Who should not undergo endometrial scratch?

• Women having pelvic infection or repeated UTI
• Previous cesarean section
• History of intestinal surgery or infection
• Stage 4 endometriosis
• Bilateral hydrosalpinx
• Pelvic tuberculosis
• Bleeding disorders
• Undergoing PGD
• Contraindication for IVF/ICSI
• Any diseases of endometrium like fibroids, septum, polyp

 

What are the modes of endometrial stimulation?

Endometrial scratching enhances uterine receptivity by multiple means:

1. Stimulation of the endometrium at the site of injury causes favourable changes in the local area.This in turn increases factors of implantation for a successful pregnancy.

2. Repair process following scratching and trauma invites cells of inflammation to the site. Various inflammatory  cytokines and growth factors exert a positive effect on implantation. In high concentrations these factors exert a positive outcome in the implantation window.

3. Hyperstimulation of ovaries during IVF treatment causes advanced endometrial maturation. Endometrial stimulation in this cycle may help synchronize embryo development and endometrial preparation.

 

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