{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:35:44Z","timestamp":1773866144787,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,10,29]],"date-time":"2012-10-29T00:00:00Z","timestamp":1351468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to examine the effect of endometrial scratching in women with unexplained infertility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A randomized controlled trial was conducted in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ansoura <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>eaching <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital and a private practice setting. A total of 105 couples with unexplained infertility were randomly allocated into two groups: group A comprised 54 women who underwent endometrial scratching in the luteal phase of a spontaneous menstrual cycle; and group B included 51 women who underwent a placebo procedure. The main outcome measured was cumulative clinical pregnancy rate after 6 months and miscarriage rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical pregnancy rate was significantly higher in the women experiencing endometrial biopsy than in the control group (25.9% and 9.8%, respectively, <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u20090.04). There was no significant difference in miscarriage rate between pregnant women in the endometrial injury group and pregnant women in the control group (12.5% and 16.5%, respectively, <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u20090.79).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endometrial scratching may improve clinical pregnancy rates in couples with unexplained infertility. Adequately powered studies are mandated to confirm or refute the findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1447-0756.2012.02016.x","type":"journal-article","created":{"date-parts":[[2012,10,30]],"date-time":"2012-10-30T02:21:49Z","timestamp":1351563709000},"page":"680-684","source":"Crossref","is-referenced-by-count":57,"title":["Endometrial scratching to improve pregnancy rate in couples with unexplained subfertility: A randomized controlled trial"],"prefix":"10.1111","volume":"39","author":[{"given":"Ahmed","family":"Gibreel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Mansoura University  Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Badawy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mansoura University  Mansoura 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