Cognitive dissonance in infertility treatment: Why is it so difficult to discard disproven therapies, like the endometrial scratch?

Editorial
Cognitive dissonance in infertility treatment: Why is it so difficult to discard disproven therapies, like the endometrial scratch?
Like

VOLUME 3, ISSUE 2, P85, JUNE 01, 2022

Authors:

Richard J. Paulson, M.D., M.S.

Abstract:

At a recent fertility meeting, at yet another lecture on “Recurrent Implantation Failure,” I heard the presenter suggest that perhaps the endometrial scratch procedure has some benefit for patients who have failed multiple embryo transfer attempts. I was surprised that in 2022, someone would think that this thoroughly disproven therapy should still be considered as “potentially useful.” However, I continue to see patients who have been advised to have this treatment, suggesting that this is not an isolated sentiment.

Read the full text here. 

Please sign in or register for FREE

Your Fertility and Sterility Dialog login information is not the same as your ASRM or EES credentials. Users must create a separate account to comment or interact on the Dialog.

Go to the profile of Pandiyan  Natarajan
about 2 months ago

Let us Scratch the head and NOT the Endometrium.

Endometrial Scratching was introduced without any pathophysiological basis for the same. Some of us are still holding onto to the procedure though many such procedures have been given up. This is probably not due to Cognitive Dissonance, but possibly due to Selective Amnesia, 

Add ons seem to add on only to the cost & complexity of ART without any significant benefit. ( 1,2.)

1. Add ons in Assisted Reproduction- What do they add on?

https://www.bmj.com/content/364/bmj.l226/rr

2. Adjuvants in Assisted Reproduction Technology.

https://www.sciresliterature.org/Gynecology/IJRMG-ID45.pdf

Professor Emeritus. The Tamil Nadu Dr MGR Medical University.

Chief Consultant in Andrology and Reproductive Sciences,

Apollo 24/7, NOVA IVF FERTILITY,

 Chettinad Super Speciality Hospital. ( Retired )