| خلاصه مقاله | Background and Aim: Due to natural physiological aging, women at
age 50-52 years old, face menopause and its related obstacle including
infertility. Early menopause occurs in about 1% of women under 40
and 0.1% under 30 years in general population. Several causes have
been identified for early menopause such as iatrogenic causes (mostly
because of oncology treatment), idiopathic, genetic and autoimmune
diseases. Several therapies have been proposed in this regard, however,
the effectiveness of them remains to be further illustrated.
Methods: In this study, we examined the restorative effect of Platelet-rich
plasma (PRP) as a natural blood product in the rat model of menopause.
The animal models were made within 15 days, using a daily injection
of the gonadotoxic agent, 4-Vinylcyclohexene Diepoxide. The control
group received saline in the whole period of animal modeling. After
confirmation of menopause by hormonal (E2 and FSH) assessment and
histological studies, a group of rats was injected (intra-ovarian injection)
by freshly prepared rat PRP in two concentrations of 1 and 4X (15 rat/
group). Other two groups were either received saline or did not get any
injection. Two months were assigned for evaluation of the treatment, in
which every two weeks, 3 rats from each group randomly were allocated
for hormonal and histological assessment of ovarian tissue.
Results: Results indicate that the groups of rats who have received
PRP in both concentrations restored somehow their ovarian function.
Histological studies revealed that PRP treatment improved the follicle
numbers of treated rats compared to the non-treated ones. Hormonal
assessment as well showed a refinement pattern as the level of FSH has
declined and the level of E2 has elevated significantly in the treated
compared to non-treated rats.
Conclusion: Our results illustrate that PRP could be applied as an
alternative therapeutic agent for treatment of patients who are at early
stages of menopause or about to enter into this complication such as
cancer patients who are undergoing through gonadotoxic chemotherapy
and radiotherapy. Quite optimistic, but further experimentations should
be performed to approve the safety and applicability of the technique in
the human setup. |