Potential of Plasma Rich in Growth Factors (PRGF-Endoret) to Enhance the Efficacy of Assisted Reproductive Techniques in Refractory Cases

被引:9
作者
Agirregoikoa, Jon Ander [1 ]
de Pablo, Jose Luis [1 ]
de la Fuente, Maria [2 ]
Anitua, Eduardo [3 ]
机构
[1] Clin ART, Embryol Lab, Vitoria, Spain
[2] Biotechnol Inst ImasD, Regenerat Med Lab, Vitoria, Spain
[3] Inst Eduardo Anitua, Biotechnol Inst ImasD, Regenerat Med Lab, Vitoria, Spain
关键词
platelet-rich plasma; infertility; implantation; blastocyst; assisted reproductive techniques; IMPLANTATION; PREGNANCY; IMPROVE;
D O I
10.7759/cureus.26623
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim: Nowadays, infertility problems affect a high percentage of couples. This study aimed to evaluate the effect of plasma rich in growth factors (PRGF-Endoret, hereafter PRGF) as a promising coadjuvant therapy in assisted reproductive techniques and its possible role in implantation and pregnancy rates. This retrospective study included 36 PRGF cycles in 27 women with one of the following reproductive disorders: recurrent implantation failure (n = 16), repeated abortion (n = 8), and thin endometrium (n = 3).Methods: PRGF was obtained from each patient and administered as three consecutive intrauterine instillations. The endometrial thickness was measured after each PRGF infusion and a good-quality embryo transfer was performed for every patient. Endometrial thickness, biochemical pregnancy, and miscarriage rate were the primary measured outcomes.Results: PRGF increased the endometrial growth respecting the initial thickness in all cases. The biochemical pregnancy rate determined as positive beta-human chorionic gonadotropin (beta-hCG) was 59%, considering the total number of patients; the ongoing pregnancy percentage was 48%. PRGF application day was relevant with a significant probability of achieving pregnancy (p < 0.01) when the first PRGF infusion was carried out beyond 6.5 days after the first day of the woman's cycle and the second one beyond 9.5 days of the menstrual cycle.Conclusions: Intrauterine autologous PRGF infusion is a safe, easily accessible, and inexpensive therapy that could collaborate in fertility treatments by optimizing the endometrium for implantation and thus favoring the crosstalk between the embryo and the uterus improving the embryo-maternal dialogue.
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页数:9
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