Endometrial Scratch

Why have I been offered endometrial scratch?

Recent studies suggest that local endometrial injury (also known as 'endometrial scratch') doubles the live birth rate of women undergoing IVF with recurrent implantation failure. We now offer endometrial scratch to a woman who has had 3 or more embryos transferred without falling pregnant. The embryos may be from a fresh or a frozen cycle.

How is endometrial scratch performed?

Endometrial scratch is performed as an outpatient procedure without anaesthesia. A sterile speculum will first be inserted to expose the cervix (the neck of the womb). After cleaning the cervix, a small biopsy catheter will be used to take a small biopsy from the lining of the womb. This method usually lasts a few minutes and you may experience menstrual-like cramping pain.

When should I undergo this procedure?

It is most effective when performed about one week prior to your intended IVF cycle. However, if you are undergoing a frozen embryo transfer cycle, this could be performed about two weeks before the onset of your expected period for your treatment cycle, i.e. from day 14 to 28. Your doctors or nurses will advise you accordingly.

It is extremely important to refrain from sexual intercourse (protected as well as unprotected) from the start of your period to the examination. Please comply with this condition as failure to do so may result in your procedure being cancelled.

What happens after the procedure?

This is a very low risk procedure and you can resume daily activities immediately after the procedure. However, you may expect a small amount of blood stained discharge transiently on the day of the procedure. You may take paracetamol for any pain.

Is there any added benefit?

As mentioned above, this procedure may improve your chances of pregnancy. This procedure may also give an indication of the ease of your future embryo transfer procedure, which will be performed during your treatment cycle.

Is there any possible harm?

This is a new clinical intervention and is therefore still undergoing research. Future information on the effectiveness of endometrial scratch may change. Current data does not suggest that it is harmful and does not increase the risk of miscarriage.

Are antibiotics necessary?

There is no clear evidence to suggest routine use of antibiotics during an endometrial scratch is beneficial. We don't routinely offer antibiotics to women having this treatment.

Who should avoid this procedure?

Please inform your doctor if you have had unprotected sexual intercourse during the same cycle, as you might be pregnant.

What will happen if I do not choose this procedure?

This procedure is not compulsory. You can start your treatment even though you are not having this procedure done. There will be no change to the remainder of your treatment cycle.

How much do I need to pay?

Please check with our administrative team for the most up to date price.