Learn about Endometrial Receptivity Array Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Endometrial Receptivity Array and request assistance for cost estimates or appointments.

About Endometrial Receptivity Array

The Endometrial Receptivity Array (ERA) is a cutting-edge diagnostic test in IVF and Reproductive Medicine that analyzes the molecular signature of the uterine lining (endometrium) to determine the optimal window for embryo implantation. By taking a small endometrial biopsy, the test assesses the expression of hundreds of genes to identify if the endometrium is 'receptive' or 'non-receptive' on a specific day of the hormonal preparation cycle. This personalized approach helps pinpoint the precise timing for embryo transfer, a concept known as the 'window of implantation.' The ERA is particularly valuable for patients who have experienced recurrent implantation failure (RIF) with good-quality embryos, as it can reveal a displaced implantation window that standard protocols may miss, thereby increasing the chances of a successful pregnancy.

Key Highlights

    Personalized embryo transfer timing based on molecular analysis.Specifically designed to address recurrent implantation failure (RIF).Minimally invasive procedure with a quick recovery.Can identify a displaced 'window of implantation' that standard protocols miss.Helps optimize the chances of successful embryo implantation in a subsequent IVF cycle.

Who is this surgery for?

  • History of recurrent implantation failure (RIF) with morphologically good-quality embryos.
  • Unexplained infertility where other diagnostic tests are normal.
  • Planning for a frozen embryo transfer (FET) cycle.
  • Patients with a thin endometrium where optimal timing is critical.
  • Prior to using donor eggs or embryos to synchronize the recipient's endometrium.

How to prepare

  • A standard hormonal preparation cycle is followed, typically with estrogen and progesterone, to build the endometrial lining.
  • The procedure is scheduled on a specific day (often day P+5) of the progesterone phase, as determined by the fertility specialist.
  • No fasting or major dietary restrictions are typically required.
  • Patients may be advised to take a mild pain reliever (like ibuprofen) about an hour before the procedure to minimize cramping.
  • Informed consent discussing the procedure, purpose, and potential findings is obtained.

Risks & possible complications

  • Mild to moderate cramping during and immediately after the biopsy, similar to menstrual cramps.
  • Light spotting or vaginal bleeding for 1-2 days.
  • Rare risk of infection (endometritis).
  • Very rare risk of uterine perforation or significant bleeding.
  • Emotional distress if the results indicate a non-receptive endometrium.

Recovery & hospital stay

  • Most patients can resume normal activities, including work, the same or next day.
  • Over-the-counter pain medication can manage any residual cramping.
  • Avoid tampons, douching, and sexual intercourse for a few days or as advised by the doctor to prevent infection.
  • Results are typically available within 1-3 weeks and will guide the timing for the planned embryo transfer.
  • Follow-up with the fertility specialist is essential to discuss the results and plan the personalized transfer cycle.
  • checked Typical hospital stay: 0 days (Outpatient procedure)
  • checked Expected recovery time: 1-2 days

Frequently Asked Questions

If you are considering endometrial receptivity array in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for endometrial receptivity array compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 25 Thousand – 50 Thousand 0 days (Outpatient procedure) ~ 1-2 days Know More
Turkey TRY 87.5 Thousand – 175 Thousand 0 days (Outpatient procedure) ~ 1-2 days Know More
PATIENT REVIEW

Vivaan Joshi, 34, is a software...

Vivaan Joshi, 34, is a software engineer from Mumbai who moved to the US with his wife, Priya, five years ago. They have been trying to conceive for three years. Priya has undergone three rounds of IVF with high-quality embryos, all resulting in negative pregnancy tests or very early miscarriages. Their fertility specialist, Dr. Evans, noted that Priya's uterine lining looked perfect on ultrasound each time, but the embryos simply didn't implant. After the third failed transfer, feeling emotionally and financially drained, Dr. Evans recommended an Endometrial Receptivity Array (ERA) test. He explained it could determine if Priya's 'window of implantation', the precise time her uterus is ready to accept an embryo, was shifted, meaning they were transferring at the wrong time. The procedure itself was quick, similar to a standard endometrial biopsy Priya had experienced before, though uncomfortable. The two-week wait for results was agonizing. The results came back showing Priya had a 'pre-receptive' endometrium, meaning her window opened later than standard protocol assumed. For their next transfer, her progesterone exposure was adjusted by 24 hours. This fourth transfer was successful, and Priya is now 14 weeks pregnant. The emotional journey was one of profound frustration and grief turning into cautious hope. The ERA provided a concrete, biological answer where before there was only 'unexplained' failure, making them feel seen and giving them a renewed sense of control.

IVF and Reproductive Medicines for Endometrial Receptivity Array

Explore experienced ivf and reproductive medicines who regularly perform endometrial receptivity array and provide pre- and post-operative care in India.

Dr. T Geetha Anand
  • 29 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Nivedita Vishwanath Adapa
  • 16 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 1050
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Jyotsna Mirlay
  • 34 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Nirmala Mohan
  • 26 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Kiran Arora
  • 25 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. Sarabpreet Singh
  • 16 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. Parul Prakash
  • 20 Years Experience
  • IVF and Reproductive Medicine
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated