS, et al. Effect of autologous platelet-rich plasma treatment on refractory thin endometrium during the frozen embryo transfer cycle: a pilot study. Frontiers Endocrinol 2019;10:61. DOI: 10.3389/fendo.2019.00061.

Nazari L, Salehpour S, Hoseini S, et al. Effects of autologous platelet-rich plasma on implantation and pregnancy in repeated implantation failure: a pilot study. Int J Reprod Biomed (Yazd) 2016;14(10):625–628. DOI: 10.29252/ijrm.14.10.625.

Colombo GV, Fanton V, Sosa D, et al. Use of platelet rich plasma in human infertility. J Biol Regul Homeost Agents 2017;31(2 Suppl. 2):179–182.

Zadehmodarres S, Salehpour S, Saharkhiz N, et al. Treatment of thin endometrium with autologous platelet-rich plasma: a pilot study. JBRA Assist Reprod 2017;21(1):54. DOI: 10.5935/1518-0557.20170013.

Molina A, Sánchez J, Sánchez W, et al. Platelet-rich plasma as an adjuvant in the endometrial preparation of patients with refractory endometrium. JBRA Assisted Reproduction 2018;22(1):42–48.

Eftekhar M, Neghab N, Naghshineh E, et al. Can autologous platelet rich plasma expand endometrial thickness and improve pregnancy rate during frozen-thawed embryo transfer cycle? a randomized clinical trial. Taiwanese J Obstet Gynecol 2018;57(6):810–813. DOI: 10.1016/j.tjog.2018.10.007.

Coksuer H, Akdemir Y, Ulas, et al. Improved in vitro fertilization success and pregnancy outcome with autologous platelet-rich plasma treatment in unexplained infertility patients that had repeated implantation failure history. Gynecol Endocrinol 2019;35(9):815–818. DOI: 10.1080/09513590.2019.1597344.

Mehrafza M, Kabodmehri R, Nikpouri Z, et al. Comparing the impact of autologous platelet-rich plasma and granulocyte colony stimulating factor on pregnancy outcome in patients with repeated implantation failure. J Reprod Infertil 2019;20(1):35–41.

Tandulwadkar SR, Naralkar MV, Surana AD, et al. utologous intrauterine platelet-rich plasma instillation for suboptimal endometrium in frozen embryo transfer cycles: a pilot study. J Hum Reprod Sci 2017;10(3):208–212. DOI: 10.4103/jhrs.JHRS_28_1727.

Agarwal M, Mettler L, Jain S, et al. Management of a thin endometrium by hysteroscopic instillation of platelet-rich plasma into the endomyometrial junction: a pilot study. J Clin Med 2020;9(9):2795. DOI: 10.3390/jcm9092795

Maleki-Hajiagha A, Razavi M, Rouholamin S, et al. Intrauterine infusion of autologous plateletrich plasma in women undergoing assisted reproduction: a systematic review and meta-analysis. J Reprod Immunol. 2020;137:103078. DOI:10.1016/j.jri.2019.10307

Lin Y, Qi J and Sun Y (2021) Platelet-Rich Plasma as a Potential New Strategy in the Endometrium Treatment in Assisted Reproductive Technology. Front. Endocrinol. 12:707584. doi: 10.3389/fendo.2021.707584

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Keywords

thin endometrium, platelet-rich plasma, endometrial receptivity, assisted reproductive technologies nazik endometrium, trombositlərlə zəngin plazma, endometrial reseptivlik, köməkçi reproduktiv texnologiyalar тонкий эндометрий, обогащенная тромбоцитами плазма, рецептивность эндометрия, вспомогательные репродуктивные технологии