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At Gago Center for Fertility, with offices in Lansing, Ann Arbor, and Brighton, Michigan, Laura April Gago, MD, offers the most advanced fertility testing options available, including ERA® testing. This specialized test allows Dr. Gago to optimize your pregnancy by identifying the right time for implantation to help you achieve a higher success rate for a live birth. Learn more about the benefits of ERA testing by calling the office nearest you or booking an appointment online today.
Endometrial receptivity analysis is a state-of-the-art diagnostic testing option that can prevent implantation failure for women going through in vitro fertilization treatments. The test helps establish the ideal day for an embryo transfer based on the state of your endometrium.
The endometrium is the tissue that lines your uterus. It’s this endometrial lining that the implanted embryo attaches to after implantation and supports the development of your baby throughout pregnancy. When you’re not pregnant, you shed your endometrial tissue during your monthly period.
ERA testing evaluates 248 genes that participate in endometrial receptivity, the time when the endometrium is most receptive to embryo implantation. The test may be beneficial if you’ve had a previous failure of an embryo implant or just want the confidence that you’re on the right timeline for your implantation procedure.
The lack of synchronization between the embryo ready to be implanted and endometrial receptivity is one of the causes of recurrent implantation failure. This is why it is imperative to assess the endometrium in order to determine the optimal day for embryo transfer.
Typically, the period of endometrial receptivity is between day 19 and 21 of your menstrual cycle. This period is also known as the window of implantation.
By using ERA testing, Dr. Gago determines the best time for you to undergo embryo implantation to achieve a successful pregnancy.
To test your endometrial receptivity, Dr. Gago performs an endometrial biopsy, removing a small sample of the endometrial tissue. She sends the sample to the Igenomix reproductive genetics medical laboratory for further gene analysis.
When Dr. Gago receives the results of your test, she can discuss your next steps for embryo implantation. Your test determines your endometrium is receptive at the time of the biopsy or if it’s nonreceptive.
In a receptive state, your endometrium is ready for implantation. In a nonreceptive state, your results indicate the window of implantation is displaced, or not ready to support embryo implantation.
If embryo implantation in the past has failed for you, call Gago Center for Fertility or make an appointment online to discuss the benefits of ERA testing before your next implantation procedure.