{"id":105767,"date":"2023-09-25T09:00:13","date_gmt":"2023-09-25T07:00:13","guid":{"rendered":"https:\/\/www.ivi.uk\/?p=105767"},"modified":"2023-11-02T18:24:34","modified_gmt":"2023-11-02T16:24:34","slug":"endometrial-scratch-ivf","status":"publish","type":"post","link":"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/","title":{"rendered":"Endometrial Scratching for IVF: What you need to know"},"content":{"rendered":"

Endometrial Scratching, also known as endometrial scratch, is a technique in reproductive medicine. Its purpose is to maximize the success of treatment<\/strong>. Throughout this article, we will explore what endometrial scratching entails and when it is performed, among other aspects.<\/p>\n

What is an endometrial scratch test?<\/h2>\n

This is a recommended technique aimed at improving the uterine implantation capacity when an IVF procedure has not been successful. Although this technique slightly affects the uterine lining<\/strong>, uterine receptivity will be enhanced.<\/p>\n

Is endometrial scratching effective?\u00a0<\/h2>\n

Studies on endometrial scratching suggest that its performance is associated with an increased likelihood of pregnancy<\/strong>. However, scientific evidence regarding its benefits and the knowledge of how to perform it is not extensive<\/strong>. This lack of consensus among specialists regarding when to recommend it is notable. It is not recommended for patients undergoing a single IVF treatment.<\/strong><\/p>\n

When to do endometrial scratch for IVF?<\/h2>\n

Mechanical alteration of the endometrium has been proven to modulate the gene expression of factors necessary for implantation<\/strong>. Therefore, the ideal time to perform endometrial scratching is before a new IVF treatment<\/strong>, typically between days 19 and 25 of the menstrual cycle. Reproductive specialists will advise its implementation, especially for patients whose previous IVF treatments<\/a> have failed, even when high-quality embryos were used, and no apparent reasons explain the negative outcome.<\/p>\n

Endometrial scratch procedure<\/h2>\n

To perform this technique, a flexible catheter of about 3 millimetres is inserted through the cervix. It is moved back and forth until it is finally rotated<\/strong> to scrape the uterine lining.<\/p>\n

To this day, how endometrial scratching works is not fully understood. It is believed that scraping the endometrium triggers an inflammatory response<\/strong>, similar to when the skin is scratched. The subsequent repair process improves the chances of embryo implantation because:<\/p>\n