Endometrial Dysplasia, Infertility, Intrauterine Adhesions
Conditions
Brief summary
Study of the treatment of infertility caused by severe intrauterine adhesions or endometrial dysplasia by collagen scaffold loaded with autologous bone marrow stem cells, and to provide clinical evidence for the treatment of uterine infertility
Detailed description
Infertility is defined as a women fails to become pregnant after having a normal sex life for two years without contraception. There is no effective treatment to the infertility caused by severe intrauterine adhesions or endometrial dysplasia which affects embryos implantation. The existing drugs, physical or surgical treatments had no significant effects to severe intrauterine adhesions.Collagen is the main component of the extracellular matrix with good biocompatibility, and it has been approved for the reparation of skin and oral mucosa by State Food and Drug Administration. Bone marrow stem cells have been used in the clinical treatment of blood diseases, and achieved good results. In this study, collagen scaffold and autologous bone marrow stem cells are combined, and they showed good biological safety
Interventions
PROCEDUREautologous bone marrow stem cells
Before considering whether patients meet the inclusion criteria, they are diagnosed with severe intrauterine adhesions uterus, endometrial dysplasia. And after that there will be history taking, physical examination, chromosome examination, B-ultrasound examination, hysteroscopy examination and so on. If patients agree to participate, they will receive a bone marrow stem cells collection and separation of adhesions by hysteroscopy surgery. Postoperative observation period is about three months, including B-ultrasound examination once a month and hysteroscopy after 3 months. According to the endometrial conditions, the doctor will select an appropriate time for pregnancy and follow-up. The doctor may also require patients to do some unscheduled visits.
Sponsors
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Infertility caused by serious intrauterine adhesions or endometrial dysplasia * Hysteroscopy examination confirmed intrauterine adhesions or endometrial dysplasia * Monitoring of endometrial cycle * Sign a consent form * Follow the test plan and follow-up process
Exclusion criteria
* Abnormal chromosome karyotype * Congenital uterine malformations * Severe endometriosis * Severe adenomyosis * Contraindications to pregnancy * Contraindications to bone marrow collection * Contraindications to hormone replacement therapy * Medical history of pelvic tumors or receiving pelvic radiotherapy * Unable to adhere to the hospital examination and follow-up, or carrying on other treatment during follow-up period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of intrauterine scar area,the change of intrauterine adhesion | up to 3 months | hysteroscope ,understanding improvement of uterine cavity form,the degree and nature of adhesion or the vanishment of intrauterine adhesion,and the reduction of scar and its area,comparing with pre-operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The change of endometrial thickness | up to 1 month | Measure the endometrial thickness and endometrial blood supply during ovulation by ultrasound by the same trained medical sonographers,comparing with pre-operation. |
| menstrual blood volume The change of menstrual blood volume | baseline and 1 month | Understanding the menstrual blood volume after surgery ,the number of sanitary napkins per day ,and number of days,comparing with pre-operation. |
Other
| Measure | Time frame |
|---|---|
| rate of pregnancy | 2 years |
Countries
China
Contacts
Primary ContactYali Hu, MD PhD
Outcome results
None listed