When should an endometrial scratch be performed in relation to the IVF treatment cycle for a woman with recurrent implantation failure?
Understand the Problem
The question describes a scenario where a woman undergoing IVF treatment experiences recurrent implantation failure and chooses to have an endometrial scratch procedure. It is asking about the optimal timing of this procedure in relation to her IVF treatment cycle. The aim is to determine when the endometrial scratch should be performed to potentially improve the chances of successful implantation.
Answer
The month prior to controlled ovarian hyperstimulation (COH).
For women with recurrent implantation failure undergoing IVF, an endometrial scratch should be performed in the month prior to controlled ovarian hyperstimulation (COH).
Answer for screen readers
For women with recurrent implantation failure undergoing IVF, an endometrial scratch should be performed in the month prior to controlled ovarian hyperstimulation (COH).
More Information
Endometrial scratching is a procedure offered to women who have experienced multiple failed IVF cycles despite transferring good-quality embryos. It is believed to improve the chances of embryo implantation in subsequent IVF cycles.
Tips
The timing of the endometrial scratch is crucial. It's generally performed in the cycle preceding the IVF cycle to allow the endometrium to heal and become more receptive to embryo implantation.
Sources
- Endometrial “Scratching” An update and overview of current research - pmc.ncbi.nlm.nih.gov
- Endometrial scratching - HFEA - hfea.gov.uk
- A Randomized Trial of Endometrial Scratching before In Vitro ... - nejm.org
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