Scratching the Endometrium in In Vitro Fertilization - Time to Stop.

The article comments on a randomized clinical trial of endometrial scratching as an adjuvant technique in in vitro fertilization (IVF). Topics discussed include the purposeful disruption of the endometrium which leads to immunologic response, inflammation and repair, the association of live-birth rates with endometrial scratching, and a comparison of outcome in women who underwent endometrial scratching and those who did not.