Endometrial Scratching prior to IVF in London

Endometrial scratching is most commonly recommended for women who have had recurrent implantation failure in previous IVF cycles. It may also be considered for women with unexplained infertility or those undergoing fertility treatments such as IVF or IUI. The procedure is not routinely offered to all fertility patients, as its benefits are still under investigation.

It is important to consult your fertility specialist to determine whether this procedure is appropriate for you. They will consider your medical history, previous IVF cycles, and other factors before recommending endometrial scratching as part of your fertility treatment plan.

The main benefit of endometrial scratching is its potential to increase the chances of embryo implantation during fertility treatments. Some studies suggest that it may improve pregnancy rates, particularly in women who have experienced multiple failed IVF cycles. By triggering a healing response in the uterine lining, the procedure could create a more favourable environment for embryo attachment.

However, it’s worth noting that not all research supports these findings. While some studies show a potential improvement in pregnancy outcomes, others have found little to no benefit. As such, the effectiveness of endometrial scratching remains debated, and it is not guaranteed to work for everyone.

Endometrial scratching is generally considered safe, but like any medical procedure, it does carry some risks. The most common side effects include cramping, light bleeding, and discomfort during or after the procedure. In rare cases, the procedure can cause infection or damage to the uterine lining.

It’s important to discuss any concerns with your fertility specialist beforehand. While the risks are usually minimal, it’s essential to weigh these against the potential benefits to decide if endometrial scratching is the right option for you.

Endometrial scratching is typically performed in the luteal phase of the menstrual cycle, a few days before the start of IVF treatment or embryo transfer. This timing is crucial, as the scratch needs to occur when the uterine lining is preparing to receive an embryo.

Your fertility specialist will advise on the exact timing based on your individual cycle and treatment plan. Proper timing is essential to maximise the potential benefits of the procedure, as doing it too early or too late in the cycle may reduce its effectiveness.

The level of discomfort during endometrial scratching varies from person to person. Some women describe the sensation as similar to menstrual cramps or a Pap smear, while others may experience more significant discomfort. The procedure is usually brief and does not require anaesthesia.

To manage discomfort, some clinics may recommend taking over-the-counter pain relief before the procedure. Most women are able to resume normal activities shortly after, though some may experience light cramping or spotting for a day or two.

The evidence supporting endometrial scratching is mixed. Some studies have suggested that the procedure can improve implantation and pregnancy rates, especially in women who have experienced recurrent IVF failures. However, other research has found no significant benefit, with some experts questioning the reliability of early studies that showed positive results.

More recent large-scale randomised trials have raised doubts about the procedure’s effectiveness, prompting ongoing debate within the fertility community. If you are considering endometrial scratching, it’s important to review the latest research and consult with your fertility specialist about whether the procedure is appropriate for you.

Endometrial scratching has shown potential to improve IVF success rates for certain patients, particularly women who have had multiple failed IVF attempts. By making the uterine lining more receptive to embryo implantation, the procedure could increase the likelihood of pregnancy. However, the evidence remains inconclusive, and not all studies have found a clear benefit.

It’s important to have realistic expectations and understand that endometrial scratching is not guaranteed to improve IVF outcomes for everyone. Your fertility specialist can help you assess whether the procedure is likely to enhance your chances of success based on your medical history and previous IVF cycles.

The endometrium is the inner lining of the uterus, playing a crucial role in the reproductive system. Each month, the endometrium thickens in preparation for a potential pregnancy, creating a nourishing environment for a fertilised egg to implant and develop into a foetus. If pregnancy does not occur, the top layer of the endometrium sheds during menstruation, and the cycle begins again.

In the context of fertility, the health and receptivity of the endometrium are vital for successful embryo implantation. Conditions such as a thin endometrial lining or endometriosis can negatively impact fertility, making it essential for women trying to conceive to ensure optimal endometrial function.

HyCoSy has been proved to be an extremely safe procedure and the best option in terms of screening for the health of the fallopian tubes. The procedure does carry a small risk of a uterine infection of sub 1% of the cases. As a precautionary measure, you will be prescribed a small dose of an antibiotic – typically Azithromycin to avoid this outcome. The prescription cost is included in the price of this appointment. 

At London Pregnancy Clinic we have the highest standards and strictest protocols when it comes to infection control. We use the appropriate sterile single-use equipment to minimise any possibility of infection.

At London Pregnancy Clinic, we are specialists in fertility and reproductive medicine. For a more round picture of your fertility profile, our gynaecologists could recommend other examinations such as AMH test, or our full fertility health assessment package.

We also offer a large range of scans including: AFC, Baseline Scan, HyCoSy and SIS.