Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study

AbstractPlatelet-rich plasma (PRP) is used for successful regeneration of female reproductive tissues. However, little is known about the effect of ovarian PRP treatment on oocyte and embryo quality. The objective of our study was to assess the role of autologous ovarian PRP treatment on ovarian res...

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Main Authors: Dimitar Parvanov, Rumiana Ganeva, Nina Vidolova, Kristina Nikolova, Magdalena Vasileva, Tihomir Totev, Georgi Stamenov
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Biotechnology & Biotechnological Equipment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/13102818.2022.2090280
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author Dimitar Parvanov
Rumiana Ganeva
Nina Vidolova
Kristina Nikolova
Magdalena Vasileva
Tihomir Totev
Georgi Stamenov
author_facet Dimitar Parvanov
Rumiana Ganeva
Nina Vidolova
Kristina Nikolova
Magdalena Vasileva
Tihomir Totev
Georgi Stamenov
author_sort Dimitar Parvanov
collection DOAJ
description AbstractPlatelet-rich plasma (PRP) is used for successful regeneration of female reproductive tissues. However, little is known about the effect of ovarian PRP treatment on oocyte and embryo quality. The objective of our study was to assess the role of autologous ovarian PRP treatment on ovarian reserve and number and quality of oocytes and embryos in women with poor ovarian response (POR) undergoing in-vitro fertilization cycles. A total of 66 women with POR were treated with ovarian PRP injection in two subsequent menstrual cycles. The antral follicle counts, serum anti-Mullerian hormone, follicle-stimulating hormone levels, fertilization rate, number and quality of oocytes, and embryos were assessed and compared between the cycle before and after PRP treatment. Ovarian PRP treatment resulted in insignificantly lower follicle-stimulating hormone levels, significantly higher antral follicle count, anti-Mullerian hormone, number of retrieved oocytes, and insignificantly higher fertilization rate. However, the mean number of Day 5 embryos (2.19 ± 1.45 vs. 1.58 ± 1.30, p = 0.01), the percentage of high-quality oocytes (45.29% ± 42.40% vs. 15.21% ± 30.24%, p < 0.01) and the percentage of grade-I blastocysts (52.10% ± 37.94% vs. 12.86% ± 22.97%, p < 0.01) were significantly higher after PRP treatment in comparison to the pretreatment period. Moreover, the mean MII oocyte quality (1.60 ± 0.54 vs. 2.31 ± 0.63, p < 0.01) and mean blastocyst quality (1.53 ± 0.45 vs. 2.42 ± 0.63, p < 0.01) were significantly improved in the post-treatment period. In conclusion, the applied autologous ovarian PRP treatment in poor responders may significantly improve oocyte and embryo quality.
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spelling doaj.art-980c0a4a7f4f4f4da6d093d4a9c894332022-12-31T18:03:16ZengTaylor & Francis GroupBiotechnology & Biotechnological Equipment1310-28181314-35302022-12-0136142543210.1080/13102818.2022.2090280Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective studyDimitar Parvanov0Rumiana Ganeva1Nina Vidolova2Kristina Nikolova3Magdalena Vasileva4Tihomir Totev5Georgi Stamenov6Research Department, Nadezhda Women’s Health Hospital, Sofia, BulgariaResearch Department, Nadezhda Women’s Health Hospital, Sofia, BulgariaResearch Department, Nadezhda Women’s Health Hospital, Sofia, BulgariaEmbryology Department, Nadezhda Women’s Health Hospital, Sofia, BulgariaEmbryology Department, Nadezhda Women’s Health Hospital, Sofia, BulgariaDepartment of Obstetrics and Gynaecology, Nadezhda Women’s Health Hospital, Sofia, BulgariaDepartment of Obstetrics and Gynaecology, Nadezhda Women’s Health Hospital, Sofia, BulgariaAbstractPlatelet-rich plasma (PRP) is used for successful regeneration of female reproductive tissues. However, little is known about the effect of ovarian PRP treatment on oocyte and embryo quality. The objective of our study was to assess the role of autologous ovarian PRP treatment on ovarian reserve and number and quality of oocytes and embryos in women with poor ovarian response (POR) undergoing in-vitro fertilization cycles. A total of 66 women with POR were treated with ovarian PRP injection in two subsequent menstrual cycles. The antral follicle counts, serum anti-Mullerian hormone, follicle-stimulating hormone levels, fertilization rate, number and quality of oocytes, and embryos were assessed and compared between the cycle before and after PRP treatment. Ovarian PRP treatment resulted in insignificantly lower follicle-stimulating hormone levels, significantly higher antral follicle count, anti-Mullerian hormone, number of retrieved oocytes, and insignificantly higher fertilization rate. However, the mean number of Day 5 embryos (2.19 ± 1.45 vs. 1.58 ± 1.30, p = 0.01), the percentage of high-quality oocytes (45.29% ± 42.40% vs. 15.21% ± 30.24%, p < 0.01) and the percentage of grade-I blastocysts (52.10% ± 37.94% vs. 12.86% ± 22.97%, p < 0.01) were significantly higher after PRP treatment in comparison to the pretreatment period. Moreover, the mean MII oocyte quality (1.60 ± 0.54 vs. 2.31 ± 0.63, p < 0.01) and mean blastocyst quality (1.53 ± 0.45 vs. 2.42 ± 0.63, p < 0.01) were significantly improved in the post-treatment period. In conclusion, the applied autologous ovarian PRP treatment in poor responders may significantly improve oocyte and embryo quality.https://www.tandfonline.com/doi/10.1080/13102818.2022.2090280Platelet-rich plasmaovaryembryosoocytesICSI
spellingShingle Dimitar Parvanov
Rumiana Ganeva
Nina Vidolova
Kristina Nikolova
Magdalena Vasileva
Tihomir Totev
Georgi Stamenov
Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
Biotechnology & Biotechnological Equipment
Platelet-rich plasma
ovary
embryos
oocytes
ICSI
title Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
title_full Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
title_fullStr Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
title_full_unstemmed Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
title_short Autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality: a before-after prospective study
title_sort autologous ovarian platelet rich plasma treatment improves oocyte and embryo quality a before after prospective study
topic Platelet-rich plasma
ovary
embryos
oocytes
ICSI
url https://www.tandfonline.com/doi/10.1080/13102818.2022.2090280
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