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Dr. Zahra Saifi
تهرانSurgeon and gynecologist
Endometrial scraping
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Endometrial scraping is a method to increase the chance of pregnancy during frozen embryo transfer after ectopic fertilization or IVF. This method increases the chances of embryo implantation in the uterine wall during treatment. This method is suitable for those women who did not get pregnant after embryo transfer or the stage of embryo implantation was not done successfully. Of course, in some patients who have done IVF for the first time and have not achieved results, the endometrial scraping method is not recommended. This method causes the secretion of more growth factors, hormones and chemicals, as a result, the uterine wall accepts the fetus more easily and the chances of pregnancy increase. The best time to do this procedure is before starting IVF treatment. According to Dr. Zahra Seify, a gynecologist in Tehran, this treatment process should not be started at the same time as IVF treatment.

Measures before endometrial scraping method
- People who intend to do this procedure, should have unprotected sex for 4 weeks and not use contraceptive pills, to increase the chances of fertility.
- It is better for some patients to take painkillers half an hour before the start of the procedure, so that they have less pain and discomfort during the procedure.
- Before starting the procedure, there is no need to empty the bladder, unless the patient does not feel well.
- The patient should wear comfortable clothes so that access to the lower parts of the body is easier.
How to do this method
This procedure takes about 20 minutes and since it is not associated with pain, it often does not require anesthesia or anesthesia. This method is similar to embryo transfer or cervical pap smear test. First, the doctor prepares the opening of the vagina to access the inside of the uterus using a speculum, then the cervix is cleaned with a sterile gauze and a scratch will be made on the wall of the uterus.
After this procedure, it is completely normal to see a small amount of blood. One to two hours after the procedure, the person will be able to carry out his daily activities. There are no restrictions on a person's diet either.
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