Help! Thoughts on endometrial scratch

[Chels9204]

Hi all, really needing some advice and thoughts. I have had 2 fresh cycles of ivf, both resulted in positive pregnancy tests. First cycled ended in chemical pregnancy at 4 weeks. Second cycle, another miscarriage at 5.4weeks. I'm about to go for my 3rd and last frozen cycle next month. My consultant has given me the option of the endometrial scratch. On research I found this to be used more for issues with implantation, however, I don't seem to have a problem with implantation, it seems to be the embryo actually sticking after it's implanted. My partner doesn't think the scratch is beneficial at all after all his research, I think I'm swaying against it! But still undecided. Any advice or experiences from anyone here? Xx

My thought is the same as yours, that it's worth a shot for those that never implant, but it doesn't seem like that's your issue.

I would be trying to focus on things like, is the progesterone level adequate and should you add in aspirin/heparin if you weren't in the past, not much evidence for the latter but my friends clinic give it to everyone.

Hi There, I just saw your post and wanted to reply. I have done 3 rounds of IVF with no success. I had a hystercopy and d&c to remove a polyp in February 2019 and did 4th round in March which was successful. The d&c scraped out uterus so in many ways is similar to scratch in that it is wounding the uterus and causing healing/new cells to be created. My cousin did the scratch after 4 failed cycles. The 5th one worked and she attributes it to the scratch. I certainly believe the hystercopy worked for me. I did a cycle in June for second baby and it was a chemical unfortunately. I decided to have a hystercopy for this upcoming cycle and I truly believe a fresh lining will help my chances of a good implantation. A chemical is an embryo that didn’t fully implant. This could be because of either chromosomal issues or implantation issue. I chose to cover my bases as it has worked for me before. It’s also fully covered on health insurance, just a minor day procedure.

I've been wondering about this too. I asked on my follow up after a failed cycle but the consultant said there is no medical evidence it works. I've had a friend who had it after 2 failed cycles & unfortunately it didn't work again for her. I'm s wondering tho what if! It's so hard to know what's the best thing.

Thank you for your feedback everyone! Such a hard decision to make. I was completely decided on having it, but then I thought about the fact both cycles I have had, boh embryos implanted but unfortunately failed after. What if I have the scratch and then the embryo doesn't implant at all! I think il blame myself by interfering and going for the scratch. Iv been lucky enough to have the embryos implant so far (although they sadly failed) I just worry if I do the procedure and get no implantation at all. The decisions are so hard to make! X

I don't think there's any evidence at all that it prevents implantation. My clinic has stopped doing them because there's no evidence they help. I've had 1 FET which was successful and I had the scratch beforehand. I can never know if it helped, but it certainly didn't prevent success. (Though after my successful FET, I'm disappointed my clinic have stopped offering it as I'd like to replicate exactly for another FET.)

Are there other things you can change to try and get your embryos to stick?

My successful cycle followed a scratch. But your issue sounds immune, hormone, or embryo quality issue? Or perhaps just very bad luck. Have they discussed additional tests/monitoring for recurrent miscarriage?

I think it’s a load of nonsense personally. My fiancé (degrees in biochemistry and nursing) did some research and he came to the same conclusion.