Endometrial Scratching

What is Endometrial Scratching?

Endometrial scratching, also called endometrial injury or endometrial biopsy, is a minor procedure performed to enhance the receptivity of the uterine lining (endometrium). It involves gently scratching or creating a small injury in the endometrial tissue.

The theory behind this technique is that the deliberate “injury” triggers a repair process, releasing growth factors and hormones that improve the chances of an embryo implanting successfully.

Although it’s not suitable for everyone, endometrial scratching is often recommended for women who experience repeated implantation failure or are undergoing in vitro fertilization (IVF).

How Endometrial Scratching Works

Endometrial scratching is a quick and simple outpatient procedure performed by a fertility specialist. Below is a step-by-step explanation of how it works:

1. Preparation
• The procedure is usually scheduled during the luteal phase (mid to late cycle) of the menstrual cycle prior to fertility treatment.
• Your doctor may recommend pain relief medication before the procedure to reduce any potential discomfort.
2. Procedure
• Endometrial scratching is conducted using a thin catheter or pipelle, which is gently inserted into the uterus through the cervix.
• The specialist scratches the surface of the endometrium to create a small, controlled injury.
• The entire process typically takes 10–15 minutes and does not require anesthesia.
3. Aftercare
• Most patients experience mild discomfort, spotting, or cramping, which subsides within a day or two.
• Patients can resume normal activities almost immediately after the procedure.

The simplicity and low-risk nature of this technique make it an attractive option as part of fertility treatment protocols.

Benefits of Endometrial Scratching

For women struggling with implantation failure, endometrial scratching offers several potential benefits. These include:

1. Improved Endometrial Receptivity
   The repair process initiated by scratching releases biochemicals like cytokines and growth factors, making the uterine lining more receptive for embryo implantation.
2. Enhanced Success Rates in IVF
   Studies suggest that women with a history of unsuccessful IVF cycles may experience increased pregnancy rates after undergoing endometrial scratching.
3. Non-Invasive and Low-Cost
   Compared to other advanced fertility interventions, endometrial scratching is a simple outpatient procedure with minimal costs and downtime.
4. Personalized Fertility Care
   This technique can be tailored to women with specific challenges, optimizing outcomes as part of an individualized fertility treatment plan.

Who Can Benefit from Endometrial Scratching?

While endometrial scratching is not recommended for everyone, certain groups of women may benefit significantly from this procedure. These include:

1. Women with Repeated Implantation Failure
   If you’ve undergone two or more unsuccessful IVF cycles with high-quality embryos, your fertility specialist may suggest endometrial scratching as a way to improve implantation success.
2. Women with Thin Endometrium
   For women whose uterine lining does not reach the desired thickness despite standard interventions, endometrial scratching could help promote better growth and receptivity.
3. Unexplained Infertility
   When there’s no identifiable cause of infertility, scratching the endometrium may improve the chances of natural or assisted conception.
4. Patients Preparing for Frozen Embryo Transfer (FET)
   Women planning a frozen embryo transfer may benefit from the enhanced implantation environment that endometrial injury promotes.

At Mamata Fertility Hospital, our specialists will conduct a thorough evaluation to determine if endometrial scratching is suitable for you.

Success Rates

The effectiveness of endometrial scratching varies, depending on individual circumstances. Clinical studies and patient outcomes indicate the following trends:

• IVF and ICSI Patients: Women with a prior history of implantation failure often see improved pregnancy rates, with some studies reporting success rates up to 25–40% higher compared to those who did not undergo the procedure.
• Natural Conception: While evidence is less robust, some data suggest endometrial scratching may also benefit women trying to conceive naturally.

Our team at Mamata Fertility Hospital ensures the latest scientific knowledge backs every procedure, offering couples the best chance of success.

Risks and Side Effects

Endometrial scratching is generally safe, but like any medical procedure, there are some risks and side effects to consider.

1. Mild Discomfort
   Some women may experience cramping or mild pain during the procedure. However, it is brief and subsides quickly.
2. Spotting or Bleeding
   Light vaginal bleeding or spotting is common following the procedure but usually resolves within a day or two.
3. Risk of Infection
   Although rare, there’s a slight risk of infection. Doctors take all necessary precautions to minimize this risk.
4. Not Effective for Everyone
   Endometrial scratching may not work for all women, and success is not guaranteed.

At Mamata Fertility Hospital, your safety and comfort are our top priorities. We thoroughly discuss the risks and benefits with you, ensuring informed decision-making at every step

Cost of Endometrial Scratching in Secunderabad

The cost of endometrial scratching in Secunderabad and Hyderabad is affordable, making it accessible to a wide range of patients. Pricing depends on factors like diagnostic tests, the complexity of the procedure, and any additional fertility treatments it’s paired with.

Estimated Costs

• Consultation and Initial Assessment: ₹3,000–₹5,000
• Endometrial Scratching Procedure: ₹5,000–₹8,000
• Paired with IVF or FET Cycle: Costs vary based on the comprehensive fertility package.

At Mamata Fertility Hospital, we ensure transparent pricing with no hidden charges. We also offer flexible payment plans to make advanced fertility care accessible for all.

FAQs

1. Is Endometrial Scratching Painful?

Endometrial scratching is minimally painful. Most women describe it as similar to menstrual cramping. Any discomfort is brief and manageable.

2. When Should Endometrial Scratching be Done?

The procedure is typically performed in the luteal phase of the cycle before starting fertility treatments like IVF or FET.

3. How Long Does the Procedure Take?

The procedure takes about 10–15 minutes, and you can return to normal activities almost immediately.

4. Does Endometrial Scratching Guarantee Pregnancy?

While it can significantly improve implantation success rates for some women, it does not guarantee pregnancy.

5. Are There Any Alternatives to Endometrial Scratching?

Other methods to improve implantation may include hormonal treatments, embryo glue, or advanced uterine evaluations. Your doctor will recommend the best approach based on your condition.

WHAT PATIENTS EXPERIENCE AT MAMATA FERTILITY?

“I had an excellent first visit to Mamata Hospitals, where I met Dr. Mamata madam and Dr. Arti. Madam and Dr cheatn The process was systematic, instilling confidence that my issues will be effectively addressed. The staff and doctors were incredibly friendly and supportive, making me feel at ease. Their professionalism and warmth have given me great confidence in their care. I look forward to sharing more about my journey in detail.”

Vishu S.N

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At Mamata Fertility Hospital in Secunderabad, we combine innovation, compassion, and expertise to deliver personalized fertility solutions tailored to your unique needs. Whether you’re exploring endometrial scratching or other advanced treatments, we’re committed to supporting you every step of the way.

Contact us today to schedule your consultation and take the next step toward achieving your dream of parenthood!