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Endometrial Receptivity Assay Tips

ERA (Endometrial Receptivity Assay)

Dr. Richika Sahay Shukla 92% (827 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
ERA (Endometrial Receptivity Assay)

ERA (Endometrial receptivity assay)

If you have had implantation failure, we can help you

It is a state-of-the-art diagnostic method, to evaluate ,from a molecular point of view, the status of the endometrial receptivity.

ERA indicates the window of implantation (WOI), increasing your chances of successful transferThe endometrial receptivity is the status in which the endometrium is ready for embryo implantation to take place. This occurs around days 19-21 in each menstrual cycle of a fertile woman. Until now, the only study done on the endometrium was an ultrasound scan, and there was not analysis method available to help doctors in their clinical practice.

Now, during the process to treat an infertile couple, the ERA test (Endometrial Receptivity Array) leads to the evaluation, at molecular level, of the endometrial factor. This molecular tool allows us to diagnose whether the endometrium is receptive or not by analysing the expression of a group of genes related to endometrial receptivity. For that, an endometrial biopsy must be performed at P+5 (hormone replacement therapy cycle) or at LH+7 (natural cycle), and after its shipment to our installation, the expression of 238 genes is analyzed. According with these expression values, the endometrium is classified as receptive or non receptive by a computational predictor.

All About Endometrial Cancer

Dr. Mohan Krishna Raut 90% (83 ratings)
MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
All About Endometrial Cancer

Cancer that originates in the uterus is termed as Endometrial Cancers. The cancer is known to originate in the endometrium i.e. lining as well as the cells of the uterus. Abnormal vaginal bleeding causes the cancer to be detected early and a consultation with the doctor should be done immediately. When other cancers originating from the uterus are considered, endometrial cancer is found to be the most common.

Causes: The exact cause for endometrial cancer is not known clearly. The cells in the endometrium tend to become abnormal due to the occurrence of a genetic mutation, which causes rapid multiplication of cells that ultimately lead to the formation of a tumour like mass. They begin to spread to other parts and proceed to affect the tissues in the surrounding areas.

Symptoms:
The typical symptoms of endometrial cancer include:

  1. 1. Irregular bleeding in between periods
  2. 2. A watery discharge from the vagina
  3. 3. Bleeding from the vagina postmenopausal
  4. 4. Pain in the pelvic floor muscles

Risk factors that might increase the chances of being affected by endometrial cancer include:

  1. 1. Aging increases the chances of this disease, especially post menopause.
  2. 2. Obesity can cause hormonal imbalance.
  3. 3. Certain drugs used in hormone therapy
  4. 4. Early onset of menstruation, especially before 12 years of age

Treatment for Endometrial Cancer Includes:

  1. Radiation therapy: This treatment procedure involves using radiations, such as X-rays to target and destroy the cancer cells. The two forms of radiation therapy are external radiation therapy (external machine is used to direct radiation on the cancer cells) and internal radiation therapy (radioactive substance enclosed within small and consumable items is placed near to or directly at the spot of cancer).
  2. Hormone therapy: Medications are administered to eliminate imbalances in hormone levels and prohibit the growth of cancer cells in the body. This remedy is preferred if the cancer progresses to an advanced stage.
  3. Chemotherapy: This form of treatment uses oral administration or injection of chemicals into the veins so that the growth of cancerous cells is curbed, either by elimination of the cells or by prohibiting cell division.
  4. Surgery: In this surgery, the areas affected by cancer are surgically removed; i.e. the uterus in this case. The surgical procedures that might be used include total hysterectomy (total removal of uterus), radical hysterectomy (removal of the cervix, uterus and part of the vagina) and Bilateral salpingo-oophorectomy (removal of both the ovaries and the fallopian tubes). In case you have a concern or query you can always consult an expert & get answers to your questions!
6345 people found this helpful

Endometrial Polyps - How Can They Be Treated?

Dr. Pragnesh Shah 87% (121 ratings)
MD, MBBS
Gynaecologist, Ahmedabad
Endometrial Polyps - How Can They Be Treated?

Indications:

  1. Primary Infertility
  2. Secondary Infertility
  3. Investigating & treating a case of B.O.H.
  4. Investigating & treating Abnormal bleeding P/V
  5. Investigating & treating case of mass inside the uterine cavity

Diagnosis:

Confirmed by TVUSG as typical shadow towards endometrial linings. SOL/polyp can also be better visualized by Sono-salpingography by introducing 10-50 cc of normal saline with pediatric Foley’s catheter inside uterine cavity during TVUSG to delineate endometrial polyp better.

Objective:

Hysteroscopy is the commonest type of work up in the entire Infertility & BOH patient along with Diagnostic Laparoscopy. Only diagnostic hysteroscopy is the commonest work up recommended before IVF. We record Hysteroscopy diagnostic & operative procedure for future important record in Infertility patient, for second opinion & for deciding future treatment protocol. 

Benefits of Hysteroscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically no scar on abdomen.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following hysteroscopy
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. Patient discharged within 2-4 hours after procedure.
  8. Patient can resume to her normal routine work within 12-24 hours after the procedure.

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.Etc.); Pelvic Trance vaginal USG report.
  2. Specific Investigations for Infertility (Endocrine, Blood, Genetic, Husband’s Semen report etc. If The couple is infertile) and repeated pregnancy loss (BOH)
  3. Operation planned from 4th to 10th day of Menstrual Cycle.
  4. Preparation of local parts.

No. Of Cuts on Abdomen: Nil 

Average Stay in Hospital:
2 to 4 hours. (DAY CARE SURGERY)

Average Duration of Surgery:

  1. 2 to 10 minutes
  2. Average Blood loss during Surgery:
  3. Negligible

Average time after operation to resume normal activities/work:
Within 12-24 hours.

Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery)

Procedure:

Patient is given general anesthesia. Patient is put on lithotomy position. Local parts cleaning & paintings with antiseptic solution & draping are done. After P/V examination cervix is checked with uterine sound.

Hysteroscopy requires distention of the uterine cavity with Normal saline to create working space inside the uterine cavity and flushes both fallopian tubes with high pressure fluid also helps in achieving very good fertility enhancing results following Hysteroscopy in infertility patients.

First Diagnostic hysteroscopy is done after removing the air from sheath & hysteroscope (varsascope/1.9 mm/ 2.9 mm) assembled. Hysteroscopy along with irrigation of Normal saline is introduced inside the cavity. Systemically both corneal openings, cavity, both lateral walls and anterior & posterior wall of the uterine wall is noticed for any lesions or normalcy.

For endometrial polyp, hysteroscopic sheath is introduced & cervix is dilated up to 7mm / 10 mm for introduction of Operating hysteroscopic sheath or resectoscope for operative hysteroscopy. Endometrial polyp is cut with 6F scissor from the respective wall of the uterine cavity & sends for HPE. Both cornual ends & hemostasis checked.   
           
Post-operative Course:

Patient remains drowsy/sedated for 1-2 hours after hysteroscopy but conscious & pain free. Patient can take fluids 1-2 hours after hysteroscopy & light food after 2-4 hours. She may feel little discomfort after hysteroscopy for 6-8 hours but it can be relieved with pain killer tabs. Most of the patients can walk normally without support and can take normal diet 6-8 hours after the hysteroscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after hysteroscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 12-24 hours after hysteroscopy. Patient is advised to take antibiotics & analgesic tabs for 5 days following hysteroscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the next period or on the day for IVF protocol & preparation for IVF. In case you have a concern or query you can always consult an expert & get answers to your questions!

3742 people found this helpful

How Endometrial Scratching and IVF Can Help You Get Pregnant?

Dr. Sameer Pahlajani 90% (11 ratings)
MBBS
IVF Specialist, Raipur
How Endometrial Scratching and IVF Can Help You Get Pregnant?

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3033 people found this helpful

Endometrial Scratching - An Insight To It!

IVF Specialist, Hyderabad
Endometrial Scratching - An Insight To It!

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.

3744 people found this helpful

Treatment of Endometrial cancer!

Dr. Radhika A (Md) 84% (10 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi

Treatment of Endometrial cancer

Homeopathic Treatment of Endometrial cancer
Acupuncture & Acupressure Treatment of Endometrial cancer
Psychotherapy Treatment of Endometrial cancer
Conventional / Allopathic Treatment of Endometrial cancer
Surgical Treatment of Endometrial cancer
Dietary & Herbal Treatment of Endometrial cancer
Other Treatment of Endometrial cancer
What is Endometrial cancer
Symptoms of Endometrial cancer
Causes of Endometrial cancer
Risk factors of Endometrial cancer
Complications of Endometrial cancer
Lab Investigations and Diagnosis of Endometrial cancer
Precautions & Prevention of Endometrial cancer
Treatment of Endometrial cancer 

Homeopathic Treatment of Endometrial Cancer

Treatment can be preventive and supportive. It relieves complaints, heals affected tissue and improves overall health. Homeopathy treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for endometrial cancer are:

Hydras
Conium
Ars I
Kreos
Lil T
Murex

Conventional / Allopathic Treatment of Endometrial cancer

Allopathic Treatment of Endometrial cancer involves the following therapies:

Radiation therapy – it uses powerful energy beams, such as X-rays, to kill cancer cells
Hormone therapy – it involves taking medications that affect hormone levels in the body.
Chemotherapy – it uses chemicals to kill cancer cells. You may receive chemotherapy drugs by pill (orally) or through your veins.

Surgical Treatment of Endometrial cancer

Surgery to remove the uterus as well as to remove the fallopian tubes and ovaries is recommended for most women with endometrial cancer.

Dietary & Herbal Treatment of Endometrial cancer

Eat diet rich in fruits and vegetables
Avoid baked goods and fried and greasy foods
Avoid diet high in animal fats
Eat cold-water fish that contain omega-3 fatty acids

What is Endometrial cancer?

Endometrial cancer is a type of cancer that begins in the uterus. It begins in the layer of cells that form the lining (endometrium) of the uterus.

Symptoms of Endometrial cancer

Vaginal bleeding after menopause
Prolonged periods or bleeding between periods
Pelvic pain
Pain during intercourse
Pain or difficulty when emptying the bladder
An abnormal, watery or blood-tinged discharge from your vagina

Causes of Endometrial cancer

The exact cause of endometrial cancer is not known. Something occurs to create a genetic mutation within cells in the endometrium. The genetic mutation turns normal, healthy cells into abnormal cells. The accumulating abnormal cells form a mass (tumor).

Risk factors of Endometrial cancer

As you get older
Changes in the balance of female hormones in the body
More years of menstruation
Never having been pregnant
Hormone therapy for breast cancer
An inherited colon cancer syndrome
Complications of Endometrial cancer

Endometrial cancer can spreads most often to the lungs 

Diagnosis of Endometrial cancer

Diagnosis of Endometrial cancer involves the following tests:

Pelvic exam
Using sound waves to create a picture of your uterus
Using a scope to examine your endometrium
Removing a sample of tissue for testing
Performing surgery to remove tissue for testing

 Precautions & Prevention of Endometrial cancer

Consider taking birth control pills
Maintain a healthy weight
Talk to your doctor about the risks of hormone therapy after menopause
Exercise most days of the week

Endometrial Ablation - Procedure And Recovery

Dr. Sumati Saxena 90% (19 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Allahabad
Endometrial Ablation - Procedure And Recovery

The menstrual period is a tough time for every woman. But some suffer from heavy bleeding, bleeding between the menstrual cycles or a prolonged period of bleeding due to hormonal changes or other conditions such as fibroids and polyps. In such cases, Endometrial Ablation would be recommended.

It is a medical process that helps to remove the thin layers that line the uterus. Endometrial ablation is not performed surgically. This ensures that woman stays clear of any cuts or incisions on their body when they undergo the process.

What is the endometrial ablation process like?
The Endometrial Ablation process involves the use of thin tools to penetrate the uterus through the vagina. One common tool is the hydrothermal process, wherein fluids are gently pumped into the uterus after which the fluids are heated. Within a span of ten minutes, the heated fluid destroys the lining of the uterus. The balloon therapy is another Endometrial Ablation tool used these days. A thin tube that features a special balloon at its end is inserted into the uterus. Heated fluid will then fill up the balloon, which in turn expands and destroys the entire lining of the uterus.

Sometimes special wands are used that apply microwave energy into the uterus to destroy the tissue lining. At times, a freezing method is also used. It is known as cryoablation by which a cold tip freezes the tissue lining of the uterus very quickly.

Are there any risks involved with a procedure like endometrial ablation?

Endometrial Ablation is quite a safe medical procedure to undergo. However, there does remain a minuscule chance of contracting an infection or suffering from heavy bleeding while undergoing this procedure. The tools used by doctors for ablation may damage or burn organs in the uterus, but the chances of such an incident remain rare.

 

How do you recover after endometrial ablation?
Women that undergo this medical process do not take a long time to heal. They are advised to return to their normal routine within just one week. They may suffer from bleeding and cramps for a few days. Following the process, they may experience a bloody or watery discharge for up to three weeks. Other sensations may include a desire to urinate now and then. These happen within the first twenty-four hours of undergoing the procedure. Complaints of nausea are also common. Further to this procedure, women can ingest pain medication to speed the recovery process. They are advised against lifting heavy objects. Doctors and health professionals may prohibit women from engaging in sexual activities, using tampons, douches, etc.

Endometrial Ablation remains a relatively risk-free procedure that can be undertaken to deal with menstrual cramps and recurrent instances of vaginal bleeding and avail the much-needed relief. In case you have a concern or query you can always consult an expert & get answers to your questions!

2484 people found this helpful

Can Endometrial Scratching Boost IVF Success Rates?

Indira Ivf 86% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Can Endometrial Scratching Boost IVF Success Rates?

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5180 people found this helpful

Endometrial Scratching Along With IVF - Can It Help In Getting Pregnant?

Garbhagudi Ivf Centre 92% (83 ratings)
Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
Endometrial Scratching Along With IVF - Can It Help In Getting Pregnant?

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

3293 people found this helpful

Endometrial Scratching And IVF - Does It Really Work?

Dr. Ruchi Malhotra 90% (481 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Endometrial Scratching And IVF - Does It Really Work?

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

3310 people found this helpful
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