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- W4387396722 abstract "Previous studies comparing the effects of Granulocyte Colony Stimulating Factor (GCSF) and Platelet Rich Plasma (PRP) on the outcomes of frozen embryo transfer (FET) have produced conflicting results due to the lack of formal randomized controlled trials (RCTs). This study aimed to investigate the impact of intrauterine infusion of GCSF and PRP on the clinical pregnancy rate and outcomes in women undergoing FET, as well as the effect of these interventions on the implantation rate, transvaginal ultrasound (TVUS) and Doppler findings, and histological assessment of the endometrium. This RCT included 390 women randomized equally to three arms receiving either 300 mcg GCSF, 1 ml PRP, or saline. The intervention was slowly infused into the uterine cavity using the intrauterine insemination catheter under ultrasound guidance. All women received conventional hormonal therapy before the FET cycle. The endometrium was evaluated by TVUS, Doppler, and histological assessment in both natural and intervention cycles. Before the transfer, a group of embryos were genetically tested using NGS techniques. The clinical pregnancy rate was determined by the presence of fetal heartbeat by TVUS after 6 weeks of embryo transfer. Pregnancy outcomes were followed up after pregnancy confirmations. The clinical pregnancy rate did not differ significantly across the study arms (50.4% in GCSF, 51.2% in PRP, and 45.8% in placebo; P=0.66). PRP administration resulted in a significant improvement in endometrial vascularity compared to placebo (P=0.003). However, this change did not affect the clinical pregnancy rate, and all other endometrial variables showed no significant differences between the study arms. The live birth rate was comparable within the arms (72.5% in GCSF, 75.6% in PRP, and 76.9% in placebo; P=0.897). The pregnancy rate and outcome were still statistically non-significant when subgroup analyses were performed in women who had thin endometrium (<7 mm), women classified as poor-responders (antimullerian hormone <1), women who underwent preimplantation genetic screening using next-generation sequencing, or women who had recurrent implantation failure (≥3 times). This study demonstrates that neither GCSF nor PRP has an impact on the clinical pregnancy rate or pregnancy outcomes. Although PRP administration resulted in a significant improvement in endometrial vascularity, it did not affect the clinical pregnancy rate. Both interventions had comparable results with the infusion of saline." @default.
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- W4387396722 date "2023-10-01" @default.
- W4387396722 modified "2023-10-07" @default.
- W4387396722 title "PLATELET-RICH PLASMA AND COLONY-STIMULATING FACTOR ARE NON SUPERIOR TO PLACEBO IN IMPROVING ENDOMETRIAL QUALITY DURING FROZEN EMBRYO ICSI CYCLES - A DOUBLE-BLIND RCT" @default.
- W4387396722 doi "https://doi.org/10.1016/j.fertnstert.2023.08.104" @default.
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