About Endometrial Receptivity Array
Key Highlights
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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.
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Typical hospital stay: 0 days (Outpatient procedure)
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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.
Top-rated hospitals in India with ivf and reproductive medicine departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endometrial receptivity array. MediFyr helps you compare ivf and reproductive medicines and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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.
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
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