{"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":"<p>Endometrial Scratching, also known as endometrial scratch, is a technique in reproductive medicine. Its purpose is to <strong>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<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_68_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#What_is_an_endometrial_scratch_test\" title=\"What is an endometrial scratch test?\">What is an endometrial scratch test?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#Is_endometrial_scratching_effective\" title=\"Is endometrial scratching effective?\u00a0\">Is endometrial scratching effective?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#When_to_do_endometrial_scratch_for_IVF\" title=\"When to do endometrial scratch for IVF?\">When to do endometrial scratch for IVF?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#Endometrial_scratch_procedure\" title=\"Endometrial scratch procedure\">Endometrial scratch procedure<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#How_long_does_an_endometrial_scratch_last\" title=\"How long does an endometrial scratch last?\">How long does an endometrial scratch last?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#What_are_the_success_rates_after_endometrial_scratch\" title=\"What are the success rates after endometrial scratch?\">What are the success rates after endometrial scratch?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#Is_endometrial_scratching_painful\" title=\"Is endometrial scratching painful?\">Is endometrial scratching painful?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/#At_IVI_we_can_assist_you\" title=\"At IVI, we can assist you\u00a0\">At IVI, we can assist you\u00a0<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_is_an_endometrial_scratch_test\"><\/span>What is an endometrial scratch test?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is a recommended technique aimed at improving the uterine implantation capacity when an IVF procedure has not been successful. Although this technique slightly <strong>affects the uterine lining<\/strong>, uterine receptivity will be enhanced.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_endometrial_scratching_effective\"><\/span>Is endometrial scratching effective?\u00a0<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Studies on endometrial scratching suggest that its performance is<strong> associated with an increased likelihood of pregnancy<\/strong>. However, scientific evidence regarding its benefits and the knowledge of how to perform <strong>it is not extensive<\/strong>. This lack of consensus among specialists regarding when to recommend it is notable. It is not recommended for patients <strong>undergoing a single IVF treatment.<\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_to_do_endometrial_scratch_for_IVF\"><\/span>When to do endometrial scratch for IVF?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mechanical alteration of the endometrium has been proven to <strong>modulate the gene expression of factors necessary for implantation<\/strong>. Therefore, the ideal time to perform endometrial scratching is <strong>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 <a href=\"https:\/\/www.ivi.uk\/assisted-reproduction-treatments\/in-vitro-fertilisation\/\">IVF treatments<\/a> have failed, even when high-quality embryos were used, and no apparent reasons explain the negative outcome.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Endometrial_scratch_procedure\"><\/span>Endometrial scratch procedure<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To perform this technique, a flexible catheter of about 3 millimetres is inserted through the cervix. It is moved <strong>back and forth until it is finally rotated<\/strong> to scrape the uterine lining.<\/p>\n<p>To this day, how endometrial scratching works is not fully understood. It is believed that scraping the endometrium<strong> 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<ul>\n<li>Growth factors, hormones, and proinflammatory cytokines are released. These make the recently formed lining more conducive to embryo implantation<\/li>\n<li>Key genes required for endometrial preparation are activated, which would not occur otherwise in anticipation of implantation<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_long_does_an_endometrial_scratch_last\"><\/span>How long does an endometrial scratch last?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Endometrial scratching can be considered an <strong>outpatient procedure<\/strong>. It is a simple, minimally invasive technique that typically lasts between 15 and 20 minutes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_success_rates_after_endometrial_scratch\"><\/span>What are the success rates after endometrial scratch?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Several studies have focused on the endometrial scratching technique, yielding conflicting results. A Cochrane review involving nine randomized studies with a population of 1,512 patients with unexplained fertility revealed some benefit from this technique. However, the review also highlighted<strong> limitations and the risk of drawing solid and conclusive conclusions from these findings<\/strong>. Therefore, further research is needed to determine whether this technique significantly improves pregnancy chances after an IVF cycle.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_endometrial_scratching_painful\"><\/span>Is endometrial scratching painful?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generally, this is considered a <strong>safe technique and is performed without anaesthesia<\/strong>. However, it is important to mention some of the related side effects, which may include:<\/p>\n<ul>\n<li>Mild bleeding<\/li>\n<li>Abdominal cramps following the procedure<\/li>\n<li>Pelvic infection or uterine perforation (in rare cases). Infection can result from the spread from the cervix to the uterine cavity. It is recommended to undergo a <a href=\"https:\/\/ivi-fertility.com\/blog\/how-does-chlamydia-affect-fertility\/\">Chlamydia<\/a> screening test before endometrial scratching<\/li>\n<li>Early pregnancy loss, especially when performed during the second phase of the menstrual cycle<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"At_IVI_we_can_assist_you\"><\/span>At IVI, we can assist you\u00a0<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Regardless of your infertility diagnosis,<a href=\"https:\/\/www.ivi.uk\/\"> IVI<\/a> is here for you. With a 360\u00b0 working methodology, each patient is unique, and we apply each treatment individually.<\/p>\n<p>Please give us a <a href=\"https:\/\/www.ivi.uk\/ask-for-an-appointment\/\">call or fill out our online form<\/a>, and our team will contact you directly.<\/p>\n","protected":false},"excerpt":{"rendered":"Endometrial Scratching, also known as endometrial scratch, is a technique in reproductive medicine. Its purpose is to maximize the success of treatment. Throughout this article, we will explore what endometrial scratching entails and when it is performed, among other aspects. What is an endometrial scratch test? This is a recommended technique aimed at improving the&#8230; <a class=\"view-article\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/\">View Article<\/a>","protected":false},"author":1,"featured_media":106358,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,17],"tags":[309,371,220],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endometrial scratch for IVF: is effective?<\/title>\n<meta name=\"description\" content=\"In this blog we will explain the endometrial scratch for IVF, if it is effective, painful and the succes rates.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ivi.uk\/blog\/endometrial-scratch-ivf\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" 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