Evidence map›Paper›PMID 40098101›Full record

ArticleBMC pregnancy and childbirth2025

A novel technique- subendometrial autologous platelet rich plasma injection in patients with unresponsive thin endometrium undergoing frozen-thawed embryo transfer: a prospective cohort study.

Yigit Cakiroglu, Yusuf Aytac Tohma, Aysen Yuceturk, Ozge Karaosmanoglu, Ilke Ozer Aslan, Sule Yildirim Kopuk, Zeynep Ece Utkan Korun, Caglar Yazicioglu, Hulusi Bulent Zeyneloglu, Bulent Tiras

Registry-linked trialAbstract readControlled Clinical Trial
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04424160 (Effects of Intrauterine Platelet Rich Plasma), which is not on this map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04424160 nacompletednot on this map

Effects of Intrauterine Platelet Rich Plasma (PRP) on Endometrium and Pregnancy Rates in Patients With Suboptimal Endometrium Undergoing Frozen Embryo Transfer

TypeinterventionalSponsorAcibadem UniversityRan2020 to 2021Enrolled150ConditionsAsherman SyndromeArmsPRP injection in the endometrium
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Autologous platelet-rich plasma for assisted reproduction.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yigit CakirogluDepartment of Obstetrics and Gynecology, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey. dryigit1@yahoo.com.
Yusuf Aytac TohmaBahceci Saglik Grubu, Bahceci Ankara Tup Bebek Merkezi, Ankara, Turkey.
Aysen YuceturkAcibadem Maslak Hospital Assisted Reproductive Technologies Unit, Istanbul, Turkey.
Ozge KaraosmanogluAcibadem Maslak Hospital Assisted Reproductive Technologies Unit, Istanbul, Turkey.
Ilke Ozer AslanAcibadem Maslak Hospital Assisted Reproductive Technologies Unit, Istanbul, Turkey.
Sule Yildirim KopukAssisted Reproductive Technologies Unit, VM Medical Park Pendik Hospital, Istanbul, Turkey.
Zeynep Ece Utkan KorunDepartment of Obstetrics and Gynecology, Yeditepe University, Istanbul, Turkey.
Caglar YaziciogluAcibadem International Hospital, Istanbul, Turkey.
Hulusi Bulent ZeynelogluFemart Clinic, Ankara, Turkey.
Bulent TirasDepartment of Obstetrics and Gynecology, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the effects of subendometrial PRP injection on endometrial thickness and pregnancy outcomes in patients with a history of unresponsive thin endometrium undergoing frozen-thawed embryo transfer (FET).

methodsThis prospective cohort study was conducted at Acibadem Mehmet Ali Aydinlar University-Istanbul, Turkey. Women with a history of suboptimal endometrial proliferation (< 7 mm) were offered to participate in the study. Group 1 consisted of 100 individuals who consented to subendometrial PRP injection, while Group 2 consisted of 100 individuals who did not accept PRP injection. Within ten days of the menstrual cycle ending, autologous PRP was produced by centrifuging peripheral blood and administered transvaginally into the subendometrial region under ultrasound monitoring. After the PRP procedure, 14 days of oral estradiol supplementation were started as part of the hormonal treatment on the 2-4th day of the second menstrual cycle. Women determined to have adequate endometrial thickness following the initiation were scheduled for embryo transfers. Embryo transfer was scheduled for women who were found to have adequate endometrial thickness after the initiation of progesterone. Pregnancy (positive serum hCG) and livebirth rates were followed.

resultsA total of 200 women (age 36.4 ± 5.8) were included in the study. Endometrial thickness increased after PRP therapy as compared to the control group (7.7 ± 1.9 mm vs. 6.1 ± 1.2 mm; p < 0.01). Three women (3.0%) in the PRP group conceived spontaneously, whereas 97 women (97.0%) attempted FET; no spontaneous pregnancies occurred in the control group. Compared to 75/100 (75% of the total) in the control group, 33/97 women (34.0%) in the PRP group were unable to undertake ET because of persistently unresponsive thin endometrium or fluid in the endometrial cavity (p < 0.001). The PRP group had a considerably higher percentage of positive serum hCG tests than the control group (25.8% vs. 9.0%; p = 0.002). Additionally, the PRP group had a higher clinical pregnancy rate (22.7% vs. 7.0%; p = 0.002). The live birth rate was significantly higher in the PRP group than the controls (17.5% vs. 2.0%; p < 0.001).

conclusionsIn women with a history of suboptimal endometrial development, subendometrial PRP injection was associated with improved endometrial thickness and livebirth rate.

trial registrationBaskent University institutional review board and ethics committee (KA-20/23) http://www. CLINICALTRIALS: gov , (NCT04424160), 2020.06.15.

Indexed as

Embryo TransferEndometriumPlatelet-Rich PlasmaAdultCohort StudiesCryopreservationFemaleHumansLive BirthPregnancyPregnancy RateProspective StudiesTurkeyEndometrial PRPFrozen embryo transferThin endometrium

Identifiers

PMID40098101
PMCPMC11912742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.