ERA Test in Indore: Endometrial Receptivity Analysis
The ERA test checks gene activity in the uterine lining to time embryo transfer. Learn how it is done, who may consider it and what research says about benefit.
The endometrial receptivity analysis (ERA) is a test that studies the gene activity of a small sample of the uterine lining to estimate the best time for embryo transfer, sometimes called the window of implantation. At Asian Navkar Hospital, Indore, we discuss ERA with couples who have had repeated implantation failure, and we explain clearly what current evidence says before recommending it.
How the ERA Test Is Done
- Your uterine lining is prepared with hormones exactly as for a frozen embryo transfer.
- On a set day of progesterone exposure, a thin catheter takes a small biopsy from the lining. It takes a few minutes and causes cramps similar to a period.
- The sample is sent to a specialised genetics laboratory.
- The report says whether the lining was receptive, pre-receptive or post-receptive, and may suggest adjusting progesterone timing for the next transfer.
Who Might Consider ERA?
ERA may be discussed for women with repeated implantation failure, meaning several good-quality embryos have not implanted, after other causes such as uterine cavity problems, thin lining or embryo chromosomal issues have been looked into.
What Does the Evidence Say?
Large studies have not shown that ERA improves live birth rates for most IVF patients, and the UK fertility regulator HFEA rates endometrial receptivity testing as not supported by good evidence for routine use. Because of this, we do not offer ERA routinely. If you are considering it, your doctor will explain the potential benefit, cost and uncertainty for your situation.
Why Families Choose Asian Navkar Hospital, Indore
- Fertility, embryology, high-risk obstetrics and a Level 3 NICU in one hospital, so care continues after a positive pregnancy test.
- Senior IVF team with 30+ years of clinical experience, including clinical embryologists.
- Counselling for both partners, transparent written estimates and cashless TPA/insurance desk support where policies allow.
Related Services
- Embryo Freezing in Indore and Frozen Embryo Transfer
- IVF Clinic in Indore
- PGT-A Test in Indore
- Fertility Centre in Indore
Medical References
This page is for general information and does not replace a consultation. Treatment decisions are made only after an in-person evaluation by a qualified doctor at Asian Navkar Hospital, Indore.
Is this for you?
How We Treat Endometrial Receptivity Analysis (ERA)
Frequently Asked Questions
Most women feel brief cramping. No anaesthesia is needed.
For most patients, current research does not show an improvement in live birth rates. It may be considered in selected cases after discussion.
Reports usually take about two to three weeks, depending on the laboratory.
No. It is not recommended before a first transfer.
Uterine cavity (hysteroscopy), thyroid, embryo quality, sperm factors and sometimes genetic testing of embryos.
Dr. Vedant Jain is an IVF Consultant, Gynecologist, and Certified Embryologist at Asian Navkar Hospital, Indore. Holding post-graduate degrees including an MS and DNB in Obstetrics and Gynecology, he practises reproductive medicine at Asian Navkar Hospital. Dr. Jain specializes in advanced Assisted Reproductive Technologies (ART), complex infertility assessments, low AMH (ovarian reserve) optimization, and fertility preservation. By combining clinical gynecology with laboratory embryology, he works with couples who have had unsuccessful IVF cycles to plan further evaluation and treatment.
Ready for a Endometrial Receptivity Analysis (ERA) consultation?
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