Endometrial scratch before IVF
The aim of endometrial scratching to help implantation. By carefully scratching the lining of your womb through the endometrial scratch, we can initiate a repair process that forms a new uterine lining.
What is endometrial scratching?
To establish a successful pregnancy, an embryo needs to attach or ‘implant’ in the womb. In some cases of failed implantation, it is thought that the embryo doesn’t implant because the lining of the womb isn’t providing the right environment.
The endometrial scratching (ES) procedure is thought to trigger the body to repair the site of the scratch, releasing chemicals and hormones that make the womb lining more receptive to an implanting embryo. It is also suggested that the treatment could activate genes that make the womb lining more receptive to embryos.
Could endometrial scratching be right for me?
Endometrial scratching (ES) before fertility treatment may help women who have had failed IVF treatments to improve their chances of implantation, so may be an option if you have been through miscarriages or if you have had unsuccessful treatments before.
Some studies have suggested that ES might be useful if you have had multiple failed fertility treatments in cycles where good quality embryos were transferred but the Care team has not seen this benefit.
You can have endometrial scratching if you are having IVF with your own eggs - fresh or frozen, and with donor eggs.
What does an endometrial scratch involve?
Endometrial scratching is similar to a smear test, so while it can be a little uncomfortable there’s usually no need for pain relief or sedation.
We’ll very gently scratch the lining of your womb, also known as the endometrium. This causes a release of hormones in order to begin a repair process. Some evidence suggests that this process makes the endometrium more receptive to embryos, which means it could improve your chances implantation and therefore of a successful treatment.
The optimum time for the procedure is in the cycle before your IVF treatment. The best time is often day 21 of your cycle, however if you have an irregular menstrual cycle the timing could be different. Your consultant will advise you of the optimal date.
Timing of endometrial scratchThe optimum time for the procedure is in the cycle before your IVF treatment. The best time is often day 21 of your cycle, however if you have an irregular menstrual cycle the timing could be different. Your consultant will advise you of the optimal date.
Cost of an endometrial scratch
The cost of an endometrial scratch is around £300-£350. View our full price lists.
If you’d like to know more about endometrial scratching, mention it at your consultation or contact your clinic for more information.