Does a reproductive medicine perform endometrial scratch?

Endometrial scratch, also called endometrial injury, is a procedure in which the lining of the uterus is gently disturbed using a thin instrument. A reproductive medicine team considers your treatment history, uterine findings, menstrual cycle and planned fertility treatment before discussing it. The procedure is not the same as an embryo transfer, and it does not replace evaluation for conditions that can affect implantation.

The clinician should explain the expected discomfort, possible spotting, infection precautions and whether the timing fits your cycle. Evidence and recommendations can vary, so a specialist may advise against it when there is no clear reason to add it to your plan.

Book a consultation with a reproductive medicine specialist and bring your previous fertility records, scan reports and a list of medicines. Ask who will carry out the procedure, what preparation is needed, and how it would fit around ovulation treatment, IVF or an embryo transfer. Tell the clinic if you may be pregnant, have unusual discharge, fever, pelvic pain or a known uterine infection.

Contact the clinic promptly after the procedure for heavy bleeding, worsening pelvic pain, fever, chills, faintness or foul-smelling discharge. Seek urgent medical help for severe pain, collapse or bleeding that makes you feel weak. Beforehand, report new pelvic symptoms so the team can decide whether the appointment should be postponed.

Ask: Why are you considering endometrial scratch for me? What alternatives address the same concern? When in my cycle would it happen? How will you manage pain or spotting? Which symptoms should trigger a call?