Endometrial Scratching

An Endometrial Scratching is the procedure to make successful embryo implantation after going through the procedure like In- Vitro Fertilisation (IVF) or Intracytoplasmic Sperm Injection (ICSI). It is done when patients go through multiple unsuccessful IVF cycles even when quality embryo is transferred. It has a proven track record of greater pregnancy rates.

How is it done?

Endometrial scratch is a surgical procedure also known as endometrial biopsy, involves a diagnosis of the inner lining of uterus. Performing biopsy by inserting a tiny plastic tube called pipelle into the uterus through the cervix. With this procedure the doctor collects a small sample of endometrial tissue.

When should you opt for this?

The best time for performing Endometrial Scratching is prior a week or so at the start of In Vitro Fertilisation or Frozen Embryo Transfer. It is duration or week after ovulation and a few days before a woman’s period is due. With the irregularities in menstrual cycle, do consult your doctor.

What are the success rates in Endometrial Scratching?

It is indeed a significant procedure in increasing the chances of pregnancy. Endometrial Scratching result in a repaired inner lining in the uterus which is more receptive to embryo implanting; hence increase the chance of pregnancy.

Studies also suggest that Endometrial Scratching holds for almost 70% of positive results in a clinical pregnancy as compared to no treatment (studies done on patients with more than two previous failed cycles).

A recent study randomly done and published in September 2013 emphasised at endometrial scratching for those women undergoing ART. Their survey suggested if this procedure is done 7 to 14 days before the start of IVF cycle, increase the chance of pregnancy and live birth rate.