Plasmolifting in gynecology: recommendations of a gynecologist

Today, given the social and economic situation in the world, many patients are postponing childbearing. This leads to the fact that the average age of women attending assisted reproductive technology clinics is increasing every year. Unfortunately, nature has designed it in such a way that the supply of eggs is not unlimited and naturally decreases after 38 years. The environmental situation and the characteristics of genetic mutations accumulated in the population lead to an increase in the number of women with premature ovarian failure. These are patients who, by the age of 40, already have a reduced ovarian reserve and no menstrual cycle.

Attempts to obtain one's own genetic material (egg) in such situations, unfortunately, are not always successful. “Poor response” in IVF programs is a huge problem in the field of reproductive medicine, and work in such cases becomes psychologically difficult both for the woman herself and for the fertility doctor. Repeated attempts at IVF, unfortunately, may not produce any results. Despite the fact that gonadotropins are now routinely used in clinical practice to stimulate folliculogenesis, in women with low ovarian reserve it is not always possible to obtain a sufficient number of oocytes.

But science does not stand still, and today new options for non-hormonal stimulation of ovarian function have appeared, which we would like to talk about here.

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How does plasma therapy work?

Platelets are one of the types of blood cells that have biological characteristics. They not only promote blood clotting, but also contain proteins that can stimulate cell division and thus trigger tissue regeneration. Scientifically speaking, platelets “regulate key mechanisms involved in the healing process, including cell migration, proliferation and angiogenesis.” This property of platelets is used in plasma therapy.

Concentrated platelets introduced into your own body begin to stimulate the growth of new cells - fibroblasts and muscle fibers. An increase in the number of these cells restores damage to the skin and mucous membranes, increasing the elasticity and turgor of the skin.

What is autoplasmotherapy (PRP therapy)?

Autoplasma therapy or PRP therapy is one of the options for regenerative medicine aimed at stimulating the processes of restoring lost ovarian function. Regenerative medicine is a modern dynamic direction in the treatment of various pathologies, emerging at the intersection of biology, bioengineering and practical medicine.

PRP therapy involves the use of plasma obtained from human blood for therapeutic purposes. The use of your own plasma ensures the safety of treatment, since there is no likelihood of infection and mutagenic effect. With this type of therapy, a small amount of venous blood is collected, which is then placed in a test tube and centrifuged in a special way. As a result, PRP-Platelet-Rich-Plasma (platelet-rich autoplasma) is obtained. Normally, the blood contains from 150-350 thousand cells/μl of platelets. And their concentration in enriched plasma is more than 1 ml cells/µl. This technology allows you to launch and deliver growth factors to the affected area that promote tissue regeneration. To date, the anti-inflammatory, analgesic and regenerative effects of this method have already been proven, and the mechanisms for stimulating cell proliferation have been described.

Indications for intimate plasma lifting

As a rule, gynecologists recommend plasma lifting injections to achieve a therapeutic effect in the complex therapy of inflammatory diseases, as well as as separate procedures for vulvar rejuvenation:

• Inflammatory diseases of the vaginal mucosa, for example, vaginitis;
• Dry mucous membranes due to changes in hormonal status;
• Decreased turgor and elasticity of genital tissues;
• Inflammatory processes of the cervical mucosa;
• Urinary incontinence;
• Correction of defects after unsuccessful surgical interventions or traumatic births;
• Atrophic changes in the skin and mucous membranes of the vagina.

Injections into areas of inflammation or tissue damage with a high concentration of platelets promote cellular renewal and healing.

Indications and contraindications

Intimate plasma lifting is indicated for the following conditions:

• inflammatory diseases of the pelvic organs – vaginitis, cervicitis, endometritis, adnexitis;

  

• leukoplakia of the cervix;
• degenerative processes (including kraurosis of the vulva), adhesions, erosions, compactions;
• impaired functionality of the mucous membrane due to hormonal imbalances, menopause;
• hormonal disorders;
• urinary disorders (incontinence, frequent urge);
• rehabilitation after surgical treatment;
• recovery after childbirth.

Gynecological plasmolifting is contraindicated during pregnancy and breastfeeding. It is forbidden to administer autoplasma immediately after childbirth - you must wait two months. The procedure is not performed for women with diseases of the blood coagulation system, if there is a malignant neoplasm in the body, or hypertrophic scars on the tissues of the genital organs. Plasma therapy sessions are not prescribed for patients with mental disorders and minors. Temporary limitation – acute infectious disease.

Women who have undergone gynecological surgery require prior consultation with a doctor. It is he who will decide on the admissibility of the procedure.

How is plasma lifting done?

The preparation of the drug for injection is carried out in 2 stages. At the first stage, the required amount of venous blood is taken from the patient and placed in a centrifuge, where the platelets are separated from other blood components in the process. At the second stage, platelets are concentrated in the plasma.

The introduction of an enriched drug during intimate plasma lifting can be carried out subcutaneously and intradermally, including the mucous membranes of the vagina, cervix, and vulva. If the pain threshold is low, the injection area can be numbed with an anesthetic spray or gel.

The procedures are carried out in courses. Depending on the individual characteristics of the body, 5 to 10 procedures may be required with a break of several weeks. The effect of therapy is not lifelong. Metabolic processes in the body proceed non-stop, so a repeat course can be carried out after 6-9 months.

How is the procedure performed?

After a comprehensive diagnosis, a blood sample of 30-60 ml is taken from the woman (depending on the purpose of treatment). The test tube with the biomaterial is placed in a centrifuge to separate the serum. At the end of the process, clearly defined three layers are visible in the test tube. For therapeutic purposes, the middle fraction (enriched plasma) is used; it is drawn into a syringe.

Hospitalization is not required to perform the manipulation. The injections are given in the doctor's office, after which the patient can go home.

Preparation

Blood sampling is carried out on an empty stomach, preferably in the morning. If treatment is prescribed in the afternoon, the last meal should be no later than 4 hours before the injection. For 1-2 days, you must avoid drinking any alcoholic beverages, regardless of their strength.

Methodology

Plasmolifting of the intimate zone is the injection of autoplasma into damaged areas of soft tissues and mucous membranes. Local anesthesia is not required. By means of microinjections, the drug is distributed in the area of ​​the inflammatory or destructive focus. In individual cases, an anesthetic spray may be used.

Injections are given subcutaneously or into the mucous membrane of the reproductive organs (cervix, vagina, endometrium). To administer plasma, needles of minimal diameter are used. The distance between punctures is at least 1 cm.

Rehabilitation period

Plasmolifting does not require long-term rehabilitation. To avoid infection of the puncture sites, it is not recommended to take a bath or visit the pool or sauna for 3 days after the procedure. It is also better to refrain from intimacy.

Preparation

PRP procedures, although bioavailable and non-rejection free, require preparation. At the consultation, the gynecologist will write out directions for blood tests to identify the level of platelets in the blood, the presence of infectious and inflammatory processes, establish the level of blood clotting, exclude anemia and abnormalities in the composition of the blood. They will take a smear to check the flora and the presence of sexually transmitted diseases. Systemic diseases, oncological diseases, and a tendency to tumors are strict contraindications for plasma lifting.

Features of plasma lifting in gynecology

It is important that with a high success rate of treatment, plasma lifting is an absolutely safe method for the body. The “medicine” is made from a woman’s own blood and has no foreign additives (except for heparin, which protects the blood from clotting during the preparation of autoplasma). Allergic reactions, intoxication and rejection are completely excluded. Also, toxins and waste do not accumulate on internal organs.

Plasmolifting does not require hospitalization. The technique is approved by the Ministry of Health of the Russian Federation due to its high efficiency and minimal contraindications. Plasmolifting in gynecology, the price of which is several times lower than a course of expensive antiviral and antibacterial therapy, is the only alternative to surgery in complex gynecological situations.

Plasmolifting - treatment or rejuvenation?

“I am 54 years old, and a year ago I felt the first symptoms of menopause. The symptoms affected sexual life: constant discomfort, itching and burning in the genital area, as well as dry mucous membranes. The doctor said it was hormonal and prescribed medications to normalize the endocrine balance. At the same time, he recommended taking a course of plasma lifting. Tell me, is there any point in this procedure, because hormonal drugs should help without additional methods?” Lyudmila N.

In cosmetology, plasmolifting is used as a rejuvenating technique that saturates the skin with active ingredients, moisturizes it and stimulates the synthesis of collagen and elastin. The same effect is achieved in gynecology by injecting the patient’s own plasma into the tissue of the vaginal mucous membranes. This is especially true during menopause, when a woman experiences the unpleasant symptoms described by Lyudmila.

Hormones in this case are the main factor in restoring the normal state as a whole, and plasma lifting is used to eliminate local symptoms - dryness and burning. By listening to the gynecologist’s recommendations and combining hormonal treatment with the plasma lifting technique, patients quickly and comfortably overcome menopausal disorders and other hormonal disorders in the body.

“My diagnosis is endocervicitis. The doctor prescribed a bunch of medications: antibiotics and anti-inflammatory drugs. They help, but I still don’t feel very well. At my last examination with a gynecologist, I heard recommendations from him about plasma lifting. I read a lot of positive reviews about this technique, but I have doubts - can it be used for my illness? What advice would you give me? Irina B.

Inflammation of the mucous membranes of the cervix is ​​always accompanied by damage and destruction. In this regard, the use of plasma lifting is an excellent opportunity to safely and without surgery restore the normal state of the mucosa. Injection of plasma into tissues will cause cell renewal and ensure normal secretion production. In combination with previously prescribed medications, plasma lifting will preserve the functional activity of the cervix and prevent the worsening of inflammation.

As for the possibility of carrying it out for endocervicitis, plasma is administered only after the acute stage of the disease has subsided. Most likely, noting this process, the gynecologist recommended the plasma lifting technique to Irina. There are no other contraindications to this procedure, because the body’s own substance is introduced into the tissue, which means there can be no allergies or rejection.

Own plasma

“I underwent diathermoelectrocoagulation of a cervical polyp. After the operation, I have been trying to get pregnant for a year now, but nothing has worked. The doctor recommends plasma lifting. Tell me, can plasma solve my problem? Maybe it’s not worth wasting time and it’s better to have another operation?” Maria I.

The patient's infertility is likely caused by a postoperative scar on the mucous membrane of the cervix. Plasmolifting improves blood circulation in the area of ​​scarring, causing the resorption of connective tissue. In no case should you underestimate the effectiveness of this method, because by activating blood circulation and local immunity, plasma injections can restore the functional ability of the mucous membrane after 5-7 procedures. Moreover, unlike surgery, plasma lifting is safe and does not cause complications.

“I have constant vaginal dryness, I can no longer cope without lubricants. A friend went for plasma lifting with the same problem, and it helped her. I want to sign up for plasmolifting, but the gynecologist with whom I am currently being treated for genital herpes refused to refer me. I don’t understand why I can’t undergo this procedure, because it is written everywhere that it has no contraindications. Can I have it at your clinic?” Tanyusha

The doctor is absolutely right: herpes in the acute stage is a direct contraindication for plasma lifting. Some clinics go to all sorts of tricks to “sell the service,” so they write that the procedure is suitable for everyone. In fact, plasma lifting, including in our clinic, will not be performed on patients during pregnancy, cancer, exacerbations of infectious diseases, or hemophilia. The administration of plasma is also contraindicated for mental illness and heparin intolerance.

Gynecologists at our medical center recommend paying attention to an effective, low-traumatic and safe method of treating and preventing gynecological diseases - plasma lifting. Contact us for its implementation and consultations!