Our expert says:
This is a very important problem that has plagued fertility treatment for quite some time. It is often and extremely difficult to diagnose endometrial uterine scarring [lining of the womb damage]. It is also understood that whilst such scarring may not be clinically obvious or obvious on ultrasound scanning it may be subtle and interfere with adequate growth of the lining as well as interfering with the blood flow in the deeper layers of the lining. This in turn will interfere with implantation or the ability of the embryo to correctly attach to the lining and develop adequately. Hence there is an increase risk of implantation failure or in some cases were implantation has occurred but cannot proceed normally. There is substantial amount of investigation and research underway in this area of infertility and hopefully we would have more answers and more diagnostic tools in the future.
Answered by: Dr M.I. Cassim
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