Endometrial Scratch

ENDOMETRIAL SCRATCH AT MIDLANDS WOMEN’S HEALTH

At Midlands Women’s Health, we understand that every step of your fertility journey is important. The Endometrial Scratch is a simple, minimally invasive procedure designed to help improve your chances of a successful pregnancy, particularly for those who have experienced implantation failure.

WHAT IS AN ENDOMETRIAL SCRATCH?

The endometrium is the lining of your womb where an embryo implants. In some cases, the lining may not be fully receptive, making implantation more difficult. An Endometrial Scratch is a minor procedure in which the uterine lining is gently “scratched” to stimulate natural repair processes. This can improve the endometrium’s receptivity to an embryo, potentially enhancing the success of fertility treatments such as IVF.

HOW THE PROCEDURE WORKS

• The procedure is performed in the clinic and usually takes only a few minutes.
• A thin, flexible instrument is used to create a gentle scratch on the uterine lining.
• It is usually performed a few days before ovulation in the menstrual cycle prior to embryo transfer.
• Most patients experience only mild cramping; over-the-counter pain relief can be taken beforehand if needed.

BENEFITS OF AN ENDOMETRIAL SCRATCH

Research indicates that performing an endometrial scratch in the cycle before embryo transfer may:

• Improve the implantation environment for the embryo
• Increase the likelihood of a successful pregnancy for patients with previous implantation failure
• Provide a simple, low-risk intervention to support fertility treatment

WHO CAN BENEFIT?

An Endometrial Scratch may be recommended for:

• Patients with recurrent implantation failure
• Individuals preparing for IVF or embryo transfer
• Those seeking to optimize their uterine environment before fertility treatment

Your fertility specialist, Dr Ruchira Singh, will discuss whether this procedure is appropriate for you based on your individual history and treatment plan.

WHAT TO EXPECT AFTER THE PROCEDURE

• Most patients return to normal activities immediately.
• Mild cramping or light spotting can occur for a day or two.
• Your fertility specialist will advise on the timing of your next fertility treatment to maximise the benefits of the scratch.

NEXT STEPS

If you are considering an Endometrial Scratch as part of your fertility journey, contact Midlands Women’s Health to discuss the procedure and how it can support your treatment plan.

Our team is here to provide compassionate, expert care tailored to your needs.