Bath Fertility

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Recent studies show no benefit from endometrial scratching

There has been a lot of attention in the press lately around endometrial scratching, a procedure that was thought to help embryos implant by improving the endometrial receptivity.

Endometrial scratching involves creating a small area of injury to the endometrium by passing a sterile catheter through the cervix and into the uterus. The endometrium (lining of the uterus) is then gently “scratched”. Early research appeared to show that the procedure could be beneficial for some patients, however these studies had significant limitations which may have led to bias in the results. This meant it was not possible to say with confidence whether endometrial scratching could increase the chances of pregnancy.

We recently participated in an international research program (PIP study) assessing the benefit or not of endometrial scratch on pregnancy rates following IVF treatment. The PIP study recruited more than 1300 patients and the results were presented at the annual ESHRE Conference held in Barcelona earlier this month.

Overall, the results of this important study showed that there was no benefit from this procedure and we will therefore no longer be recommending this procedure in IVF treatment.

A brief outline of the results from the PIP study can be found here: https://www.focusonreproduction.eu/article/barcelona-adjuvant-treatments/1791AF8A-AD05-4C42-B42D-52C989925E5C

If you have any questions regarding endometrial scratch, please contact us on 01761 434464.