Endometrial scratch in Glasgow
Have you experienced multiple failed IVF / ICSI cycles, despite having good quality embryos transferred? At Nuffield Health Glasgow Hospital, our fertility experts can provide you with rapid access to an endometrial scratch (ES), which can increase your chances of conceiving. Read more…
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25 Beaconsfield Road, Glasgow, G12 0PJ
Why choose Nuffield Health Glasgow Hospital for your endometrial scratch treatment?
Several studies have shown that an endometrial scratch may increase the chance of pregnancy for patients who have this done prior to their IVF / ICSI treatment.
At Nuffield Health Glasgow Hospital, our leading fertility consultants have built an exceptional reputation for having one of the highest success rates in the UK and are able to create personalised treatment plans, which are unique to every couple and effective in identifying the most effective form of fertility treatment to undertake.
Nuffield Health Glasgow Hospital is renound for:
- One of the highest success rates in the UK
- Over 30 years of experience in fertility
- employing some of the most qualified staff in Scotland
- Flexible opening times and out of hours service
- Our facilities and comfortable surroundings including en-suite bedrooms, Sky TV, full menu options from our hospital chef
- Support services from a private hospital will help you feel relaxed and give you piece of mind
- On-going support is available from a full range of hospital services including baby scanning, counselling, nutritional support and pregnancy physiotherapy.
How to book a consultation with a fertility expert in Glasgow
Before you proceed with an endometrial scratch, you will need to book an initial consultation with one of our fertility experts at Nuffield Health Glasgow Hospital to discuss your concerns and available treatment options.
To book, please call our dedicated hospital enquiry team on 0141 530 155. Alternatively, please fill out a contact form above and a member of our team will get back to you at a more convenient time.
When should an endometrial scratch be done?
ES is performed in the cycle before you start any drugs as part of an IVF/ICSI treatment or a frozen embryo treatment and it is essential that you practice protected intercourse starting the first day of your period before the scratch is done. Preferably the procedure is done between day 17 and 22 of your menstrual cycle.
What happens during your endometrial scratch?
The ES is a short out-patient procedure. The consultant will perform an internal ultrasound scan; this is to assess the shape and position of your womb. The procedure involves introducing a speculum into the vagina - the same instrument as used during a smear test.
After wiping the cervix with saline, a small catheter (plastic tube) is inserted in your uterus (womb). The endometrial lining is then ‘scratched’ with the catheter. Once the catheter is inserted it usually takes less than a minute to complete the procedure. Occasionally it is not possible to introduce the catheter through the neck of the womb. If this happens, the procedure needs to be abandoned.
At the time of performing an ES, a small amount of endometrial tissue is usually removed within the Pipelle sampling device (the device used to perform the scratch). In women where we suspect an endometrial abnormality, this tissue can be submitted to the pathology laboratory for further analysis. However in the group of women where we recommend ES for fertility purposes, the likelihood of finding an endometrial abnormality is very low.
Hence, unless there are specific reasons, we would not plan to submit this tissue for further analysis. However if you wish to take further advice on this, please discuss this with your doctor. Unless you tell us, we will assume that you are in agreement with the above policy and we would therefore discard the small amount of tissue removed at the time of the scratch.
You may be given an antibiotic to prevent any infection. Be sure and tell us if you are allergic to any medication prior to your procedure.
Going home after your endometrial scratch
- It is not unusual to experience mild (period like) cramping and/or a small amount of vaginal spotting or bleeding after ES. Take over the counter pain relief if needed
- The procedure is performed in the cycle before your treatment. If your embryo transfer is cancelled or postponed, the procedure will need to be repeated in the cycle before your next planned treatment. Discuss this with your consultant.
How effective is an endometrial scratch?
- Several studies have reported a significant improvement in the pregnancy rate following ES
- The data is variable, but some studies claim ES may increase pregnancy rates by up to 50% compared to women who have not had a scratch procedure
- Larger studies are required before the safety and effectiveness of ES are proven beyond doubt, but early results are encouraging
- Currently it is not known whether ES has any adverse effects on pregnancy (i.e. increased risk of miscarriage or premature birth) or baby (i.e. increased risk of congenital abnormality), but this is thought to be unlikely.
Note: This treatment does not qualify for the Price Promise below.
Fiona and Karen were supported by Nuffield Health Glasgow Hospital to conceive their bouncy baby boy, Harris. Find out more about their story and contact us to see how we can support you in yours.