Endometrial Scratching: Why We Do It & When

When you’re struggling to have a baby, research suggests purposely disrupting the lining of the uterus could improve your chances of achieving pregnancy in some cases. Endometrial scratching, or endometrial biopsy, is a common fertility procedure used toward this end by Southeastern Fertility. The procedure is very safe and may be followed by mild, short-term cramping or bleeding.

There are three main circumstances in which our medical team performs endometrial biopsies:

  1. To test for chronic endometritis. This is a condition in which inflammation in the lining of the uterus could be hindering a woman’s chances of becoming pregnant.
  2. Before embryo transfers, prior to the start of a cycle. Though research on this has come to varying conclusions, there is evidence suggesting a biopsy can better prepare the lining for embryo implantation. Southeastern Fertility Co-Director Dr. John Gordon compares this to pruning rose bushes, asserting that there may be something in the reparative process that enhances chances of a successful implantation and pregnancy.
  3. To test endometrial receptivity. Sometimes our medical team will advise endometrial biopsies for patients who we feel probably should be experiencing successful embryo transfers yet are not. In these cases, an endometrial scratch can help determine whether a woman’s lining may be more receptive to an embryo transfer on one particular day over another during a given cycle.

Dr. Gordon and IVF Coordinator Lynda McCollum unpack this topic in more detail, with their trademark brand of humor and fun thrown in, below in this edition of our Internet show “Talk Fertility.”

To schedule your free 15-minute telemedicine consult with Co-Director Dr. John Gordon, call 865-777-0088 or click here. To learn more about Southeastern Fertility, including our mission, values and team, click here. To learn more about IVF with Southeastern Fertility, click here.