Evidence map›Paper›PMID 40951439›Full record

Trial reportFrontiers in endocrinology2025

Comparison of the efficacy of single vs. double autologous platelet-rich plasma intrauterine infusion on endometrial receptivity in thin endometrium patients: a prospective randomized controlled trial.

Keng Feng, Lingling Zhu, Yudi Luo, Luhai Ruan, Derong Li, Xiang Li, Ling Li, Ling Wu

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
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

8 authors.

Keng FengCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Lingling ZhuCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Yudi LuoCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Luhai RuanCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Derong LiCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Xiang LiCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Ling LiCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.
Ling WuCenter of Reproductive Medicine, Yulin Maternal and Child Health Hospital, Yulin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare single versus double autologous platelet-rich plasma (PRP) intrauterine infusion effects on endometrial receptivity and pregnancy outcomes in patients with thin endometrium. Methods: This randomized controlled trial included 100 patients with thin endometrium and infertility, assigned to single (n=50) or double (n=50) infusion groups. The single group received 1.0 ml of PRP on day 11 of the hormone replacement therapy-frozen embryo transfer (HRT-FET) cycle, while the double group received 1.0 ml on both days 11 and 13. Primary outcomes included endometrial thickness, receptivity changes, and clinical pregnancy rates; secondary outcomes were cycle cancellation rate, miscarriage rate, and endometrial hemodynamics. Statistical analysis was conducted using SPSS 26.0. Results: The double PRP infusion group exhibited measurable improvements in endometrial and early pregnancy outcomes. 1) Endometrial thickness increased (8.42 ± 0.53 mm vs 7.96 ± 0.45 mm, P<0.01); 2) Hemodynamic parameters improved for resistance index (RI) (1.72 ± 0.08 vs 1.79 ± 0.08, P<0.01) and pulsatility index (PI) (3.83 ± 0.64 vs 4.38 ± 0.68, P<0.01); 3) Clinical outcomes: lower cycle cancellation rate (10.0% vs 26.0%, P=0.037) and higher clinical pregnancy rate (48.9% vs 27.0%, P=0.043).However, early miscarriage rates were similar between groups (p > 0.99). Conclusion: Compared to a single intrauterine infusion, double intrauterine PRP infusion may enhance the receptivity of a thin endometrium and improve clinical pregnancy outcomes. However, since the study population did not include patients with thin endometrium who also have a history of recurrent implantation failure or recurrent miscarriage, caution is advised when applying these findings to this specific group. Furthermore, these conclusions require validation through larger, randomized, multicenter trials.

Indexed as

Embryo ImplantationEndometriumInfertility, FemalePlatelet-Rich PlasmaAdultEmbryo TransferFemaleHumansPregnancyPregnancy OutcomePregnancy RateProspective Studiesdouble intrauterine infusionendometrial receptivityplatelet-rich plasmathin endometriumtreatment

Identifiers

PMID40951439
PMCPMC12422896

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Registered trials

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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.