Assisted Reproduction · Add-Ons and Adjuncts

Successful Pregnancy Following Ovarian Platelet-Rich Plasma (PRP) Treatment, the DuoStim Protocol, and Preimplantation Genetic Testing for Aneuploidy in a Patient With Premature Ovarian Insufficiency: A Case Report

Costanzi F, Greco E, Fusco S, Dani G, Grimaldi G, Stigliano MA, Listorti I, Greco P

Published December 2025 Cureus, 17(12), e98505
DOI 10.7759/cureus.98505 PMID 41492634 PMC PMC12765198

Abstract

Premature ovarian insufficiency (POI) severely limits reproductive options. We report a successful live birth in a patient with POI following a combined approach of intraovarian platelet-rich plasma (PRP) treatment, double ovarian stimulation (DuoStim protocol), and preimplantation genetic testing for aneuploidy (PGT-A). PRP treatment was performed to restore ovarian function, after which DuoStim was used to maximize oocyte yield. An embryo obtained underwent PGT-A, and transfer of a euploid blastocyst resulted in an uncomplicated pregnancy and the birth of a healthy child. This case highlights the potential of personalized and multidisciplinary strategies to overcome the traditional barriers in POI by integrating regenerative medicine (PRP), advanced ovarian stimulation (DuoStim), and genetic embryo selection (PGT-A). While this innovative approach appears promising for women with diminished ovarian reserve, further studies are needed to confirm its efficacy and safety.

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Assisted Reproduction › Add-Ons and Adjuncts › Adjunct Evidence Base
Flavia Costanzi, Ermanno Greco, Sara Fusco, Gianluca Dani, Giuseppe Grimaldi, Maria Alba Stigliano, Ilaria Listorti, Pierfrancesco Greco
F Costanzi, E Greco, S Fusco, G Dani, G Grimaldi, M Stigliano, I Listorti, P Greco
PMID 41492634 41492634 DOI 10.7759/cureus.98505 10.7759/cureus.98505 Costanzi et al. 2025, Costanzi 2025