PRP Procedure in IVF for Infertility Treatment

by | Sep 8, 2023 | IVF

What is Platelet Rich Plasma (PRP)?

Platelet-rich plasma (PRP) is a cutting-edge medical technique gaining prominence in various fields, including fertility treatments such as In Vitro Fertilization (IVF). PRP involves isolating and concentrating platelets from a patient’s blood, which are then re-injected into specific areas to promote tissue regeneration, healing, and cell growth. This regenerative therapy has shown promise in enhancing fertility outcomes and addressing certain reproductive issues.

 

Who Needs PRP?

PRP can be beneficial for individuals facing fertility challenges due to various factors. Some scenarios where PRP may be considered include:

  1. Low Ovarian Reserve: Women with a limited number of viable eggs may opt for PRP to improve the health and quality of their existing follicles.
  2. Thin Endometrial Lining: PRP can stimulate the growth of the endometrial lining, addressing the issue of inadequate thickness, which is crucial for embryo implantation.
  3. Recurrent Implantation Failure (RIF): Couples who have experienced multiple unsuccessful IVF cycles may explore PRP as an adjunctive therapy to improve embryo implantation rates.
  4. Male Factor Infertility: PRP can be applied in cases of male infertility, as it may enhance sperm quality and function.
  5. Unexplained Infertility: When the cause of infertility remains unclear, PRP may be considered as a complementary treatment to improve overall reproductive health.

 

How is PRP Done in IVF?

The process of PRP administration in the context of IVF involves several steps:

  1. Blood Collection: A small amount of the patient’s blood is drawn, typically from the arm, using a standard blood collection technique.
  2. Centrifugation: The collected blood is then processed in a centrifuge, a specialized machine that spins at high speeds to separate its components. This step isolates the platelet-rich portion of the blood from other components like red blood cells and plasma.
  3. Platelet Activation: After isolation, the platelet-rich portion is activated using calcium chloride or a similar substance. Activation prompts the release of growth factors from the platelets, which are essential for tissue repair and regeneration.
  4. Injection: The activated PRP is then carefully injected into the target area. In IVF, this could include the ovaries to enhance follicle development or the uterus to improve the endometrial lining.
  5. Monitoring and IVF Procedures: Following PRP administration, patients typically undergo standard IVF procedures, including controlled ovarian stimulation, egg retrieval, fertilization, and embryo transfer.

 

How PRP Is Used for Other Fertility Treatments?

Beyond IVF, PRP has found applications in various fertility treatments:

  1. Ovarian Rejuvenation: PRP can be injected into the ovaries to stimulate dormant follicles and enhance the quality of eggs, which may be especially useful for women with diminished ovarian reserve.
  2. Male Infertility: PRP injections in the male reproductive system, such as the testes or seminal vesicles, may improve sperm quality and function, potentially increasing the chances of natural conception or success in assisted reproductive techniques.
  3. Uterine Health: PRP can be applied to the uterine lining to increase endometrial thickness and improve receptivity for embryo implantation.
  4. Treatment of Polycystic Ovary Syndrome (PCOS): Women with PCOS may benefit from PRP therapy to regulate their menstrual cycles and enhance ovulation.
  5. Fertility Preservation: PRP may assist in preserving fertility for individuals undergoing cancer treatments, as it can potentially protect the ovaries from radiation or chemotherapy-induced damage.

 

Does PRP Increase Endometrial Thickness?

Yes, PRP has shown promise in increasing endometrial thickness, a critical factor in successful embryo implantation during IVF and natural conception. The growth factors released by platelets in PRP stimulate the regeneration of endometrial tissue, leading to a thicker and more receptive uterine lining.

Research and clinical studies have demonstrated that PRP injections into the uterine lining can lead to significant improvements in endometrial thickness. For individuals struggling with thin endometrial linings, this approach can be a valuable addition to their fertility treatment plan.

 

Cost of PRP in IVF in Delhi

In Delhi, the cost of a single PRP session for IVF can range from ₹ 10,000 to ₹ 25,000 or more. It’s essential to discuss the pricing structure with the chosen fertility clinic and understand what is included in the cost.

The cost of PRP in IVF in Delhi can vary depending on several factors:

  1. Clinic and Location: The choice of fertility clinic and its location within Delhi can significantly impact the cost. Clinics in upscale areas may charge higher fees than those in more affordable neighborhoods.
  2. Expertise and Experience: The reputation and experience of the medical team performing the PRP procedure can influence the cost. Highly experienced professionals often command higher fees.
  3. Number of PRP Sessions: The number of PRP sessions required can vary from patient to patient. Some may need a single session, while others may require multiple sessions. Each session may have its cost.
  4. Additional Services: Additional services, such as monitoring, diagnostic tests, or medications, can add to the overall cost.
  5. Individual Patient Needs: The specific fertility issues of the patient and the customized treatment plan can also affect the cost. Some patients may require PRP for ovarian rejuvenation, while others may need it for endometrial lining improvement.

 

Success Rate of PRP in IVF in Delhi

While there is growing evidence supporting the use of PRP in IVF, success rates can vary. Patients in Delhi should consult with their fertility specialist to determine if PRP is a suitable option for their specific fertility concerns.

The success rate of PRP in IVF in Delhi, as in any other location, is subject to various factors:

  1. Patient-Specific Factors: The patient’s age, overall health, underlying fertility issues, and responsiveness to PRP treatment can influence success rates.
  2. Clinic and Medical Team: The expertise of the fertility clinic and the proficiency of the medical team in performing PRP procedures are crucial factors in achieving positive outcomes.
  3. Timing: The timing of PRP administration concerning the IVF cycle and the specific fertility treatment goals (e.g., improving egg quality or endometrial thickness) can impact success rates.
  4. Combination with Other Treatments: PRP is often used in combination with conventional IVF treatments. The synergy between PRP and IVF protocols can affect success rates.
  5. Patient Expectations: Realistic patient expectations regarding the potential outcomes of PRP in IVF are essential. Success rates may not guarantee pregnancy, but they can improve the chances.

 

Risks of PRP in IVF

Like any medical procedure, PRP in IVF carries some inherent risks:

  1. Infection: There is a minimal risk of infection at the injection site. Strict sterile techniques should be followed to minimize this risk.
  2. Pain or Discomfort: Patients may experience mild pain, swelling, or discomfort at the injection site, which is generally temporary.
  3. Bruising: Some patients may develop bruises at the injection site, but these typically resolve on their own.
  4. Allergic Reactions: While rare, allergic reactions to PRP components can occur. Patients should inform their healthcare provider of any known allergies.
  5. No Guarantee of Success: It’s important to note that PRP is not a guaranteed solution for fertility issues. The treatment may not work for everyone, and outcomes can vary.
  6. Financial Considerations: The cost of PRP can be a potential risk if it does not lead to the desired fertility improvements.

Patients considering PRP in IVF should discuss these risks with their healthcare provider and make an informed decision about whether the potential benefits outweigh the risks.

 

Benefits of PRP in IVF

PRP offers several potential benefits when incorporated into IVF treatments:

  1. Improved Egg Quality: PRP can enhance the quality of eggs, which is particularly beneficial for women with diminished ovarian reserve or older individuals.
  2. Enhanced Endometrial Lining: PRP can stimulate the growth of the endometrial lining, increasing the chances of successful embryo implantation.
  3. Natural Approach: PRP is derived from the patient’s blood, making it a natural and autologous therapy with minimal risk of allergic reactions or side effects.
  4. Customized Treatment: PRP can be tailored to address specific fertility issues, making it a personalized treatment option.
  5. Potential Cost Savings: While PRP does add to the overall cost of IVF, it may improve the chances of success, potentially reducing the need for multiple IVF cycles.
  6. Minimally Invasive: PRP injections are minimally invasive and typically involve minimal downtime for patients.

 

Can You Get Pregnant After PRP?

Yes, it is possible to get pregnant after undergoing PRP treatment in conjunction with IVF. PRP is typically used as an adjunctive therapy in IVF to enhance fertility outcomes. It can improve the quality of eggs, stimulate endometrial lining growth, and address specific reproductive issues, all of which can increase the chances of a successful pregnancy. However, it’s important to note that while PRP can enhance IVF success rates, it doesn’t guarantee pregnancy, as individual factors and circumstances vary.

 

How Safe is PRP Treatment?

PRP treatment is generally considered safe when performed by qualified healthcare professionals using sterile techniques. Since PRP is derived from the patient’s own blood, the risk of allergic reactions or disease transmission is minimal. However, like any medical procedure, there are potential risks and considerations, including:

  1. Infection: There is a slight risk of infection at the injection site, which can be minimized through proper sterilization procedures.
  2. Discomfort: Some patients may experience mild discomfort, pain, or swelling at the injection site, but these effects are typically temporary.
  3. Bruising: Bruising at the injection site can occur, but it usually resolves on its own.
  4. Allergic Reactions: While rare, allergic reactions to PRP components are possible. Patients should inform their healthcare provider of any known allergies.
  5. No Guarantee of Success: It’s important to understand that PRP treatment, while beneficial for many, may not work for everyone, and outcomes can vary.

To ensure the safety and effectiveness of PRP treatment, patients should seek care from experienced and reputable healthcare providers who follow established protocols and guidelines.

 

Is PRP Painful in IVF?

PRP injections are generally not considered painful, but the level of discomfort can vary from person to person. Patients often describe the sensation as similar to a mild pinprick or pressure at the injection site. The discomfort is typically brief and well-tolerated.

To minimize discomfort during PRP injections, healthcare providers may use topical anesthetics or numbing agents at the injection site. Additionally, the use of fine needles and the expertise of the healthcare professional can contribute to a more comfortable experience.

 

Does PRP Help with Embryo Transfer?

PRP can play a beneficial role in the embryo transfer process during IVF in several ways:

  1. Improved Endometrial Lining: PRP can stimulate the growth and thickening of the endometrial lining in the uterus. A healthy, receptive endometrium is crucial for successful embryo implantation.
  2. Enhanced Uterine Environment: PRP injections can create a more favorable uterine environment for embryo implantation by increasing blood flow and promoting tissue regeneration.
  3. Reduced Risk of Implantation Failure: For individuals who have experienced recurrent implantation failure (RIF), PRP may help address underlying issues, increasing the likelihood of a successful implantation.
  4. Customized Treatment: PRP can be tailored to address specific fertility concerns, making it a valuable tool in optimizing the conditions for embryo transfer success.

While PRP can be beneficial for embryo transfer, its use is typically determined on a case-by-case basis, taking into consideration the patient’s individual fertility factors and goals. The decision to incorporate PRP into the IVF process should be made in consultation with a fertility specialist who can assess the specific needs and circumstances of the patient.

 

Conclusion

Platelet-rich plasma (PRP) is a versatile and promising therapeutic option in the field of fertility treatments. It offers hope to individuals facing various reproductive challenges, from low ovarian reserve to thin endometrial linings. When administered strategically, PRP can enhance the chances of successful IVF outcomes, improve sperm quality, and provide valuable solutions for infertility issues. Furthermore, PRP’s regenerative potential extends to other areas of medicine, making it an exciting field of ongoing research and innovation in the realm of reproductive health and beyond.

 

F.A.Q

Q: Does PRP improve egg quality?

A: PRP (Platelet-Rich Plasma) has shown promise in enhancing egg quality. By stimulating the ovaries and promoting a healthier follicular environment, PRP may contribute to better egg quality, particularly in individuals with diminished ovarian reserve or age-related fertility issues.

Q: Can PRP increase the AMH level?

A: While PRP may have positive effects on ovarian function, it is not typically used to directly increase AMH (Anti-Müllerian Hormone) levels. AMH is a marker of ovarian reserve and does not necessarily reflect egg quality or reproductive success.

Q: What is most painful in IVF?

A: Pain perception varies among individuals, but many find the egg retrieval phase in IVF to be the most uncomfortable or painful. This procedure involves the aspiration of mature eggs from the ovaries using a needle, which can cause discomfort or cramping.

Q: Which stage of IVF is painful?

A: The most uncomfortable stage of IVF is often during the egg retrieval, which occurs before the fertilization of eggs and embryo transfer. The discomfort is usually temporary and manageable with pain relief options.

Q: Does PRP help implantation?

A: Yes, PRP can assist with implantation during IVF. It is often used to enhance the endometrial lining’s thickness and receptivity, creating a more favorable environment for embryo implantation and increasing the chances of a successful pregnancy.

Q: What are the side effects of PRP IVF?

A: Common side effects of PRP in IVF may include mild pain or discomfort at the injection site, temporary bruising, and a minimal risk of infection. Allergic reactions to PRP components are rare but possible. Overall, PRP side effects are generally mild and manageable.

Q: Can PRP increase follicles?

A: PRP has the potential to increase the number of viable follicles in some cases. By stimulating dormant follicles within the ovaries, PRP may lead to more follicles maturing during an IVF cycle, which can improve the chances of successful egg retrieval and fertilization. However, the response to PRP can vary among individuals.

Q: Does PRP help implantation?

A: Yes, PRP can assist with implantation during IVF. It is often used to enhance the endometrial lining’s thickness and receptivity, creating a more favorable environment for embryo implantation and increasing the chances of a successful pregnancy.

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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 10,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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