Infertile patients with diminished ovarian reserve. ?????? ????? ???? ?? ?????? ?? ??????? ???????
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Written informed consent Age between 25 and 45 years Not using OCP or Steroid supplements Normal fasting blood sugar level Normal serum sodium, potassium, calcium, phosphorus level Negative history of endometriosis or other ovarian cysts Negative history of previous ovarian surgery Negative history of cancer Normal liver tests (SGOT), (SGPT) Normal levels of thyroid hormones (TSH) and (FT4) Positive history of at least 1 previous standard IVF (in vitro fertilisation) - Embryo Transfer (ET) ?? ICSI (Intracytoplasmic Sperm Injection) Normal BUN, creatinine level Negative infection tests HIV, HCV, HBS Ag, VDRL Normal coagulation factors PT, PTT Level less than 1.1 ng/ml of (AMH) Anti-Müllerian Hormone at screening test Antral follicle count (AFC) less than 4 in both ovaries (at screening visit)
Exclusion criteria
Exclusion criteria: Body mass index (BMI) equal to or greater than 30 kg/m2 Any anatomical abnormalities in the uterus that prevent implantation and growth of the embryo, such as severe adenomyosis and Asherman syndrome. Severe endometriosis (stage 4). The patient is taking chemotherapy or strong anti-inflammatory drugs for underlying diseases. Known chromosomal or genetic abnormalities that cause a high-risk disorder in the child. Uncontrolled diabetes. The presence of severe male factor infertility, such as azoospermia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety of intraovarian injection of 50, 100 micrograms/ml of exosomes derived from placental mesenchymal stem cells. Timepoint: At the beginning of the study (before the intervention), 3, 7 and between 30- 60 days after the intervention. Method of measurement: Blood tests and ultrasound. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran University of Medical Sciences