PRP for Thin Endometrium & Ovarian Rejuvenation in Delhi
Platelet-rich plasma from your own blood, used where the lining stays thin or reserve is very low.
What PRP for thin endometrium & ovarian rejuvenation involves
PRP is prepared by spinning your own blood to concentrate platelets and their growth factors. Instilled into the uterine cavity, it has shown benefit in improving endometrial thickness where oestrogen alone has failed. Injected into the ovary, it is being used experimentally in poor responders.
We are straightforward about the evidence: endometrial PRP has reasonable supporting data in thin lining; ovarian PRP remains experimental. It is offered as an option with that context, not sold as a breakthrough.
Who this is for
- Endometrium persistently under 7 mm despite adequate oestrogen
- Asherman's syndrome after adhesiolysis
- Repeated cycle cancellation for thin lining
- Poor ovarian response, with the experimental status made clear
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Blood draw
A sample is taken from your arm on the day of the procedure.
Preparation
Centrifuged in a closed system to concentrate the platelet fraction.
Instillation or injection
Placed into the uterine cavity through a fine catheter, or injected into the ovary under ultrasound.
Reassessment
Lining thickness and pattern are rechecked before deciding on transfer.
Your results, in writing
Whatever the outcome of PRP for thin endometrium & ovarian rejuvenation, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A lining that would not go past 5 mm
33, Mayur Vihar · Asherman's after curettage · four cancelled transfers
What she came in with
Four frozen transfer cycles cancelled because the endometrium would not exceed 5.2 mm despite escalating oestrogen, vaginal oestradiol and sildenafil. Two embryos remained in storage and she was close to giving up.
What the workup showed
Hysteroscopy showed residual fibrotic patches from a previous curettage. The basal endometrium was damaged rather than simply under-stimulated, which is why hormonal escalation had made no difference.
What we did
Hysteroscopic adhesiolysis, then two intrauterine PRP instillations prepared from her own blood, given on day 10 and day 12 of a prepared cycle alongside standard oestrogen.
Outcome
Endometrial thickness reached 7.4 mm with a trilaminar pattern. The transfer went ahead and produced an ongoing pregnancy.
The point of this case
PRP has a reasonable evidence base specifically in refractory thin endometrium, and none as a general add-on. Used for the indication it was studied in, it turned four cancellations into a transfer.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Autologous — your own blood, no donor material
Evidence base explained honestly, including where it is weak
Usually repeated once or twice within a single prepared cycle
Priced separately so you can decline it without affecting your plan
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about PRP for thin endometrium & ovarian rejuvenation
Does PRP really thicken the lining?
In women with refractory thin endometrium, several studies show a measurable increase in thickness and improved pregnancy rates. It is not universally effective.
Is ovarian PRP proven?
No. It is experimental, the published data are small and uncontrolled, and we present it on that basis.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.