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Too many fertility professionals still use painful, useless procedures: research

Dennis Thompson Health Day Reporter

Wednesday, December 15, 2021 (HealthDay News)

Couple struggling to get pregnant with a child through In vitro fertilization ((((IVFA often painful procedure known as “scratching the uterus” may be offered as a desperate last hope. During pregnancy..

As much as one-third of IVF Clinics offer medical care in Australia, New Zealand and the United Kingdom, with new research reports. Numbers are not available, but it is very likely that some US clinics also offer this procedure.

However, if this option is offered, in most cases Fertility Experts say you should think twice.

This procedure, formally called endometrial scratching, is largely unreliable due to some large-scale, high-quality results. Clinical trialsSaid Sarah Lensen, a senior researcher at the University of Melbourne, Australia, who is an obstetrician and gynecologist.

More than half of Fertility According to the experts surveyed, endometrial scratches are provided only to calm the patient or give the patient fresh hope, published online in the journal on December 14th. According to the survey results Human childbirth..

Less than 1 in 10 people surveyed believed that this procedure actually increased the likelihood of a couple. concept Or birth, results showed.

“Many doctors in the 2021 study said that one of the benefits of this procedure was psychological,” Lensen said. “For example, it reduces pain for women who really want to use it, or it provides hope for women starting a new IVF cycle.”

About 10% of couples cannot easily get pregnant with their children, Assisted reproductive technology Researchers say in background notes that they are seeking help in ways like in vitro fertilization.

In vitro fertilization collects sperm and eggs, Fertilization Occurs in the lab. The viable embryo is then transferred directly to the female uterus.

Endometrium scratches are another name for performing a biopsy. Endometrium, It is the inner layer of the female uterus, Rensen said.Tissues are collected by “scratching” Endometrium Use lab tools.

“A group of Israeli researchers were taking these endometrial biopsies from females for testing purposes, but it was observed to decline at a higher rate than expected. During pregnancy In the in vitro fertilization cycle, “Rensen said. Endometrium This is beneficial and get pregnant.. “

This concept was accepted by childbirth professionals and many began offering procedures as “add-ons” during the couple’s IVF cycle. According to Rensen, a study conducted five years ago found that four out of five doctors provided it.

However, recent clinical studies have shown that endometrial scratches have no benefit, and many doctors have begun to reconsider this procedure.

A new survey of 121 birth specialists in Australia, New Zealand and the United Kingdom found that 34% still provide endometrial scratches.

Only 8% of the doctors surveyed concept..

Approximately 55% say that endometrial scratches can relieve the anxiety of desperate couples who have failed several rounds of IVF, and 33% say that this procedure continues treatment after a failed cycle. Said to give hope and motivation to.

On the other hand, nearly 90% pain Discomfort associated with the procedure, and 80% of the additional cost to the patient.

According to the figures provided in the survey, the cost of the procedure averages about $ 100 in Australia and $ 300 in the United Kingdom.

Endometrium scratches According to representatives of both medical societies, it has not been recommended by the American College of Obstetrics and Gynecology and has not been reviewed by the American Society for Reproductive Medicine.

Dr. Eric Frisser, an assistant in obstetrics and gynecology and reproductive science at Mount Sinai School of Medicine, said: Sinai in New York City.



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Men and females may have equal infertility problems.
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Sometimes the reproductive doctor will shrug with the following exercises acupuncture Frisser said it has not been shown to harm patients, even if it is doubtful that the habit will improve childbirth.

“When there is evidence that something invasive and painful is useless, it becomes more of a question as to whether it should be practiced,” Frisser said, referring to endometrial scratches. rice field.

The procedure itself doesn’t make sense in that respect, Frisser added. Endometrium Regenerates every month after women’s menstruation.

“It’s washed away every month and then back. How does a scratch and damage in one cycle improve in the next? That’s not always logical to me,” Frisser said. Mr. says.

For more information

Mayo Clinic In vitro fertilization..

Source: Sarah Lensen, PhD, Obstetrics and Gynecology Researcher, University of Melbourne, Australia. Dr. Eric Frisser, Assistant Clinical Professor of Obstetrics, Gynecology and Reproductive Sciences, Mount Sinai School of Medicine, New York City. Human childbirth, December 14, 2021, online

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Too many fertility professionals still use painful, useless procedures: research

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