The Uterine Scratch is an endometrial biopsy of the uterine cavity just prior to the menstrual cycle of a cycle that you are doing a fertility treatment with, most commonly with IVF, but also with other fertility treatments like IUI or medicated intercourse. The procedure is often done for those who have failed a or numerous cycles however many people are choosing to throw it all at their first cycle and showing great success by taking these “advanced,” measures before their first treatment cycle.
What to Expect for an Endometrial Biopsy Uterine Scratch Procedure
The Uterine Scratch procedure is a very minimal “procedure,” that requires no anesthesia and takes only 5 minutes. Due to the mild discomfort of the surgery, it may be suggested that you take Advil or Motrin approximately one hour before the procedure.
Theory behind the Endometrial Biopsy/ Uterine Scratch Procedure?
The theory behind doing the procedure we are “tilling the soil” and helping the endometrium (uterine lining) become more vibrant and implantation potential or an embryo.
Following controlled and intentional “damage” to the endometrial lining caused by the scratch procedure, chemicals called cytokines are released which promote healing of the “injury,” and brings in new healthy tissue. This healing process also promotes what is called decidualization which encourages implantation by helping to slow the changes that are occurring in the endometrium. This can help with implantation since the hormone levels associated with IVF can accelerate endometrial growth and therefore make the uterine lining out of synch with the actual embryo development.
A recent review of the five published studies on the effects of performing an endometrial biopsy prior to or during and IVF found that four of these studies demonstrated that endometrial biopsy significantly improved implantation—suggesting that in some patients it may even double success rates. In one study that involved performing the biopsy on the day of the egg retrieval, they found a dramatic reduction in the implantation and on-going pregnancy rate; an observation that validates our understanding that timing is critical to the procedure.