Can a Patient's own blood plasma kickstart ovulation in PCOS?
NCT ID NCT07777640
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests whether injecting a woman's own platelet-rich plasma (PRP) into her ovaries can help trigger ovulation better than standard hormone injections (gonadotropin) in women with polycystic ovary syndrome (PCOS) who haven't responded to the fertility drug letrozole. Participants are randomly assigned to receive either PRP via laparoscopy or gonadotropin injections, then monitored for three cycles to compare follicle development, ovulation, and pregnancy rates. The goal is to find a more effective or less hormonal option for this hard-to-treat group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Autologous platelet-rich plasma (PRP) injected into the ovaries, compared with gonadotropin (recombinant FSH and hMG) injections.
- What this could lead to
- If PRP works, it could offer a less hormonal alternative to stimulate ovulation in women with PCOS who don't respond to standard fertility drugs, potentially improving pregnancy chances.
- What could go wrong
- This is a small, early-stage trial, and PRP's effectiveness is uncertain. Risks include the invasiveness of laparoscopic injection and the possibility that PRP may not improve ovulation or pregnancy rates compared to standard treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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50 people
The number who actually took part.
- Started
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Jun 2025
- Finished
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May 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 35 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women aged 18-35 years diagnosed with polycystic ovary syndrome (PCOS) based on the Rotterdam criteria. * Primary or secondary subfertility. * Patients with a history of letrozole resistance (failure to ovulate with standard dose of letrozole). Exclusion Criteria: * Body Mass Index (BMI) \<18.5 kg/m² or ≥30 kg/m². * Presence of other causes of infertility (e.g., endometriosis, tubal factor, severe male factor infertility). * Patients with uncontrolled endocrine disorders (e.g., thyroid dysfunction, hyperprolactinemia). * Any contraindication to platelet-rich plasma (PRP) therapy (coagulation disorder or current use of anticoagulant). * Patient not fit for surgery. * Hypersensitivity to gonadotropin.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Reproductive Endocrinology and Infertility, Bangladesh Medical University
Dhaka, Dhaka Division, 1000, Bangladesh
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