Premature Ovarian Insufficiency
Conditions
Keywords
premature ovarian failure,bone marrow,treatment
Brief summary
investigator is doing single armed clinical interventional study to treat premature ovarian insufficiency with autologous bone marrow derived mononuclear cells to be given systematically and locally to the ovaries under ultrasound guidance with experienced gynecologist and to look for the results including: laboratory evidence through hormonal study ultrasound proof of ovarian follicle development. premature ovarian insufficiency is characterized by early loss of ovarian function (less than 40 years of age) manifested by menstrual irregularity or amenorrhea with elevated levels of gonadotropin hormones and low estrogen and anti-Mullerian hormone. Autologous use of stem cells from bone marrow are alternative safe minimal manipulative products that can provide a solution to this clinical problem without the need for oocyte donation program.
Detailed description
Premature ovarian insufficiency is a clinical syndrome characterized by early loss of ovarian function (less than 40 years of age) manifested by menstrual irregularity or amenorrhea with elevated levels of gonadotrophin hormones and low estrogen and anti-Mullerian hormone. The average age for menopause is 50-52 years in the developed world ,it is believed that about 1% for women less than 40 years of age and 0.1 in less than 30 years of age has premature ovarian insufficiency. Etiology of POI may be genetic, chromosomal, or auto immune.in addition to cancer treatment and surgical causes. Hormonal replacement therapy is recommended for POI patients to alleviate vasomotor symptoms in addition to prevent osteoporosis and ischemic heart disease. Regenerative medicine is a new medical approach to treat variety of diseases involving many tissues or organs in human body using cells, biological products instead of drugs or physical factors. Autologous use of stem cells from bone marrow or adipose tissue (stromal vascular fraction) or platelet rich plasma are alternative safe minimal manipulative products that can provide a solution to this clinical syndrome. Only few cases had been mentioned in the literature offering autologous stem cells for treating POI including bone marrow or adipose derived stem cells in addition to mesenchymal stem cells expanded invitro. the investigator use autologous bone marrow concentrate with transvaginal approach under ultrasound guidance to treat POI.
Interventions
PROCEDUREautologous bone marrow cells injection
under general anesthesia bone marrow aspiration done followed by cell concentration and transvaginal ovarian injection
Sponsors
abdulmajeed hammadi
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
single armed interventional study
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. clinical diagnosis of premature Ovarian insufficiency. 2. ineffective hormonal therapy. 3. biochemical evidence of high gonadotropins.
Exclusion criteria
1. solid or hematological malignancies. 2. bleeding disorders. 3. rejection of the procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in gonadotropin levels | check every 4 weeks through study completion, an average of 1 year". | luteinizing hormone and follicular stimulating hormone are followed |
Countries
Iraq
Outcome results
None listed