Endometrial Scratching

Thank you for this opportunity to contact you. I have a history of marginal placenta previa with a C-section, and now doctors are quite hesitant to advise another pregnancy due to increased risks. Do you believe that the endometrial scratching procedure could encourage the embryo to implant in the correct segment of the uterus rather than migrate to the lower segment? Have their been patients with endometrial scratching who have still experienced previa? Thank you.

Our Expert's Answer

This information was published 6 years, 10 months ago and was correct at the time of publication. It may not reflect our current practices or regulations.

Please note that all the answers we give are on a generic basis only, as we cannot provide more in-depth answers without access to your medical history. If you need a more detailed response, tailored to you, we would recommend a consultation with one of our Fertility Specialists for more comprehensive medical advice.

Although you suggestion is a tempting idea, it is rather speculative.  Placental complication rats are similar in IVF to natural conception.  There is no information that endometrial scratching could influence the implantation site. However, a history of marginal placenta previa is not a serious risk factor in further pregnancy.