Endometrial scratch
Deliberately scratching the womb lining before a cycle, in the hope it aids implantation.
The verdict
Evidence doesn't support routine use.
| Body | Position |
|---|---|
| HFEA |
|
| ESHRE | Not recommended Not recommended — no increase in pregnancy or live birth. Source |
| NICE | Do not offer (2026) NG257 1.40.1: do not offer endometrial scratch as a pre-treatment to improve IVF outcome. Source |
| ISAR | No position Not addressed in the 2021 ISAR add-ons consensus. |
Cochrane evidence base
2021 review: inconclusive; does not support routine universal use (some newer meta-analyses hint at benefit — evidence remains mixed).
In India
Relatively low cost, ~₹3,000–10,000; often bundled.
Sources
Take this further
Last reviewed .