Platelet-rich plasma in the management of Asherman’ s syndrome: An RCT

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JAVAHERI ATIYEH; Kianfar Katayoon; POURMASUMI SOHEILA; EFTEKHAR MARYAM

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Journal Paper

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Journal: International Journal of Reproductive BioMedicine Year:2020 | Volume:18 | Issue:2 Page(s): 113-120

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Title

Platelet-rich plasma in the management of Asherman’ s syndrome: An RCT

Author(s)

JAVAHERI ATIYEH | Kianfar Katayoon | POURMASUMI SOHEILA | EFTEKHAR MARYAM | Issue Writer Certificate

Keywords

Asherman’s syndrome

Platelet-rich plasma

Pregnancy rate

Abstract

Background: Asherman’ s syndrome (AS) is a rare reproductive abnormality, resulting in endometrial collapse due to aggressive or recurrent endometritis and/or curettage. Objective: We aimed to assess the effectiveness of using Platelet-rich plasma (PRP) to lower the recurrence rate of intrauterine adhesions (IUAs) following hysteroscopy. Materials and Methods: In this non-randomized clinical trial, women aged 20-45 years with AS diagnosed by sonohysterography, 3D sonography, hysteroscopy, or uterosalpingography between May 2018 and September 2018 were included. Participants (n = 30) were divided into case and control groups. Following hysteroscopic adhesiolysis, a Foley catheter was placed into the uterine cavity in all women. After two days, the catheter was removed, and 1-mL PRP was injected into the uterine cavity of women in the PRP (case) group, while the control received no PRP. All controls and subjects underwent diagnostic hysteroscopy 8-10 weeks following the intervention to assess the IUAs according to the American Society for Reproductive Medicine scoring system. Results: Our results did not reveal any significant difference in the menstrual pattern of either the control or test groups before or after treatment (p = 0. 2). Moreover, the IUA stage in both studied groups before and after treatment was similar (p = 0. 2). The duration of menstrual bleeding in both studied groups before and after treatment was also similar. Conclusion: PRP cannot change the menstrual pattern or development of postsurgical AS, as evaluated by follow-up hysteroscopy.

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APA: Copy

JAVAHERI, ATIYEH, Kianfar, Katayoon, POURMASUMI, SOHEILA, & EFTEKHAR, MARYAM. (2020). Platelet-rich plasma in the management of Asherman’ s syndrome: An RCT. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), 18(2), 113-120. SID. https://sid.ir/paper/296644/en

Vancouver: Copy

JAVAHERI ATIYEH, Kianfar Katayoon, POURMASUMI SOHEILA, EFTEKHAR MARYAM. Platelet-rich plasma in the management of Asherman’ s syndrome: An RCT. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)[Internet]. 2020;18(2):113-120. Available from: https://sid.ir/paper/296644/en

IEEE: Copy

ATIYEH JAVAHERI, Katayoon Kianfar, SOHEILA POURMASUMI, and MARYAM EFTEKHAR, “Platelet-rich plasma in the management of Asherman’ s syndrome: An RCT,” INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), vol. 18, no. 2, pp. 113–120, 2020, [Online]. Available: https://sid.ir/paper/296644/en

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