Does endometrial scratch treat implantation failure?

Endometrial scratch involves gently passing an instrument through the cervix to make a small injury in the lining of the womb. The proposed explanation is that healing might change local signals in the endometrium before an embryo transfer. Evidence and clinical opinions are not uniform, so the procedure is not a universal treatment for implantation failure.

Implantation can be affected by embryo development, the uterine cavity, the endometrial lining, timing, hormones, and other health factors. A scratch cannot correct all of these possibilities. Your fertility specialist may first review the pattern of prior cycles and whether a specific reason for failed implantation has been identified.

Ask what your previous cycle showed, including embryo information, lining assessment, transfer timing, and any findings inside the uterus. Discuss whether a scratch is being offered for a clear reason or as an optional add-on, what discomfort or bleeding to expect, and when it would be performed in relation to treatment.

Do not arrange the procedure independently or delay an agreed fertility plan without speaking with your clinic. Tell the team about pregnancy possibility, unusual bleeding, pelvic infection symptoms, or medicines that affect bleeding.

Contact your fertility clinic promptly after a scratch if you develop heavy bleeding, worsening pelvic pain, fever, foul-smelling discharge, dizziness, or feel acutely unwell. Seek urgent help for severe pain, fainting, or bleeding that makes you feel weak.

What possible reason for implantation failure are we trying to address? What benefit do you expect from a scratch in my situation? Are there alternatives, and how might this affect the timing of my next transfer?