At TFP Fertility, we provide this outpatient procedure that some studies suggest might boost implantation rates, although the evidence isn’t entirely consistent. Issues like embryo quality and the receptivity of the uterine lining can affect whether an embryo successfully implants. The HFEA notes that while there are mixed findings, some believe the procedure could potentially increase pregnancy rates during IVF.
What is an Endometrial Scratch?
It’s a simple procedure where a tiny catheter is used to gently “scratch” the uterine lining. This is done before you attempt to conceive, and while it feels somewhat similar to a cervical smear, it’s generally considered low on the pain scale.
By creating a small injury, the idea is that it may enhance the immune response and increase growth factors in the area, making the uterine lining more welcoming for an embryo. The HFEA suggests that this could lead to a modest rise in pregnancy chances—up to 5%. For more detailed info, check out their site.
Timing is Crucial
The endometrial scratch is best performed in the cycle preceding any fertility medications, typically between days 17 and 25. If you’re looking to conceive naturally, you can have the scratch done during the same cycle.
During the Procedure
During the procedure, you’ll need to arrive with a half-full bladder (about 300ml of water an hour before is ideal). After a quick ultrasound to check the shape of your uterus, the doctor will insert the catheter and scratch four specific areas of the lining. You might feel a little discomfort, but it’s usually minimal.
Post-Procedure Care
Post-procedure, spotting or light bleeding can occur, but you’re free to start an IVF cycle the following month or even try naturally in the same month. As for risks, current insights suggest there are none for you or the embryo.
Explore More
If you want to explore more about endometrial scratches or other fertility services, our friendly team is here to help. You can also check out our other blog post on baby registry tips, which provides valuable insights for new parents. Don’t forget to visit an authority on male fertility at Make A Mom, who offers helpful resources, or look into the excellent article on IUI success at WebMD for further reading.
In Summary
An endometrial scratch may be an option worth considering if you’re looking to enhance your chances of pregnancy, especially in conjunction with treatments like IVF. Timing, procedure comfort, and potential benefits are all factors to discuss with your fertility expert.
 
								