Endometrial Scratching

Mary

12 Posts
Reply Posted on: Sep 22, 2012 at 7:32pm
Have you seen any studies or have you personally seen that performing endometrial scratching in the cycle prior to the IVF cycle increases implantation rates?

Dr. Braverman

1998 Posts
RE: Endometrial Scratching Posted on: Sep 22, 2012 at 7:37pm
yes it is useful. by activating genes that will assist with implanatation , the scratch test has actually been shown to improve outcomes.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Michelle

1 Posts
RE: Endometrial Scratching Posted on: Jan 28, 2014 at 5:57am
Hi dr. Braverman! I was wondering if this procedure would still be appropriate if there alloimmune issues involved.

thank you!

michelle

Dr. Braverman

1998 Posts
RE: Endometrial Scratching Posted on: Jan 28, 2014 at 6:14am
I dont think it could ever hurt. The release of inflammatory cytokines from the scratch may still assist in implantation.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Happyrn

33 Posts
RE: Endometrial Scratching Posted on: Jan 15, 2015 at 8:37pm
Dear Dr B,
Can you please tell me what you think about this study?
http://www.ncbi.nlm.nih.gov/pubmed/20338560

If someone has increased cytokines and NK cells, can an emdometrial scratch cause the bad ones to increase? I am particularily worried about tumor necrosis factor-α (TNF-α),
Thanks!

Happyrn

33 Posts
RE: Endometrial Scratching Posted on: Jan 15, 2015 at 8:38pm
Dear Dr B,
Also if someone has had Ashermans can an endometrial scratch do more harm, ie increase the risk of scar tissue reforming? Thanks!

Dr. Braverman

1998 Posts
RE: Endometrial Scratching Posted on: Jan 16, 2015 at 6:03am
no harm, no benefit
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Dr. Braverman

1998 Posts
RE: Endometrial Scratching Posted on: Jan 16, 2015 at 6:04am
NO one has looked at this issue, but I would assume there is no benefit if the patient already has an inflammatory state. We have been successful treating the inflammation in these patients without ever having to use the scratch test.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.