TITLE:
Endometrial Scratch-Suction and Implantation Failure
AUTHORS:
Wael S. Nossair, Manal M. El Behery, Mohamed Al S. Farag
KEYWORDS:
Endometrial Scratch-Suction; IVF/ICSI; Endometrial Polyps; Chemical Pregnancy; Clinical Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.5,
March
20,
2014
ABSTRACT: Objective: The aim of this trial was
to determine whether endometrial scratch-suction caused by insertion tube of
(IUCD) with suction improved the
probability of pregnancy in the subsequent IVF cycle in patients who had
previous failed IVF outcome by removing small polyps and any hazardous
materials. Design: Observational prospective cohort experimental study.
Setting: Zagazig University Hospital, Obstetrics and Gynecology department.
From period between September 2011 till September 2012. Population: 30 patients
with previous failed IVF despite transfer of goodquality embryos were allocated
to endometrial scratch-suction in the same the cycle of embryo transfer.
Methods: From day 5 to day 7 of
same ICSI cycle, the patients in
study underwent endometrial scratch-suction technique. After preparation of
insertion tube of (IUCD) and infant feeding tube 8 F, moving the insertion tube of IUCD from
below upwards with scratching anterior uterine wall, then posterior, then left lateral uterine wall, then right lateral uterine wall, then fundus, all these steps are associated
with suction by attaching proximal end of infant feeding tube 8 F to suction
apparatus. Main Outcome Measures:
Implantation and clinical pregnancy rates. Results: The implantation occurred in 24/30 (80%). The clinical
pregnancy occurred in 20/30 patients (66.66%). 12/30 patients (40%) during
scratch-suction technique had small fleshy masses obstructing suction tube
which were small endometrial polyps. Conclusions: Endometrial scratch-suction improves
clinical pregnancy and implantation rates in the same IVF-ET cycle in patients
with previous unsuccessful IVF cycles.