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What are the benefits of endometrial scratching?

By Lydia Pilar Suárez M.D., M.Sc. (gynecologist on Fertility Madrid).
Last Update: 06/07/2021

Endometrial scratching is a relatively new, simple technique that provides good results in assisted reproduction techniques.

It is applied mainly in patients diagnosed with recurrent implantation failure to improve the reception site of a new embryo.

The objectives of endometrial scratching are:

  • To produce a small lesion in the endometrium that causes growth factors, hormonal and chemical factors to be released, so that the newly growing endometrium becomes more receptive.
  • Potential activation of molecular/genetic factors involved in implantation that would not be activated in a normal transfer.

At present, scratching is considered to be a good solution for patients with previous implantation failures in order to increase their gestation rate, although there is still no evidence for its routine recommendation.

 Lydia Pilar Suárez
Lydia Pilar Suárez
M.D., M.Sc.
Gynecologist on Fertility Madrid
Bachelor degree in Medicine and Surgery at the Universidad de Oviedo in Asturias. Specialization in Obstetrics and Gynecology at the University Hospital of San Carlos de Madrid. Master in Assisted Reproduction at the University of Rey Juan Carlos in collaboration with the Valencian Fertility Clinic IVI.
Licence number: 64136
Gynecologist. Bachelor degree in Medicine and Surgery at the Universidad de Oviedo in Asturias. Specialization in Obstetrics and Gynecology at the University Hospital of San Carlos de Madrid. Master in Assisted Reproduction at the University of Rey Juan Carlos in collaboration with the Valencian Fertility Clinic IVI. Licence number: 64136.