Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis
(1) Background: Controversial conclusions have been made in previous studies regarding the influence of autologous platelet-rich plasma (PRP) in the reproductive outcomes of women with repeated implantation failures (RIF) who are undergoing embryo transfer (ET). (2) Methods: This study aimed to eval...
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| Format: | Article |
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MDPI AG
2022-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/22/6753 |
| _version_ | 1797464933928009728 |
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| author | Muzi Li Yan Kang Qianfei Wang Lei Yan |
| author_facet | Muzi Li Yan Kang Qianfei Wang Lei Yan |
| author_sort | Muzi Li |
| collection | DOAJ |
| description | (1) Background: Controversial conclusions have been made in previous studies regarding the influence of autologous platelet-rich plasma (PRP) in the reproductive outcomes of women with repeated implantation failures (RIF) who are undergoing embryo transfer (ET). (2) Methods: This study aimed to evaluate the effect of PRP intrauterine infusion in patients with unexplained RIF, who are undergoing in vitro fertilization (IVF) or intracytoplasmic injection (ICSI), by a systematic review and meta-analysis. (3) Results: A fixed-effects model was used, and 795 cases and 834 controls were included in these studies. The pooling of the results showed the beneficial effect of PRP which were compared with those of the control in terms of the clinical pregnancy rates (n = 10, risk ratio (RR) = 1.79, 95% confidence intervals (CI): 1.55, 2.06; <i>p</i> < 0.01, I<sup>2</sup> = 40%), live birth rates (n = 4, RR = 2.92, 95% CI: 2.22, 3.85; <i>p</i> < 0.01, I<sup>2</sup> = 83%), implantation rates (n = 3, RR = 1.74, 95% CI: 1.34, 2.26; <i>p</i> < 0.01, I<sup>2</sup> = 0%), and positive serum β-HCG 14 days after the ET (n = 8, RR = 1.77, 95% CI: 1.54, 2.03; <i>p</i> < 0.01, I<sup>2</sup> = 36%). However, we did not find that the miscarriage rates indicated a significant difference between the two groups (n = 6, RR = 1.04, 95% CI: 0.72, 1.51; <i>p</i> = 0.83, I<sup>2</sup> = 0%). (4) Conclusions: The findings of this systemic review and meta-analysis suggest that PRP appears to improve the results of IVF/ICSI treatments in the cases of unexplained RIF. |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T18:15:13Z |
| publishDate | 2022-11-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-ed132aa4fee44bf993d740f4513a2a9d2023-11-24T08:49:32ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122675310.3390/jcm11226753Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-AnalysisMuzi Li0Yan Kang1Qianfei Wang2Lei Yan3Center for Reproductive Medicine, Shandong University, Jinan 250100, ChinaObstetrics Department, Shandong Provincial Maternal and Child Health Care Hospital, Jinan 250001, ChinaCenter for Reproductive Medicine, Shandong University, Jinan 250100, ChinaCenter for Reproductive Medicine, Shandong University, Jinan 250100, China(1) Background: Controversial conclusions have been made in previous studies regarding the influence of autologous platelet-rich plasma (PRP) in the reproductive outcomes of women with repeated implantation failures (RIF) who are undergoing embryo transfer (ET). (2) Methods: This study aimed to evaluate the effect of PRP intrauterine infusion in patients with unexplained RIF, who are undergoing in vitro fertilization (IVF) or intracytoplasmic injection (ICSI), by a systematic review and meta-analysis. (3) Results: A fixed-effects model was used, and 795 cases and 834 controls were included in these studies. The pooling of the results showed the beneficial effect of PRP which were compared with those of the control in terms of the clinical pregnancy rates (n = 10, risk ratio (RR) = 1.79, 95% confidence intervals (CI): 1.55, 2.06; <i>p</i> < 0.01, I<sup>2</sup> = 40%), live birth rates (n = 4, RR = 2.92, 95% CI: 2.22, 3.85; <i>p</i> < 0.01, I<sup>2</sup> = 83%), implantation rates (n = 3, RR = 1.74, 95% CI: 1.34, 2.26; <i>p</i> < 0.01, I<sup>2</sup> = 0%), and positive serum β-HCG 14 days after the ET (n = 8, RR = 1.77, 95% CI: 1.54, 2.03; <i>p</i> < 0.01, I<sup>2</sup> = 36%). However, we did not find that the miscarriage rates indicated a significant difference between the two groups (n = 6, RR = 1.04, 95% CI: 0.72, 1.51; <i>p</i> = 0.83, I<sup>2</sup> = 0%). (4) Conclusions: The findings of this systemic review and meta-analysis suggest that PRP appears to improve the results of IVF/ICSI treatments in the cases of unexplained RIF.https://www.mdpi.com/2077-0383/11/22/6753platelet-rich plasmarepeated implantation failuresembryo transferclinical pregnancy ratesintracytoplasmic injectionin vitro fertilization |
| spellingShingle | Muzi Li Yan Kang Qianfei Wang Lei Yan Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis Journal of Clinical Medicine platelet-rich plasma repeated implantation failures embryo transfer clinical pregnancy rates intracytoplasmic injection in vitro fertilization |
| title | Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis |
| title_full | Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis |
| title_fullStr | Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis |
| title_short | Efficacy of Autologous Intrauterine Infusion of Platelet-Rich Plasma in Patients with Unexplained Repeated Implantation Failures in Embryo Transfer: A Systematic Review and Meta-Analysis |
| title_sort | efficacy of autologous intrauterine infusion of platelet rich plasma in patients with unexplained repeated implantation failures in embryo transfer a systematic review and meta analysis |
| topic | platelet-rich plasma repeated implantation failures embryo transfer clinical pregnancy rates intracytoplasmic injection in vitro fertilization |
| url | https://www.mdpi.com/2077-0383/11/22/6753 |
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