Hanoi Obstetrics and Gynecology Hospital, Vietnam
Background: Platelet-rich plasma (PRP), a platelet-concentrated blood derivative obtained through centrifugation, has been investigated for ovarian rejuvenation since 2017, though its clinical efficacy remains controversial.
Objective: This study assessed the effect of autologous PRP on anti-Müllerian
hormone (AMH) levels in women with diminished ovarian reserve undergoing in
vitro fertilization (IVF) at Hanoi Obstetrics and Gynecology Hospital from
August 2024 to February 2025.
Methods: An interventional study was conducted on 28 women with AMH < 2
ng/mL undergoing IVF during the study period. Changes in AMH levels after
intraovarian PRP administration were analyzed, and outcomes were compared
according to age and antral follicle count (AFC).
Results: After PRP treatment, AMH levels increased in 75% of patients,
remained unchanged in 3.57%, and decreased in 21.43%. A significantly higher
rate of AMH improvement was observed in women under 40 years of age compared
with those aged 40 years or older (p < 0.05). No statistically significant
difference in PRP effectiveness was found between patients with AFC < 5 and
those with AFC ≥ 5 (p > 0.05).
Conclusion: Intraovarian PRP injection appears to have a positive effect on AMH
levels in women with diminished ovarian reserve undergoing IVF, particularly in
younger patients.
Binh Vu Thanh has completed his PhD at the age of 24 years from Vietnam Military Medical University and postdoctoral studies from Hanoi Medical University. He is a doctor from Department of Assisted Reproductive and Andrology