Female Diagnostic Testing

In assisted reproduction, female diagnostic testing is essential. Infertility affects 15% of couples and 30% of cases are due to the female factor alone.

Another 30% of cases are due to a combination of both male and female factors, meaning both members of the couple have fertility issues. For this reason, the doctor may request tests such as:

 

  • Hormone analyses. Especially the anti müllerian hormone which provides information about a female’s follicles to determine whether her ovaries will respond poorly.
  • Hysterosalpingogram. More commonly known as an X ray of the fallopian tubes, this test provides information about the conditions of the uterine cavity and whether the fallopian tube(s) are blocked.
  • Diagnostic hysteroscopy. This test focuses on studying the female’s uterine cavity using a fiber optic camera.
Female Diagnostic Testing | URE Centro Gutenberg

Endometrial Receptivity Test

The lining covering the inside of the uterus is a tissue called the endometrium. This is where the embryo implants and grows during a pregnancy. For this reason, several studies indicate that the endometrium is a key factor in the success of assisted reproduction treatment.

Given its importance, the study of the endometrium is one of the fundamental female diagnostic tests. This is why we use advanced receptivity tests which provide a comprehensive view of a female’s endometrial health.

The endometrial receptivity test we carry out at URE Centro Gutenberg is based on the EndomeTRIO study: a complete analysis of endometrial health that includes the tests ERA, EMMA and ALICE.

ERA

In assisted reproduction treatment, the embryo may not successfully implant if it is not transferred at the ideal time as the endometrium is only receptive for a brief window of time. The ERA test establishes the female’s implantation window and the ideal moment for the embryo transfer.

EMMA

A healthy endometrium needs the right amount of healthy bacteria. If bacteria levels are low, the likelihood of pregnancy may be lower. The EMMA test measures the levels of endometrial flora and makes it possible to recommend the best treatment to balance it out, thus improving the chances of conceiving.

ALICE

Chronic endometritis is an important cause of infertility. This condition produces inflammation in the endometrium but without visible symptoms in most cases. The ALICE test detects the bacteria which cause chronic endometritis and then suggests the appropriate course of antibiotic and probiotic treatment.

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