Does Endometrial Scratching Improve Pregnancy Rates?

A new study, presented at the 2018 annual meeting of the European Society of Human Reproduction and Embryology, suggests that endometrial scratching may not be as efficacious in improving implantation rates as was once thought.

Endometrial scratching is a procedure that is often performed prior to in vitro fertilization (IVF) and embryo transfer in an attempt to improve pregnancy rates.  …

Curing Chronic Endometritis Improves IVF Chances

When someone has one or especially more unexpected failed IVF cycles with high quality embryos, one of the conditions I have searched for is chronic endometritis. The diagnosis can be made with an endometrial biopsy and then needs to be treated with a long course of specific antibiotics. In my experience curing chronic endometritis has been a factor in making …

When Should Endometrial Receptivity Testing be Done?

Endometrial receptivity testing is a way to narrow down a woman’s window of implantation prior to an embryo transfer, but is this test appropriate for every woman who has undergone an IVF cycle?  When the test was first developed, its primary indication was for women with recurrent implantation failure.  As we learn more about the test though, we’re finding that …

Why Do Some Normal Embryos Fail to Implant?

One of the hardest questions to answer for a fertility specialist is, “Why did a genetically normal embryo fail to implant?”.  With the increased use of preimplantation genetic screening on embryos, couples often have very high hopes of achieving a pregnancy when a genetically normal is obtained from an in vitro fertilization cycle. Unfortunately, not all genetically normal embryos will …