Evidence map›Paper›PMID 41044478›Full record

ArticleBMC pregnancy and childbirth2025

Autologous platelet-rich plasma ovarian injection was associated with increased oocyte acquisition in patients with poor ovarian response: a retrospective propensity-matched study.

Qian Li, Jing Li, Jia-Wen Liu, Ya-Jie Chang, Ying-Ying Liu, Li-Na Zou, Cong Fang, Xiao-Yan Liang

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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. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Qian LiReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Jing LiReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Jia-Wen LiuReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Ya-Jie ChangReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Ying-Ying LiuReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Li-Na ZouReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Cong FangReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China.
Xiao-Yan LiangReproductive center, The Sixth Affiliated Hospital, Sun Yat-sen University,Tianhe District, Guangdong Province, Guangzhou, China. liangxy2@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen with poor ovarian response (POR) tended to have lower success rates for IVF/ICSI due to fewer oocytes retrieved. Autologous platelet-rich plasma (PRP) has been proposed to improve ovarian response.

methodThis study aimed to evaluate the impact of autologous PRP ovarian injections on oocyte retrieval numbers and other reproductive outcomes in IVF/ICSI cycles among infertile women with POR, as defined by the Bologna criteria. Conducted at the Reproductive Center of the Sixth Affiliated Hospital of Sun Yat-sen University, this retrospective analysis involved a total of 1,833 oocyte retrieval cycles. Among these, 91 cycles involved patients who received autologous PRP injections, while 261 cycles were included in the control group after applying propensity score matching.

resultsThe PRP group showed a significant increase in the number of follicles ≥ 14 mm(2.96 ± 1.79 versus 2.26 ± 1.44, P < 0.001), retrieved oocytes(2.86 ± 1.88 versus 2.07 ± 1.78, P < 0.001), and normally fertilized zygotes(1.73 ± 1.42 versus 1.37 ± 1.44, P = 0.044) compared to the control group. Although the number of transferable embryos(1.34 ± 1.21 versus 1.07 ± 1.26, P = 0.079) and high-quality embryos(1.09 ± 1.16 versus 0.83 ± 1.13, P = 0.066) was higher in the PRP group, these differences were not statistically significant. Liner regression identified PRP injection(regression coefficient[B] 0.701, 95% confidence interval [CI] of B 0.324-1.079, P < 0.001), AMH levels(B 1.825, 95% CI of B 0.949-2.701, P < 0.001), and total gonadotropin dose( B < 0.001, 95% CI of B < 0.001-0.001, P = 0.004) as independent predictors for oocyte retrieval.

conclusionAutologous PRP ovarian injection was associated with an increased number of oocytes retrieved in patients with poor response; however, there was no significant improvement in embryo quality. Further randomized controlled trials are warranted to confirm these findings.

Indexed as

Infertility, FemaleOocyte RetrievalOocytesOvulation InductionPlatelet-Rich PlasmaAdultFemaleFertilization in VitroHumansPregnancyPregnancy RatePropensity ScoreRetrospective StudiesSperm Injections, IntracytoplasmicAutologous platelet-rich plasma ovarian injectionPoor ovarian response

Identifiers

PMID41044478
PMCPMC12495630

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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.