Fertility RoadFertility 360To Scratch, or not to Endometrial Scratch

To Scratch, or not to Endometrial Scratch

Additional treatments or so-called Fertility Add-ons offered by fertility clinics and clinicians have been subject to enormous scrutiny for some time now.

For the layperson, it is easy to swing both ways when faced with the competing information for and against specific treatments. For now, the medical profession also seems to be unsure about the efficacy of some of these add-ons which makes it even more problematic for patients to decide on whether to agree to accept treatment or not.

The latest research has looked at Endometrial Scratch which is a procedure undertaken to purposely disrupt some of the endometrium in women wanting to get pregnant. It is thought this disruption may somehow increase the chance of an embryo implanting, and therefore helping to achieve a successful pregnancy.

According to a new study published in the New England Journal of Medicine, the procedure does not increase the odds of having a baby. For the study, researchers compared the birth rates of two groups of women undergoing in vitro fertilization.

The first group was comprised of close to 700 women who did not undergo endometrial scratching and 700 women who did undergo endometrial scratching prior to IVF.

Researchers determined that each group had a 26 percent live birth rate, and there was no difference in successes pregnancies between groups. However, the procedure was also not associated with any harm, including ectopic pregnancy nor miscarriage. Some patients in the uterine scratching group did report mild pain related to the procedure.

As always we would guard against you wholeheartedly accepting this research in its entirety.

Any fertility treatment add-on must be thoroughly investigated and researched with appropriate cohorts, undertaken over time and provide consistent outcomes before we can conclusively come down on either side of the fence.

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Editorial Team
Fertility Road aims to inform and inspire in a way that is direct, honest and empathetic, whilst breaking down the science by being written by top experts from the fertility field.