What to expect from endometrial scratch for implantation failure

A clinician passes a slim catheter through the cervix and makes a small, controlled contact with the endometrium. It is usually done in an outpatient setting and does not require an overnight stay. You may feel pressure or period-like cramps while it is being performed. The proposed aim is to trigger a local healing response, although whether that improves implantation depends on your individual circumstances and the evidence your clinician considers.

Ask when the scratch should be scheduled in relation to embryo transfer, and tell the clinic about pregnancy possibility, infection symptoms, allergies, or medicines that affect bleeding. Wear a pad rather than a tampon afterward so you can observe spotting. Mild cramps can often be managed with the plan given by your clinic. Keep the follow-up appointment so the timing and next fertility step are clear.

Contact your fertility team promptly for heavy bleeding, worsening or severe pelvic pain, fever, chills, faintness, or unusual-smelling discharge. These symptoms can signal a complication or infection and need assessment rather than observation at home. Seek urgent help if you feel very unwell or collapse.

Ask why this procedure is being considered after your implantation history, what alternatives are available, how it changes your treatment calendar, and what symptoms should prompt a same-day call. You can also ask how the clinic will judge whether proceeding with treatment remains appropriate.