IVF Failure Solutions

ERA Test (Endometrial Receptivity Analysis)

Even a perfect embryo needs the right moment to implant. The ERA test finds your personal window of implantation, so the transfer is timed precisely for you.

Dr. Falguni BavishiDr. Falguni Bavishi, MBBS, MD (Obstetrics & Gynaecology)Co-founder & Senior Fertility Specialist Ahmedabad | Bavishi Fertility Institute
Personalised Timing For Recurrent Failure Since 1998 Genomic Test
ERA test (endometrial receptivity analysis) at Bavishi Fertility Institute
What is ERA Test

What is the ERA Test?

The Endometrial Receptivity Analysis (ERA) is a genomic test that determines the best time to transfer an embryo. The uterine lining is only receptive to an embryo during a short window of implantation, and in some women this window is shifted earlier or later than the standard transfer day.

By analysing the activity of receptivity-related genes in a small endometrial biopsy taken during a mock cycle, the ERA identifies each woman's personalised window of implantation. The embryo transfer is then timed to that window — particularly useful after good embryos have repeatedly failed to implant.

Dr. Falguni Bavishi
Medically Reviewed
Dr. Falguni Bavishi, MBBS, MD (Obstetrics & Gynaecology)

Co-founder & Senior Fertility Specialist · Infertility, IVF & Genetics

Ahmedabad | Bavishi Fertility Institute

Last medically reviewed on . This page is educational and is not a substitute for personalised medical advice.

Indications

Who may benefit

The ERA is selective — most useful in implantation failure.

Repeated implantation failure despite good-quality embryos.
Failed transfers of euploid (PGT-tested) embryos.
Unexplained failure of well-planned frozen transfers.
Couples wanting to optimise timing before a precious transfer.
Selected cases identified during an IVF-failure evaluation.
Advantages

The advantages of the ERA test

Personalised transfer timing for selected couples.

Identifies a displaced window of implantation.
Personalises the day of embryo transfer.
Can help when good embryos repeatedly fail to implant.
Avoids transferring into a non-receptive lining.
Adds precision to a frozen-embryo-transfer plan.
Step by Step

How the ERA works

A mock cycle and biopsy that guide the real transfer.

01

Assessment

We confirm the ERA is appropriate, usually after repeated implantation failure.

02

Mock Cycle

The lining is prepared exactly as it would be for an embryo transfer.

03

Endometrial Biopsy

A small lining sample is taken at the planned transfer timing.

04

Gene Analysis

Receptivity-gene activity is analysed to find your window of implantation.

05

Timed Transfer

The frozen-embryo transfer is timed precisely to your personal window.

The ERA needs a dedicated mock cycle, so it is planned before the transfer cycle, not during it.
Success & Safety

Real chances, honestly explained

Every fertility journey is unique. ERA Test success rates depend on several medical and lifestyle factors.

Factors affecting success

  • Whether implantation failure is truly due to timing
  • Accurate replication of the tested protocol at transfer
  • Embryo quality (timing helps only good embryos)
  • Uterine health overall
  • Correct interpretation and application of the result
At Bavishi Fertility Institute, we focus on personalised treatment plans rather than one-size-fits-all success claims.

The ERA helps the subset of couples whose failures are due to a displaced window. It is not needed by everyone, and it cannot overcome other causes of failure.

Cost & Assurance

Transparent, with no hidden costs

Know exactly what your ERA Test treatment cost includes before you begin.

  • Specialist consultation and evaluation
  • Required diagnostic tests and monitoring
  • The recommended treatment or procedure
  • Medications as per your protocol
  • Follow-up review and guidance
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Risks & Considerations

Risks & considerations

Not for everyone

Most couples have a normal window and do not need an ERA.

How We Help: We recommend it selectively, mainly in genuine recurrent implantation failure.

An extra cycle & cost

The ERA requires a separate mock cycle before transfer.

How We Help: We only advise it when the likely benefit justifies the time and cost.

Minor biopsy discomfort

The biopsy can cause brief cramping or spotting.

How We Help: It is quick and done in the clinic with simple aftercare.
Our Specialists

Our ERA Test Specialists

Meet the Bavishi Fertility Institute specialists who treat patients with ERA Test.

FAQ

ERA Test — your questions answered

It analyses receptivity genes in the uterine lining to find your personalised window of implantation, so an embryo can be transferred at exactly the right time.

Mainly women with repeated implantation failure despite good-quality embryos, including failed transfers of genetically-tested embryos.

No. It uses a separate mock cycle that mimics the transfer, so the lining can be biopsied without using an embryo. The real transfer follows later.

No. It helps when failure is caused by a displaced window of implantation, but it cannot fix other causes such as embryo or uterine problems.

It usually causes only brief cramping, similar to a smear test, and is done quickly in the clinic.

This page is for educational purposes and is medically reviewed by Dr. Falguni Bavishi, MBBS, MD (Obstetrics & Gynaecology). It is not a substitute for personal medical advice — please consult our doctors for guidance specific to you.

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