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Study aim
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Determining the therapeutic effect of platelet rich plasma on ovarian function in women with infertility due to poor ovarian function
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Design
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The clinical trial included an intervention group including 20 patients
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Settings and conduct
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The statistical population of the study will be 20 infertile women referred to Roish Birjand clinic with poor response to ovarian stimulation and candidates for IVF. First, the measurement of AMH, FSH, LH and AFC number of patients before the intervention, then rich plasma injection of platelets in the follicular phase and in the early periods of the menstrual cycle, under sterile conditions and under the guidance of transvaginal ultrasound, will be performed in each ovary by a gynecologist. Finally, hormonal tests of AMH, FSH, LH and ultrasound will be done by a gynecologist to determine the number of AFC in the first menstrual cycle after treatment to determine the effect.
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Participants/Inclusion and exclusion criteria
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Entry requirements:
Age range from 25 to 45 years
The amount of FSH hormone is higher than 12
The amount of AMH hormone is lower than 1
Poor response to ovulation stimulating drugs in previous cycles
Donor egg candidate
Non-entry conditions:
The presence of any ovarian cyst confirmed by a gynecologist
People with polycystic ovary confirmed by a gynecologist
People with underlying medical diseases (hypertension and diabetes)
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Intervention groups
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Women with poor response to ovarian stimulation
First, measuring the hormones AMH, FSH, LH, and the AFC number of the patients before the intervention, then prp injection in the follicular phase, under the guidance of transvaginal ultrasound in each ovary, finally AMH hormone tests. FSH, LH and determine the number of AFC in the first menstrual cycle after treatment to determine the effect.
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Main outcome variables
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FSH, LH, AMH hormone leveles, AFC numberes