Evidence map›Paper›PMID 40640939›Full record

SynthesisEuropean journal of medical research2025

Evaluation of intraovarian injection of platelet-rich plasma for enhanced ovarian function and reproductive success in women with POI and POR: a systematic review and meta-analysis.

Sonia Sadeghpour, Farzad Maleki, Fatemeh Hajizadeh-Sharafabad, Hojat Ghasemnejad-Berenji

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

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

  1. The Value of Platelet-Rich Plasma Treatment in Reproductive Disorders: An Umbrella Review.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Pooled it
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  4. Trial
  5. Article
  6. Article
  7. Research progress on blood therapy for anti-aging.Journal of advanced research · 2026
    Review
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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

4 authors.

Sonia SadeghpourReproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
Farzad MalekiDepartment of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fatemeh Hajizadeh-SharafabadPatient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran. fm.hajizadeh@gmail.com.
Hojat Ghasemnejad-BerenjiReproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran. h_ghasem_nejad@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the effect of the intraovarian injection of platelet-rich plasma (PRP) on ovarian reserve and reproductive outcomes in patients with premature ovarian insufficiency (POI) and poor ovarian response (POR). METHODS AND DATA SOURCES: The study registered in the PROSPERO database adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. PubMed, Web of Science, Scopus, Google Scholar, and ClinicalTrials.gov databases were searched from inception to June 2024-23 studies included in the meta-analysis. A total of 1853 participants aged 29.8-45 years old were included in the meta-analysis. The human studies reporting the effect of intraovarian PRP injection on ovarian reserve indicators were included in the meta-analysis. The quality of the included studies was assessed using the Cochrane Handbook or the Newcastle-Ottawa scale. The primary outcomes were serum levels of anti-Mullerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), Estradiol, and antral follicle count (AFC), number of retrieved oocytes, metaphase II (M2) oocytes, and pregnancy and live birth rates. RESULT(S): The pooled analysis of the included studies showed that intraovarian PRP injection significantly increased oocyte number (WMD: 0.97, 95% CI 0.58, 1.35, P < 0.001), M2 oocyte number (WMD: 0.80, 95% CI 0.33, 1.27, P < 0.001), AFC (WMD: 1.64, 95% CI 0.90, 2.38, P < 0.001), and AMH levels (WMD: 0.12 ng/mL, 95% CI 0.07, 0.17, P < 0.001) in women with POR. Besides, in women with POI, PRP injection significantly improved AFC (WMD: 1.33, 95% CI 1.19, 1.47, P < 0.001) and serum levels of FSH (WMD: - 15.68 IU/mL, 95% CI - 24.12, - 7.24, P < 0.001), AMH (WMD: 0.29 ng/mL, 95% CI 0.08, 0.49, P = 0.006), and LH (WMD: - 9.87 IU/mL, 95% CI - 15.23, - 4.51, P < 0.001). The meta-analysis revealed a pregnancy ratio of 0.21 and a live birth ratio of 0.18 in women with poor ovarian reserve after PRP injection. In women with POI, the figures were marginally lower, recorded as 0.138 for pregnancy and 0.10 for live birth, respectively.

conclusionPRP may serve as an alternative therapy for POI and POR; however, further investigation is required to validate its efficacy and determine suitable candidates.

Indexed as

Ovarian ReserveOvaryPlatelet-Rich PlasmaPrimary Ovarian InsufficiencyAdultFemaleHumansPregnancyPregnancy RatePlatelet-rich plasma (PRP)Poor ovarian response (POR)Premature ovarian insufficiency (POI)

Identifiers

PMID40640939
PMCPMC12243372

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.